Momwe mungapereke chithandizo choyambirira cha kapamba?

Kutupa kwa kapamba nthawi zambiri kumakhala matenda osachiritsika omwe amakhala ndi zochita zonse. Pakadali pano, pancreatitis imawonedwa ngati matenda ophatikizika: zinthu zambiri zimatsogolera ku chitukuko chake, kuphatikiza zizolowezi zoipa, uchidakwa, kuperewera kwa zakudya, etc. Mwanjira inayake, zikachitika, kapamba sangachiritsidwe kwathunthu. Ambiri mwa odwala omwe atupa ziphuphu, chiwopsezo cha matendawa chimachitika mtsogolo.

Mkhalidwe watsopano wopweteka umachitika chifukwa cha zolakwika m'zakudya kapena moyo wosayenera. Sikovuta kukayikira kuukira kwina, ndikokwanira kudziwa zizindikiro zazikulu ndikuyang'ana kwa dokotala munthawi yopempha thandizo.

Chifukwa chiyani kuukira kwa kapamba

Kuukira kwa kapamba kumachitika pamene kapamba kakulephera kugwira ntchito zake. Pansi pa izi, mikhalidwe imapangidwa kuti amasulidwe a michere yambiri, yomwe imayambitsa kukonzanso kutukusira kwa thupi.

Zomwe zimayambitsa kukalamba kwa chifuwa chachikulu ndi:

1. Zakudya zopanda pake (kudya zakudya zamafuta ambiri, kudya kwambiri, kudya zonunkhira, yokazinga, mchere, kusuta).
2. Kumwa mowa.
3. Kusuta.
4. Mankhwala osalamulirika.
5. Kujowina matenda oyamba.
6. Matenda a ziwalo zoyandikana ndi ziwalo zogaya chakudya (chiwindi, chikhodzodzo, m'mimba).
7. Mimba

Zofunika! Zomwe zimayambitsa matenda ambiri ndi zolakwika zazakudya (zotsekemera, kuzifutsa, kusuta) ndi mowa.

Ululu wammbuyo

Kuchulukitsa kumayamba ndikukoka kowawa kwambiri mu hypochondrium ndi epigastrium, nthawi zambiri pamimba. Matenda a ululu amapezeka patatha maola awiri nditadya mafuta, zonunkhira, okazinga ndi zakudya zina "zoyipa" kapena kumwa mowa. Ululu umawongolera kumbuyo, tsamba lamanja lamanzere, ndipo nthawi zambiri umakhala ndi chikhalidwe cha lamba. Zizindikiro zopweteka zimayendera limodzi ndi kufooka, mseru komanso kusanza.

Zofunika! Kupita patsogolo ndi kutupa kwa kapamba sikubweretsa mpumulo, pambuyo pake ululu wammbuyo umapitilira kapena kukula. Kuperewera mpumulo pambuyo kusanza ndi chizindikiro cha pachimake matenda aakulu kapamba.

Kuti muchepetse ululu, wodwalayo amakhala mokakamizidwa: wodwalayo atagona kumbali yake ndi miyendo yake yobweretsedwa kapena kukhala pansi, atatsamira, kupumula pamaondo ake.

Ndikofunika kukumbukira kuti ngati ndikumva kuwawa kwakuthupi komwe akukoka mwachilengedwe, odwala amatha kulekerera kupweteka mosavuta. Ngati ululu suthanso, wodwalayo sangapeze malo abwino, osakhazikika - izi zikuwonetsa kuwonongeka kwa kapamba ndi kuwonjezera kwa peritonitis. Wodwala wotere ayenera kuchipatala kuchipatala kuti athandize mwadzidzidzi.

Kutentha kwamphamvu

Kukwera kwa kutentha kwa thupi ndi chizindikiro china chakuwukira kwa kapamba. Munthawi yosavuta, matenthedwe amakwera osaposa 37,5- 38, kutsagana ndi kuzizira pang'ono komanso kufooka m'thupi. Kuphatikiza kwa zovuta zamatenda, wodwalayo ali ndi malungo, samatha kugona, pomwe ntchito zakumapuma kwapafupipafupi (kupuma pang'ono) komanso kuthamanga kwa magazi (tachycardia, hypotension) zimasokonekera.

Zizindikiro za kuledzera

Ndi chiwopsezo cha pancreatitis, kuchuluka kwa zinthu zomwe zimasokoneza minofu ndi ma cytokine otupa amamasulidwa kulowa m'magazi, zomwe zimayambitsa kukula kwa zizindikiro za kuledzera kwambiri. Kuphatikiza pa kutentha, mawonekedwe a kuledzera ndi awa:

• Kufooka, ulesi, kupanda chidwi. Ululu m'matumbo ndi mafinya, kutopa.
• Kuchepa kwa khungu, kuuma ndi khungu.
• Kuchepetsa thupi.
• Hypotension (kutsitsa magazi).
• Anachepetsa chilako.

Dziwani za kuukira kwa kapamba

Kuzindikira kwa gawo la vutoli kumachitika mu chipatala. Pambuyo pofunsa ndi kusankhira anamnesis, wodwalayo amapatsidwa mayeso owonjezera a labotale komanso maphunziro othandizira.

Pakuwopsa kwambiri, enzyme yambiri imatulutsidwa m'magazi, zomwe zikuwonetsa kuwonongeka kwakukulu kwa pancreatic parenchyma. Kuphatikiza apo, pakuwunika kwachuma kwamankhwala am'magazi a michere ya chiwindi (AsAT, AlAT, alkaline phosphatase), kuchuluka kwa bilirubin. Kuunikira kwa ultrasound panthawi yowonjezereka kwa chifuwa cham'mimba kumawonetsa kukula kwa kapamba, kutupira kwake ndi edema.

Thandizo Loyambira ndi Chithandizo

Thandizo loyamba lothandizira kwambiri pakakhala kale kunyumba, chithandizo chamankhwala chapadera ndipo chithandizo chotsatira chimachitika m'chipatala atagonekedwa m'chipatala.

Zofunika! Kudzichita nokha panyumba sikofunikira komanso ngakhale koopsa. Choyamba muyenera kuonetsetsa kuti matenda anuwo ndi olondola ndipo pokhapokha mupeze mankhwala.

Thandizo loyamba limaperekedwa kunyumba, likufuna kuthana ndi kupweteka komanso kukonza kutuluka kwa ndulu ndi madzi a pancreatic kulowa m'matumbo. Pazifukwa izi, wodwala wokhala ndi pancreatitis nthawi zonse ayenera kukhala ndi mankhwala otsatirawa mu baruti yamankhwala:

• Antispasmodics (No-shpa, papaverine, drotaverinum). Ma Antispasmodics amafooketsa minofu yosalala ya mawu ofunikira, omwe amasintha kutuluka kwa katulutsidwe.
• Ma analgesics ochokera pagulu la mankhwala omwe si a anti -idalidal anti-kutupa (Analgin, Nise, Ketonal). Madokotala amalimbikitsa kumwa mankhwala a analgesic kuti muchepetse kuukira pokhapokha ngati muli ndi zizindikiro zoopsa. Sikoyenera kusiya ululu wofatsa ndi mankhwala, kuti "musiyanitse" chithunzi chachipatala.

Ice otenthetsera madzi ithandizanso kuchepetsa ululu, womwe umayikidwa kwina kumalo owawa osaposa maola 1-2. M'mbuyomu, phukusi lotentha liyenera kukulungidwa ndi thaulo la thonje kapena pilo.

Zofunika! Kuchiza pakhomo ndikothandiza kokha ngati wodwalayo aletsa kudya kwathunthu. Kusala kudya ndikofunikira mpaka kulowa kuchipatala kapena kubwera kwa ambulansi. Izi zimapangitsa kupuma kogwira ntchito kwa kapamba ndikuchepetsa chizindikiro cha kufalikira.

Thandizo Lapadera Lamadokotala

Mankhwala ena amachitidwa kuchipatala moyang'aniridwa ndi dokotala. Ngati matendawa atsimikiziridwa, ndiye kuti funso la kasamalidwe kenakake ka wodwalayo lasankhidwa.

Ndi chiwopsezo chosavuta, chithandizo cha Conservative chimachitika. Mankhwala omwe amalembedwa pofuna kupanikiza njira za kutupa. Udindo wofunikira pakulimbitsa kwamankhwala umaperekedwa ku chithandizo chamankhwala othandizira komanso othandizira odwala (antispasmodics, analgesics).

Mumkhalidwe wovuta, funso la opareshoni limatha. Mavuto a vuto la kapamba:

• Pancreatic necrosis (necrosis ya gawo la chiwalo).
• Muli ndi puroperitoneal phlegmon.
• Pancreatic cyst.
• Peritonitis
• Khansa yapakansa.

Mavuto onsewa, kupatula khansa, amayamba chifukwa chachiwiri. Chizindikiro choyamba cha kupsinjika kwakukulu ndi kutentha thupi chifukwa cha kusazindikira komanso kupweteka m'mimba. Vutoli limafunikira chithandizo chamankhwala.

Kodi zakudya zoyenera kuchitika ndi chifuwa cha chizimba

Tsiku loyamba ndi lachiwiri limawonetsa kugona ndi kupumula kwa kama. Pakadali pano, amaloledwa kumwa madzi, zokonda zimaperekedwa kumadzi amchere amchere (Essentuki, Borjomi). Pambuyo pothandizidwa ndi zofunika kwambiri za wodwalayo, amasamutsidwira ku chakudya chamankhwala Na. 5, chomwe chimatanthawuza kugwiritsa ntchito mushy, chakudya chopatsa mphamvu komanso msuzi wamafuta ochepa.

Chakudyacho chimathandizira kupewa kuyambika kwatsopano kwa zizindikiro zowopsa, zimathandizira kubwezeretsa mwachangu ntchito ndi ntchito ya thupi. Zakudya (tebulo Na. 5) zikulimbikitsidwa kuti zizisamaliridwa pafupifupi mwezi umodzi atatuluka, pambuyo pake amasintha pazakudya zokhala ndizoletsa zamafuta, zotsekemera, zonunkhira, zokazinga, zotola ndi kusuta.

Chenjezo ndi contraindication

Kuthandizira pakuwopseza kwambiri komanso kuchulukitsa kwa njira zovuta zimaperekedwa m'njira zosiyanasiyana. Wodwala wodwala kapamba amadziwa za vuto lakelo, motero angathe kuyambiranso yekha.

Kugunda pachimake kumadziwika ndi kupweteka kwakukulu, mwadzidzidzi m'mimba komanso hypochondrium yamanzere. Kupweteka kwamatenda mu pancreatitis yovuta komanso yovuta kwambiri imayendera limodzi ndi kusanza kosaletseka ndi kutentha thupi.

Ndi zizindikiro za kuukira kwa kutupa kwa pancreatic, muyenera kuyimbira dokotala kunyumba. Mukuyembekezera thandizo simungathe:

• yesani kutsuka m'mimba ndi kusanza,
• perekani kukonzekera kwa wodwala ndi michere ya pancreatic (mapiritsi kuti athandizike kugaya monga Mezim, Creon, Festal, etc.),
• ikani madzi oundana kumalo a zowawa,
• gwiritsani ntchito mankhwala azikhalidwe, makamaka omwe amakhala ndi zakumwa zoledzeretsa.

Pakuwopsa, mankhwala a ululu (Baralgin, Analgin, etc.) sayenera kuperekedwa. Izi zimakhudza kuyambika kwa zizindikiro za kapamba ndikupangitsa kuti matendawa azikhala ovuta.

Kunyumba

Chisamaliro chodzidzimutsa chokha kunyumba chitha kuperekedwa ndi kuwonjezereka kwa matenda omwe akudwala.

Koma ngakhale atakhala kuti, paulendo woyamba, wodwalayo amayenera kuyimbira dokotala kunyumba kapena kupita kuchipatala payekha.

Kuwukira kovuta kumafunika kuchipatala kwovomerezeka ndi thandizo la madokotala. Ngati zidachitika mdera lomwe thandizo la adotolo silikupezeka, wodwala amayenera kupita kumudzi ndikupita kuchipatala.

Zochita za algorithm

Ngati matenda a kapamba, mulimonsemo, muyenera kuchita zingapo. Zithandiza munthu kuti asadwale ndi zowawa komanso azitha kumuwonjezera.

Pa pancreatitis yoopsa komanso yodwala, izi ziyenera kuchitika:

1. Khazikitsani wodwalayo kuti thupi liyende patsogolo.
2. Yesani kupuma mopepuka, musatenge mpweya wozama womwe umakulitsa ululu.
3. Tsitsani kusanza pokankha chala pamizu ya lilime.
4. Apatseni wodwala magawo 50 (50 ml) mphindi 30 zilizonse. Madzi azikhala opanda kaboni.
5. Kuwongolera kwamlomo kwa 0.8 mg ya No-shpa kapena Papaverinum (Drotaverinum) kungapangidwe. Izi zimathandizira kuphipha kwa ndulu ndikuyendetsa gawo la bile.

Pambuyo pancreatitis, wodwalayo amatha kudya, koma kudya pakadali pano ndi wotsutsana.

M'masiku atatu oyambukira, wodwalayo amakulimbikitsidwa kusala kudya kwathunthu. Mutha kumwa madzi ochepa a mchere (Borjomi kapena Essentuki) kapena tiyi wofewa, wotsekemera pang'ono.

Patsiku 4-5, wodwalayo amatha kuyamba kudya malinga ndi malamulo a kudya No. 5p:

• mikate yoyera - yoposa 50 g patsiku,
• chimanga (oatmeal, buckwheat, mpunga), pasitala mu mafuta owiritsa komanso chophika (timbale ta mucous ndi msuzi wosenda),
• mbatata, kaloti, squash mu mawonekedwe a mbatata yosenda,
• maapulo, mapeyala owoneka ngati compote kapena kissel wopanda shuga,
• nkhuku yophika, kalulu, ng'ombe yokazinga,
• nsomba zotsamira (cod, pollock, etc.) yophika kapena yowira, yosenda.

Muyenera kudya m'magawo ang'onoang'ono, osapitirira 100-150 g pa mlingo umodzi, koma nthawi zambiri, 5-6 patsiku.

Matenda a wodwalayo atakhazikika, mutha kuwonjezera tchizi yatsopano yamafuta ochepa, dzira la nkhuku (mapuloteni 1-2 patsiku) muzakudya, onjezani batala pang'ono kapena mafuta ophikira azakudya ku mbale zomwe zakonzedwa.

Zoletsedwa kwa odwala pambuyo pancreatitis:

• mafuta
• zopangidwa mkaka
• nyama zosuta, zipatso, marinade,
• masamba obiriwira ndi kabichi wamitundu yosiyanasiyana,
• zipatso zowawasa
• nsomba zamzitini ndi nyama.

Thandizo loyambirira la kapamba

Ndi vuto la kapamba, thandizo lachipatala mwadzidzidzi lingapulumutse moyo wa munthu.

Kuyimbira Ambulansi ndi kulandira zipatala ndikofunikira, ngakhale kuchulukitsa kukuwonekera ndi ululu wochepa. Kusamalidwa kwapadera kwa wodwala kapamba kumatha kuperekedwa kokha kuchipatala.

Kupereka muyezo

Kwa adokotala ndi anamwino, pali lamulo lotsogolera zopereka zokhazikitsidwa ndi Ministry of Health of the Russian Federation. Malinga ndi iye, gulu ladzidzidzi limapereka yankho la 2% ya papaverine hydrochloride, 1% yankho la diphenhydramine kapena 0,1% atropine sulfate. Njira izi zimathandizira kuchepetsa kuphipha ndikuonetsetsa kuti madzi a bile ndi pancreatic asanaperekedwe kuchipatala.

Kupangira mankhwala opweteka

Ma enzymines omwe amalowa m'matumbo a pancreatic amayamba kuwasungunula.

Njirayi imatha kudzetsa kupweteka, kotero mukachulukitsa kutupa kwa kapamba, mutha kumwa mapiritsi:

• Spazmalgon,
• Paracetamol
• Ibuprofen
• Metamizole kapena ena.

Mlingo wa mankhwalawa uyenera kufotokozedwa ndi dokotala. Ngati kuwukira kovuta kumachitika koyamba, wodwalayo amalandila chithandizo chonse kuchipatala, kupereka mankhwala a analgesics, maantibayotiki ndi mankhwala osokoneza bongo kuti athetse kubisalira kwa michere, antispasmodics ndi diuretics.

Mfundo Zosamalira Mwadzidzidzi

Chithandizo choyamba cha pancreatitis pachimake, ngati nkotheka kuyitanitsa akatswiri omwe ali ndi ambulansi, ziyenera kukhala izi. Ngati palibe njira yopezera chithandizo chofunikira mwadzidzidzi kuchokera kwa akatswiri, ndiye kuti ndikofunikira kuti muwonetsetse chidwi ndi kuyesetsa kwa chithandizo choyamba kupweteka kwa kapamba kunyumba kapena wokondedwa. Kuti muchite izi, kumbukirani malingaliro angapo.

1. Kutha kochizira kwa kupweteka kwambiri kumathandizira kukhazikitsidwa kwa mawonekedwe osasunthika a mluza.
2. Ndikofunikira kumasula wodwala ku zovala zomwe zimakhudza ndi kupondera pamimba.
3. Amalimbikitsidwanso kuti achulukitse kuchuluka kwamadzimadzi, monga, kuonetsetsa kuti zakumwa zamchere zambiri zimagwiritsidwa ntchito ngati madzi amchere popanda mipweya kapena njira yochepa ya koloko.
4. Kumalo am'mimba komwe ululu wamkati umakhala wambiri, muyenera kuthira kuzizira ngati mawonekedwe othandizira, kapena botolo la pulasitiki lopanda ayezi. Popeza botolo lomwe lili ndi ayezi limatenthedwa, ndikofunikira kuti lisinthidwe ndi lina, lotentha kwambiri.
5. Pambuyo pobwezeretsanso kupweteka mdera lachiberekero, nthiti ya mluza imatha kusinthidwa ndikukhala pansi ndikukhala patsogolo pang'ono.
6. Kuchita chidwi makamaka ndi kupuma kwa wodwalayo. Kuti muchepetse kupweteka kwapakati pa peritoneum, timalimbikitsidwa nthawi zina kupumira, kapena kupumira kwapamwamba. Kuchita kupumira kumathandizanso kukhazikitsa bata m'mitsempha ya peritoneal, yomwe imachepetsa ululu.

Kuphatikiza apo, kuwongolera bwino lomwe wodwalayo, kumalimbikitsidwanso kuyitanitsa kutaya ndikusuntha zala pamizu ya lilime. Ngati njirayi sikuthandizira kusanza, ndiye kuti muyitane, mutha kumwa malita osachepera awiri amchere ofunda, omwe angapangitse kuti musangotulutsanso kusanza, komanso kubwezeretsanso kuchuluka kwa mchere m'thupi la wodwalayo.

Ndikofunika kukumbukira kuti kukhazikitsa malangizo omwe ali pamwambawa popereka chithandizo chazithandizo zokhudzana ndi pancreatitis kumangothandiza kuti wodwalayo akhale bwino. Chifukwa chake, kuyendera katswiri woyenera sikuyenera kuimitsidwa, koma pang'onopang'ono pitani njira zoyeserera ndikuyamba chithandizo chamankhwala posachedwa ndi kutupa kwa kapamba.

Kugwiritsa ntchito mankhwala

Nthawi zambiri kuphwanya kwachilengedwe kwa kapangidwe ka kapamba, wokhala ndi mawonekedwe a kutupa, kumaphatikizidwa kwambiri ndi kukula kwa cholelithiasis. Chifukwa chake, musanagwiritse ntchito mankhwala aliwonse a pancreatitis, ndikofunikira kudziwa bwino ndulu ya ndulu. Ngati wodwala akutsimikiza kuti ndulu yake ili bwino ndipo mulibe miyala kapena mchenga, ndiye kuti kumwa mankhwala monga mapiritsi 2 a Allochol angathandize pancreatitis kunyumba.

Mukatha kugwiritsa ntchito mankhwalawa, njira yotuluka mu gallbladder ndi ducts imakhala yofanana, ndipo mkhalidwe wa wodwalayo umakhala bwino. Mwambiri, akatswiri odziwa bwino amalangizidwa kuphatikiza mankhwala a choleretic ndi mankhwala ophatikiza antispasmodic, monga No-Shpa kapena Papaverine.

Ngati ndi kotheka, pofuna kuthana ndi vuto la wodwalayo, jakisoni wa imodzi mwamankhwala otsatirawa amalimbikitsa:

• 2% Papaverine hydrochloride yankho,
• Plifilin hydrotortrate yankho,
• kapena yankho la No-Shpa.

Pakuwopseza kwambiri kwa kapamba kunyumba, yankho la 0.1% la Atropine sulfate kapena 1% Diphenhydramine yankho, lomwe limapangitsa kupititsa patsogolo mphamvu za antispasmodic zama antispasmodics omwe ali pamwambapa, amagwiritsidwa ntchito nthawi zambiri. Nthawi zina, kupatula kwa akuluakulu, kutenga antispasmodic kungathe m'malo mwa kutenga piritsi limodzi la mankhwala Nitroglycerin, lomwe limayikidwa pansi pa lilime kuti ligwirizane pang'onopang'ono.

Pambuyo kupweteka ndi pancreatic pancreatitis kunyumba kuchotsedwa, ndipo wodwalayo akumva bwino, ndikofunikira kulumikizana ndi akatswiri oyenerera kuti apititsenso kuchipatala momwe mungakhalire, komwe kuwonekera kwathunthu kwa ziwalo za parenchymal kudzachitika, ndikuwonekeratu chipatala cha matenda. Kutengera zotsatira za mayeso, adotolo azitha kupanga njira yabwino kwambiri yothandizira ndikupereka mankhwala ofunikira.

Ndikofunikira kwambiri kukumbukira kuti kupuma kwakanthawi kokhala ndi pancreatitis kumatha kubweretsanso kachiwiri ndikumwalira kwakukulu.

Kodi ndi chiyani chomwe sichimalimbikitsidwa kuti chikule?

Chisamaliro chodzidzimutsa chifukwa cha pancreatitis pachimake ndikuyenda bwino. Kuthandiza osavomerezeka ndi vuto la kapamba kumatha kuyambitsa kukulitsa kwazomwe zikuchitika ndikupangitsa kuti afe. Kuti mupewe zoterezi, muyenera kudziwa zomwe sizilimbikitsidwa:

1. Ndi zoletsedwa kugwiritsa ntchito zakudya zilizonse, ngakhale zipatso zatsopano.
2. Sitikulimbikitsidwa kuti mutenge kukonzekera kwa enzymatic mu mawonekedwe a Festal, Creon, kapena Mezim panthawi yotsutsa kuti muchepetse kupweteka kwambiri, chifukwa amathandizira pakuwonjezeka kwa kutulutsidwa kwa msuzi wa m'mimba, womwe umawonjezera kukula kwa chisonyezo chowonetsera kuwukira kwa pancreatic.
3. Thandizo loyamba la kapamba sayenera kukhala wodzipaka matenda asanafike kwa gulu la akatswiri a ambulansi, popeza kumwa mankhwala monga Baralgin, Analgin, Spazmalgon kudzasokoneza mawonetsedwe azachipatala, ndikuletsa kudziwikitsa komanso kuzindikira.

Kuwongolera moyo wabwino kudzera pakusala kudya

Kupereka chithandizo choyambirira cha kapamba ndikuchotsa mawonetsedwe amawu. Kuti mukwaniritse izi pafupifupi munthawi zonse, kusala kudya kwa masiku atatu ndikulimbikitsidwa. Ululu wambiri ukayamba kuchepa, ndipo chilakacho chimatha, chimaloledwa kuphatikiza chakumwa chotsekemera cha tiyi wopanda mphamvu ndi uchi wopanda uchi. Kuti mudzithandizire kupuma mofulumira pambuyo povulaza pancreatic, tikulimbikitsidwa kusamala mosamala komanso pang'ono ndi pang'ono mitundu yazakudya. Patsiku loyamba pambuyo pothana ndi njala, tikulimbikitsidwa kugwiritsa ntchito 200 magalamu a phala kuchokera kwa semolina wokhala ndi madzi osasintha.

Kumbukirani: ndi zotupa za pancreatic pancreatic, tikulimbikitsidwa kuti tisamachotsere zakudya zamafuta, zonunkhira, zamchere, zosuta komanso zosenda.

Mu chiwiri komanso chotsatira chodzetsa pachimake pancreatic, njira yotupa yopatsirana imayamba kukhazikika, imafunikira chithandizo chamankhwala chapadera, njira zodzitetezera nthawi zonse, chifukwa zimadziwika ndi kupezeka kwa magawo a chikhululukiro ndikuchulukirachulukira.

Kuthandizira kuchulukitsa kwa matenda oopsa

Thandizo loyamba lothandizira kukhudzana kwa chifuwa chachikulu cha pancreatic pambuyo pancreatic kukanika kungakhale pakumwa mankhwala otsatirawa:

• mankhwala oletsa kupanga mu Baralgin, Ibuprofen kapena Spazmalgon,
• thandizo lingaperekedwe mwa kutenga mapiritsi awiri a Allohol osakanikirana ndi antispasmodic, monga No-Shpo kapena Drotaverin.

Mlingo wovuta kwambiri wamatenda a pancreatic kapena kuwukira kwa pachimake mawonekedwe a matendawa amayenera kuzindikiridwa ndikuchotsedwa mu nthawi mothandizidwa ndi akatswiri oyenerera.

Ndipo ngati palibe mwayi wotere kulandira chithandizo chamankhwala, ndiye kuti chisamaliro chodwala kunyumba ziyenera kuchitika pamlingo woyenera kwambiri.