Pancreatitis ndi matenda otupa a kapamba. Itha kukhala yovuta komanso yovuta. Mu milandu yoyamba komanso yachiwiri, chimodzi mwazizindikiro za matenda nthawi zambiri chimakhala chopweteka kwambiri mu peritoneum.
Izi ndichifukwa choti ma enzyme samalowa mgawo, amayamba kugaya osati chakudya chomwe chimakhalamo, koma ziwalo zozungulira. Katemera wa kapamba amatha kupulumutsa wodwala ku ululu womwe umapezeka mwa iye. Chachikulu ndikugwiritsa ntchito mankhwala okhawo otetezeka mu mlingo woyenera.
Jakisoni wa Antispasmodic
Ma jakisoni a Antispasmodic ochokera ku kapamba ka pancreatic amagwiritsidwa ntchito chifukwa cha zinthu zofunikira izi:
- Mankhwalawa amathandizira kutha kwa zowawa. Zotsatira zake, wodwalayo amayamba kumva bwino.
- Komanso, mankhwalawa amtunduwu amathandizira kupumula minofu ya minyewa, chifukwa chomwe njira yodutsa pancreatic madzi m'matumbo ingayambitsidwe.
Nthawi zambiri, jakisoni wotsatira wa spasmolytic ayenera kugwiritsidwa ntchito pochotsa ziphuphu:
Platyphyllinum. Mankhwalawa amagwiritsidwa ntchito pokhapokha ndikuyang'anira dokotala. Pofuna kuti mankhwala azikondweretsa. Wodwalayo akulimbikitsidwa kupaka jekeseni wa milliliters 1-2 a njira ya 0,2% mosavuta. Nthawi yovulala iyenera kukhala maola 12.
Odeston. Mankhwalawa amalimbikitsa chimbudzi ndi kuthetseratu kwa bile, amabwezeretsa kukhathamiritsa kwa Oddi, amachotsa kukokana ndikuchotsa zisonyezo monga kupweteka, kusanza, nseru, kutsekula m'mimba ndi kuphwanya mseru. Izi zimathandiza kupewa kukula kwa kuphatikizana kwa kapamba monga cholecystitis.
Metacin. Mlingo umodzi wambiri wa mankhwalawa ndi mamiligamu awiri. Palibe mankhwala opitilira milligram 6 omwe angagwiritsidwe ntchito patsiku wodwala aliyense. Chifukwa chake, masana, jakisoni wopitilira muyeso sangathe kupitirira jakisoni atatu.
Atropine Yankho la 0.1% mu ampoules tikulimbikitsidwa. Itha kuperekedwa kwa wodwala mosadukiza. Chithandizo chotere nthawi zambiri chimaphatikizidwa ndikupereka mankhwala a analgesic. Mlingo umodzi wa Atropine ndi gawo limodzi lokha lamankhwala. Ngati ndi kotheka, jakisoni amatha kubwereza pambuyo pa maola 3-4.
Ayi-Shpa. Amamasulidwa, onse ngati njira yothetsera jakisoni wamkati, komanso makonzedwe amkati. Mpesa wamba wa mankhwalawo ndi mamililita awiri. Ngati kuli koyenera kupaka mu mtsempha, amawonjezera mamilimita 8-10 a mchere. Pofuna kuti muchepetse magazi, mankhwalawa amaperekedwa pang'onopang'ono kwa mphindi 5.
Papaverine. Kugwiritsira ntchito kwa wothandizirayi kumatsimikizira kuchoka kwa ndulu, kumachepetsa kupanikizika mkati mwa kapamba, kumachepetsa kuphipha kwa Oddi, komanso kumapangitsa zotsatira zina za analgesic zamankhwala ena.
Matenda a pancreatitis aakulu ndi pachimake nthawi zambiri amathandizidwa ndi mankhwala omwe ali pamwambawa m'njira zothetsera jakisoni wamkati, mu mnofu ndi m'mimba.
Ma analgesic jakisoni
Kuthira mankhwala kapamba chifukwa cha chotupa mkati mwake momwe matendawa amalimbikitsidwa mothandizidwa ndi NSAIDs.
Paracetamol Chithandizo cha kutupa kwa kapamba ndi chida choterechi ndi chifukwa chakuchepetsa kutentha kwa thupi, kuthetsa ululu komanso kuchepetsa kukula kwa njira ya pathological mu thupi. Jekeseni wa kapamba ndi mankhwala amachitika pogwiritsa ntchito njira yothetsera mulingo wa 10 mamiligalamu yogwira ntchito pa millilita.
Baralgin. Chida ichi chimathandiza kuchiritsa matenda chifukwa cha zinthu zingapo zofunikira. Pakati pawo, ndikofunikira kuwonetsa anesthesia ya pancreatic, kuthetsa kuphipha kwa minofu ya minofu, kuthetsa mpaka kufalikira komanso kuchepetsa kutentha kwa thupi. Wachikulire amatha kugwiritsa ntchito ma milliliters a 2,5 ndi 5, onse a jakisoni ndi ma dontho. Kuphatikiza mankhwalawa kumaloledwa ndi mankhwala ena omwe angabwezeretse kutupa.
Analgin. Monga mankhwala ena ambiri, mankhwalawa ali ndi zotsatira zitatu zofunika kwambiri zochiritsira: analgesia, kutsika kwa kutentha kwapamwamba kwa thupi, komanso kuchepa kwa milingo ya kutupa. Mankhwala amapezeka mu ampoules a milliliters a 1-2 omwe ali ndi yankho la 0.25% kapena 0,5% ya yogwira ntchito.
Sandostatin. Ndi analogue yopanga ya somatostatin. Mankhwala amapangidwa mwa njira yothetsera jakisoni kapena lyophilisate pakukonzekera kwake. Muli mankhwala ophatikiza amodzi, omwe voliyamu imodzi ndi imodzi, mulingo wa 0,55 mg kapena 0,5 milligram wa chinthu chomwe chikugwiracho. Sandostatin imatha kuthandizira kapamba chifukwa imalepheretsa kuchuluka kwa katulutsidwe kameneka, chifukwa chake madzi a kapamba amapangidwa pang'ono. Nthawi zambiri, mankhwalawa amathandizidwa ndi odwala atachitidwa opaleshoni. Pafupifupi kubwereza kulikonse pa kugwiritsa ntchito chida ichi pa intaneti ndikwabwino.
Katemera wa kapamba pancreitis ayenera kuikidwa pokhapokha ngati wodwala atamuunika kwathunthu.
Odziyendetsa pawokha amaletsedwa, chifukwa mankhwala aliwonse amakhala ndi mndandanda wonse wazotsatira zake zoyipa.
Njira zina zapa kapamba
Nthawi zina, kuwonjezera pa analgesics ndi antispasmodics a kapamba, mankhwala ena amagwiritsidwanso ntchito.
Hormone insulin. Kugwiritsa ntchito chida ichi ndi chifukwa chakuti ndi nthawi yayitali ya kapamba, kuchepa kwa insulin m'magazi a wodwala kumachitika. Nthawi zambiri, matenda amtunduwu amabweretsa kukula kwa matenda ashuga.
Gentamicin. Malangizo othandizira kupha omwewa omwe amagwiritsidwa ntchito amatha kugwiritsidwa ntchito pakuwonjezera matendawa, munthu akayamba kutupa kwambiri m'mapapo. Gentamicin iyenera kuperekedwa kudzera mu 2 mpaka 4 pa tsiku. Cholinga cha mankhwalawa chimalepheretsa kukula kwa mitundu yosiyanasiyana ya purulent pathologies, yomwe nthawi zina imachitika ndi kapamba.
Wampikisano. Chida ichi chimakhudza mwachindunji kugwira ntchito kwa ma pancreatic enzies. Kukonzekera kumakonzedwa mwa njira ya lyophilisate yankho lomwe limapangira jakisoni. Chofunikira chachikulu cha mankhwalawa ndi Aprotinin. Mankhwala ayenera kuchepetsedwa musanagwiritse ntchito, kenako ndikulowetsedwa mu mtsempha wa wodwala.
Ndikofunika kuyang'anira dzina la mankhwalawo chifukwa mankhwalawo angagwiritsidwe ntchito molakwika.
Pancreatitis imawonedwa ngati matenda osagwiritsa ntchito, chifukwa chake, katemera sangateteze mwana ku matendawa. Sitikulimbikitsidwa kuperekera katemera matenda ena pachimake chifukwa cha matendawa chifukwa sizingatheke kuwerengetsa mavuto omwe amabwera.
Katswiri mu kanema mu nkhaniyi adzalankhula za mankhwalawa a kapamba.
