Pancreatitis yog ib tug kab mob loj heev nrog rau tus mob ntawm cov txiav thiab thaum tsis muaj kev mloog zoo rau qhov teeb meem ua rau muaj teeb meem. Kev kho ntawm pancreatitis nrog cov tshuaj yog thawj kauj ruam, raws li txoj cai, qhov kev kho ntawm tus kab mob no pib nrog nws. Muaj ntau ntau cov tshuaj uas ua rau txo kev mob nkeeg.
Yuav ua li cas kom kho tau tus kab mob pancreatitis?
O ntawm cov hlab ntsha tuaj yeem tshwm sim thaum lub caij nplooj zeeg uas tau muab faib rau hauv lub caj pas. Pancreatitis nthuav tawm hauv ntau hom, muaj ob leeg ntawm lawv: mob ntev thiab mob ntev. Lub degree ntawm tus kab mob no nyob ntawm nws txoj kev kho mob. Thaum xub pib ntawm pathology, tshuaj yeeb thiab tshuaj antifungs raug sau tseg, thiab npaj rau mob pancreatitis (sluggish) muaj xws li cov neeg ua hauj lwm rau stimulating secretion, antispasmodics thiab lwm pab pawg neeg. Txoj cai peb tseem ceeb tshaj plaws yog: kom muaj kev thaj yeeb rau tus neeg mob, noj zaub mov thiab mob khaub thuas kom mob loj.
Raws li cov tsos mob sau tshuaj rau pancreatitis, nres cov tsos mob nrog. Nws yog ib qho tseem ceeb rau kev them nqi (nrog rau kev tshem tawm) cov pathologists los ntawm lub chav kawm ntawm tus kab mob pib, tshwj xeeb yog tias nws yog:
- ntshav qab zib mellitus;
- Mob plab ;
- pob zeb hauv lub gallbladder;
- lom tshuaj nrog tshuaj;
- cov kab mob ntsws kab mob.
Kev kho mob pancreatitis nrog tshuaj
Yog kuaj tau tus kab mob pancreatitis, muaj tus kab mob provoking thiab nrhiav kev kho mob los ntawm nws, tab sis tsis muaj kev vam meej, tus kab mob pathology yuav suav tau ntev. Nyob rau hauv cov ntaub so ntswg muaj mob, thiab ib txoj kev kho kom haum rau kev tshem tawm ntawm cov tsos mob. Yuav siv cov tshuaj twg noj nrog pancreatitis ntawm daim ntawv ntev li cas? Cov tswv yim kho yog raws li nram no:
- nrog mob mob siv antispasmodics;
- ntawm cov tshuaj tua kab mob ntxiv tuaj yeem raug xaiv los yog xaiv tsa;
- Yuav kom txo cov acidity ntawm lub plab, antacids yog consumed;
- tswj qhov kev xav tawm ntawm lub cev hu ua inhibitors thiab H2-blockers;
- Enzymes raug sau tseg, raws li lub cev xav tau lipase;
- Cov qee zaum, cov neeg siv tshuaj tua kabmob (antifoam) tau ntim cov tshuaj tua kabmob.
Kev kho mob ntawm kab mob pancreatitis nrog tshuaj
Mob pancreatitis yog qhov nyuaj rau kev kuaj mob, muaj teeb meem thaum cov tsos mob zoo li lwm cov kab mob. Tus neeg mob xav tias tsis kaj siab nyob hauv cheeb tsam ntawm lub plawv, lub xub pwg hniav, lub xub pwg, lub thawv hnyuv. Kev tsis zoo nyob rau sab laug ntawm lub cev, muaj mob hnyav. Tom qab pluas mov plentiful muaj ib lub heaviness nyob rau hauv lub plab mog, xeev siab, raws plab . Tus mob no tsis zoo, thiab nws yog ib qhov ua tau kom muaj kev kho mob hauv tsev kho mob thiab kev phais qhov muag. Tus kws kho mob tau qhia cov tshuaj uas yooj yim rau tus neeg mob qhov mob hauv kab mob pancreatitis:
- txhais tau tias, normalizing lub functions ntawm lub siab;
- mob taub hau;
- yeeb tshuaj uas inhibit lub tso pa tawm ntawm lub caj pas;
- kev npaj rau kev tshem tawm ntawm kev mob nkeeg;
- cov tshuaj tiv thaiv dej tseg.
Cov tshuaj dab tsi los kho tus kab mob pancreatitis?
Txoj kev kho mob zoo ntawm kev tswj cov kab mob pancreatic yog ib txoj hau kev ntev. Txhawb lub qub haujlwm ntawm caj pas thiab cov kua txiv qhuav pancreatic, ntau txoj kev siv. Qhov loj tshaj plaws yog noj tshuaj. Hauv kev kho lub caj pas, cov tshuaj ua si ua haujlwm. Nyob rau hauv kev saib xyuas ze ntawm tus kws kho mob hnyav, tus kab mob tau txiav thaiv, kev kho mob, tshuaj muaj npe los ntawm ib tus kws kho mob tshwj xeeb.
Painkillers rau pancreatitis
Ib qho kev mob tshwm sim ntawm tus kab mob no yog mob qhov mob. Qhov tsis xis nyob yuav ua tsis tau li ntawd tus neeg mob nqus thiab hais lus nrog nyuaj. Tus mob muaj zog, nws muab rov qab, qis dua thiab lwm qhov ntawm lub cev, qhia tias qhov twg ntawm lub cev yog cuam tshuam. Tom qab ntawd cov kws kho mob muab cov tshuaj rau exacerbation ntawm pancreatitis: muaj zog analgesics, tshuaj non-steroid, narcotic analgesics coj intravenously. Kev kho ntawm pancreatitis nrog tshuaj loog ntawm ob peb pawg yog raug coj tawm.
- H2-blockers ntawm histamine receptors. Txo qhov kev tsim cov pancreatic enzymes, cov tshuaj uas tswj cov kev xav tawm ntawm lub cev yog hu ua Famotidine, Ranitidine.
- Yog tias koj xav tau kev pab txo thiab pab txhawb kev noj qab nyob zoo, muab cov tshuaj spasmolytic rau. Muaj mob hnyav, Papaverin, Atropine, Aprofen, No-Shpa .
- Nonsteroid tshuaj noj nrog mob thiab mob - Paracetamol, Ibuprofen, Aspirin, Nimesil. Lawv nres qhov mob thiab kub cev.
- Tshawb Fawb. Piv txwv li, Baralgin, Analgin.
- Buprenorphine thiab Tramadol yog cov neeg ua hauj lwm muaj zog uas tau muab coj los rau hauv.
Anti-inflammatory tshuaj nrog pancreatitis
Thaum lub sij hawm muaj tus kab mob, qhov cuam tshuam cov txiav ua paug yog txuag los ntawm nws tus kheej cov enzymes, thiab lub cev raug kev qaug cawv. Cov tshuaj tua kab mob yuav tsum tsim kom muaj qhov mob siab tshaj plaws, ua rau cov ntshav txaij nyob ib sab mus rau qhov kev mob siab, thiab ntxiv dag zog rau lub cev lub zog ntawm ntuj. Cov pab pawg ntawm cov tshuaj tiv thaiv qhov tsim tawm ntawm tus kab mob thrombi thiab muaj kev cuam tshuam cov tshuaj tiv thaiv. Kev kho mob ntawm kab mob pancreatitis nrog tshuaj tom tsev yog ua tau, tab sis nws yog qhov zoo dua rau kev tso siab rau koj tus kws kho mob.
Paub siv yeeb tshuaj tiv thaiv:
- 2 ntsuas ntawm Analgin thiab 3 ml ntawm Baralgina, intramuscularly. Lub chav kawm yog kho los ntawm tus kws kho mob thiab yog li ib lub lim tiam.
- Fenicaberan (2 ml / 0.25% r-ra), Atropine (1 lub mis ntawm 1% kua) thiab Papaverine (4/2%).
- Intramuscular txais tos tsis-shpy thiab Platifillin (1 ml thaum sawv ntxov thiab yav tsaus ntuj). Tau ntxiv cov kev tswj hwm ntawm Prostanone.
- Thaum tus kab mob no ua rau mob, tshuaj tua kab mob tuaj yeem kho tau: Cefuroxime, Ampiox, Levomycetin thiab lwm tus.
Antiferment npaj rau pancreatitis
Tom qab kaw qhov mob nres thiab xaus nrog lub caij nyoog kho mob, kev kho plab pancreatitis nrog cov tshuaj yog siv cov tshuaj muaj amylase, lipase, thiab trypsin. Cov tshuaj enzyme nrog pancreatitis: Creon, Pancitrat, Penzinorm, Mezim, cov tshuaj ua muaj roj-dej ntau thiab lwm yam tshuaj. Hauv qee kis (thiab thaum lub syndrome yog thawj) muab cov tshuaj tua kab mob enzyme intravenously. Lawv thaiv cov kev ua si ntawm qee cov neeg ua hauj lwm fermentation, tab sis lawv muaj ntau yam tsis zoo. Mus rau kev npaj nqa:
- Contrikal;
- Gordoks;
- Aprotinin;
- Inhistril.
Antacids nyob rau hauv pancreatitis
Ntxiv nrog rau cov neeg ua hauj lwm hauv enzyme, tshuaj tiv thaiv kab mob antacid yuav raug muab kho kho tus kab mob pancreatitis, uas ua rau lawv ua tau zoo dua. Yuav kom txo tau cov kua qaub plab, alkaline mixtures siv, piv txwv, Almagel, Fosfalugel thiab cov zoo li. Cov tshuaj no tshem tawm cov exocrine insufficiency, ua rau ib tug ua txhaum ntawm kev ua hauj lwm zoo ntawm duodenum, thiab theem ntawm acidity ntawm pancreatic kua txiv nyob rau hauv lub plab txo.
Cholagogue npaj rau pancreatitis
Mus cuag cov teebmeem xws li txo qhov kev tso zis ntawm daim nqaij hlav, tshem tawm ntawm lub cev thiab qhov teebmeem ntawm lub cev, kev txhim kho kev zom zaws rau kev siv cholagogue. Thaum noj tshuaj pancreatitis, tus kws kho mob yog tus kws kho mob sau tseg thiab, nws tau tso cai, cov tshuaj ntsuab tau ntxiv nrog cov tshuaj ntsuab uas muaj cov khoom xws li cov vitamin C, cov roj ntsha tseem ceeb, txiv hmab txiv ntoo, tar, menthol, flavones, flavonoids, tannins, thiab lwm yam. Feem ntau cov siv ntsiav tshuaj yog pancreatitis, xws li cov tshuaj xws li:
- Qhov tseem ceeb;
- Holenzim;
- Hofitol;
- Allochol;
- Libiol;
- Ursosan;
- Odeston;
- Nikodin.
Scheme kev kho mob ntawm pancreatitis nrog cov tshuaj - siv yeeb siv tshuaj
Nyob rau hauv cov niaj hnub siv tshuaj, ntau hom kev siv thiab hom kev siv, nrog kev pab los ntawm cov kev tawm tsam ntawm pancreatitis yog tshem tawm. Lub luag haujlwm tseem ceeb hauv lawv yog ua los ntawm cov neeg ua haujlwm pharmacological. Tab sis nws yog ib qho tseem ceeb uas yuav tsum xav txog tias pancreatitis yog ib qho mob ceev heev, txoj kev kho mob uas yog nyob hauv tsev kho mob. Feem ntau, cov neeg mob tau pw hauv tsev kho mob, muab tso rau ib qho dej, txhawb txoj haujlwm ntawm ntau lub cev thiab lub tshuab, sau cov tshuaj kom txo tau cov tsos mob ntawm tus kab mob. Cov kev pabcuam txhim kho pabcuam siv tshuaj hauv pancreatitis, uas tiv thaiv kev puastsuaj pancreatic cov nqaij thiab tua tus kabmob.
Kev kho mob ntawm mob pancreatitis hauv tsev - yeeb tshuaj
Kev kho ntawm pancreatic o tuaj nrog tshuaj yog tau hauv tsev, tab sis ntawm tus neeg mob uas tus neeg mob yuav sib txuas nrog tus kws kho mob, thiab qhov phem tshaj. Qhov no yog qhov tseeb tshwj xeeb ntawm tus kab mob tsis zoo. Nws yog ib qho tseem ceeb kom muaj kev thaj yeeb nyab xeeb, kom ua raws li kev noj haus. Kev hnov mob ntawm lub cev raug tshem tawm nrog cov kev mob analgesics thiab tshuaj tua kab mob. Yog tias qhov mob tsis yog thawj zaug, ib tug neeg tuaj yeem noj tshuaj:
- Tab sis-Shpu;
- Papaverine intramuscularly;
- Drotaverine.
Lub hom phiaj ntawm txoj kev kho mob rau cov kab mob mob yog kev tiv thaiv ntawm cov teeb meem tsis muaj zog, necrosis thiab kis kab mob. Mob hnyav pancreatitis tuaj yeem ua rau lwm cov kab mob pathologies, thiab cov tswv yim kho mob nyob ntawm lawv. Yog tias tus mob tsis txaus, lub siab dhia, tus kws kho mob muab cov tshuaj los ua rau tus mob zoo li qub:
- Glucagon;
- Calcitonin;
- Somatostatin.
Kev kho mob ntawm mob pancreatitis nrog tshuaj hauv tsev kho mob
Feem ntau, thaum tus kab mob no tshwm sim hauv cov ntawv mob, yuav tsum tau pw hauv tsev kho mob. Txoj kev kho yog nyob rau hauv kev saib xyuas ntawm cov kws kho mob hauv tsev kho mob. Nyob rau hauv thawj hnub ntawm nyob rau hauv lub tsev kho mob qhia ib tug noj haus nruj, txawm starvation. Yuav kom tshem tawm kev qaug, cov dej loj, xws li qabzib thiab ntsev, muab tso rau hauv cov neeg poob qab, nrog cov tshuaj pancreatitis thiab cov tshuaj tua kabmob intravenous, thiab kabmob. Nyob ntawm seb qhov mob hnyav npaum li cas, cov tshuaj noj tau muab sau tseg:
- Spasmolytics (Ketanov, Spazmalgon) tshem tawm qhov mob hauv plab.
- Cov tshuaj enzyme txo cov kev ua ntawm cov txiav (cov tshuaj xws li Sandostatin, Contrikal).
- Tau txais tos ntawm narcotic analgesics, tab sis nyob rau hauv lub nruj tswj ntawm tus kws kho mob (Hydromoron, Meperidin).
Nyob rau hauv txhua daim ntawv thiab kev mob ntawm tus kab mob, kev kho mob ntawm cov tshuaj pancreatitis nrog cov tshuaj yuav tsum yog nyob hauv kev saib xyuas ntawm tus kws kho mob uas paub txog keeb kwm ntawm tus kab mob thiab paub txog qhov ua rau kev loj hlob ntawm pathology. Nws yog ib qhov kev tawm tswv yim pib txoj kev kho thaum ntxov, kom txog rau thaum cov kab mob ua rau muaj kev mob nkeeg thiab tsis mus rau cov mob tsis zoo.