Kukonzekera kwa chiwindi ndi kapamba: mndandanda wa mankhwala

Chithandizo cha kapamba ndi mankhwala ndichizindikiro chofunikira kuti chiwongolere chachikulu chizindikirike. Matendawa ndi osachiritsika, koma chithandizo chokwanira chimalepheretsa kukula kwa zovuta.

Kuchiza ziphuphu kumachitika makamaka kuti muchepetse kupweteka, kubwezeretsa ntchito yabwinobwino m'mimba ndikuchotsa kuperewera kwa mphamvu.

Pankhaniyi, dokotala amafotokozera mitundu yosiyanasiyana ya mankhwala kwa wodwala: antispasmodics, analgesics, antacid, NSAIDs, choleretic mankhwala, anti-spectrum mankhwala, antidiarrheal ndi antiemetic mankhwala, enzymatic ndi antisecretory. Amakhala ndi mitundu yosiyanasiyana yotulutsira - piritsi, kuyimitsidwa, ma ampoules othandizira kulowa mkati. Kuphatikiza apo, onse kupanga ndi zitsamba kukonzekera kumagwiritsidwa ntchito.

Mfundo za mankhwalawa pachimake komanso matenda kapamba

Kutupa kwa kapamba nthawi zambiri kumachitika chifukwa chomwa mowa kwambiri komanso nthenda ya ndulu. Vascular pathologies, opaleshoni pamimba ndi duodenum, kugwiritsa ntchito mankhwala ena, ma genetics, matenda osokoneza bongo, ERCP, cholecystitis, matenda a helminth, kusalinganika kwa mahomoni, kusokonezeka kwa matumbo ndi matenda amathanso kukhudzanso kukomoka.

Kumayambiriro kwa kapamba, munthu amakhala ndi zizindikiro monga mseru komanso kusanza, kuzizira komanso kutentha pang'ono, kupweteka mwadzidzidzi pamimba, kukomoka kwa matumbo, kuphatikiza kudzimbidwa. Ndi kuwonongeka kwakukulu kwa kapamba, kutsekula m'mimba kumachitika - kutsegula m'mimba, limodzi ndi kuphatikizika kwa ntchofu komanso tinthu tating'onoting'ono ta chakudya.

Chifukwa chakuti matendawa amapezeka m'njira ziwiri - pachimake komanso matenda - mankhwala a kapamba amasiyana. Kuphatikiza apo, mtundu wovuta wa matenda ndi biliary, drug and alcohol etiology.

Pazovuta za kapamba, chithandizo chofunikira kuchipatala. Dotolo amatipatsa kusala kwachithandizo kwa masiku atatu ndi kumwa mankhwalawa:

• mankhwala omwe amachepetsa ntchito ya michere ya m'mimba;
• ma analgesics omwe amachotsa kupweteka;
• njira zothetsera thupi;
• maantibayotiki ngati vuto la bacteria.

M'masiku oyamba a mankhwalawa, mankhwalawa amaperekedwa kudzera m'mitsempha, ndiye kuti amaloledwa kumwa nawo piritsi. Pambuyo povulala kwambiri, wodwala amatha kumwa madzi ofunda a mchere. Pambuyo pa masiku 3-4, pamene kupweteka kwamankhwala kumatha, ndipo chinsinsi cha michere chimachepa, wodwalayo amaloledwa kudya zakudya zomwe zimaloledwa ndi chakudya No. 5 malinga ndi Pevzner.

Ngakhale atatha kuthana ndi pancreatitis pachimake, ndikofunikira kusunga zakudya zapadera. Zizolowezi zoipa, monga mowa ndi kusuta, ziyenera kukhala zoyipa kwa wodwalayo. Mu chifuwa chachikulu cha pancreatitis, ndikofunikira kutenga enzymatic kukonzekera (Mezim, Festal) kusintha njira yokumba. Muli ma enzyme otengedwa kuchokera ku zikondamoyo za ng'ombe, zomwe zimaloŵa m'malo mwa anthu.

Palinso mankhwala ena a pancreatic omwe amagwiritsidwa ntchito pancreatitis, yomwe tidzakambirana pambuyo pake.

Ma Painkiller ndi ma enzyme

Zikudziwika kuti ndi kuchulukitsa kwa matendawa, wodwalayo amadandaula za kupweteka kwambiri m'dera la epigastric. Amatha kukhala mwadzidzidzi, kupereka kumanzere kwa thupi ngakhale m'munsi kumbuyo.

Ndizovuta kupirira ndi ululu, motero wodwalayo amapatsidwa analgesics ndi antispasmodics - painkillers. Mitundu ya mankhwalawa imasiyanasiyana pamaapangidwe ake.

Antispasmodics amathandizira kuphipha kwamatumbo. Zithandizo zodziwika bwino ndi No-Shpa ndi Papaverin. Kuti muchepetse kupweteka, ndikofunikira kugwiritsa ntchito Atropine kapena Gastrocepin.

Ngati kupweteka kumachitika pancreatitis yayikulu, muyenera kuwachotsa mwachangu. Poterepa, a analgesics amapulumutsa. Ndi wamba (Baralgin) ndi narcotic (Tramal).

Kubwezeretsa chimbudzi sikungatheke popanda kugwiritsa ntchito enzymatic. Chifukwa chinsinsi cha kapamba chimasokonekera; michere yam'mimba simalowa mu duodenum. Ntchito ya othandizira enzymatic ndi kuwabwezeretsa. Pofuna kupewa nthawi yoikidwa:

• Chilolezo
• Enzystal;
• Chimbudzi;
• Panzinorm;
• Pancreatin
• Chiboni
• Chikondwerero.

Kutengera ndi kapangidwe kake, kukonzekera kwa enzymatic kwa kapamba kumatha kukhala kosiyana:

1. Muli ndi bile (Enzyme forte, Festal, Ferestal). Amagwiritsidwa ntchito kwambiri pancreatitis, koma amaletsedwa kwa odwala omwe ali ndi zilonda zam'mimba komanso zilonda zam'mimba.
2. Muli ma enzymes okha (Pancreatin, Mezim) - amylase, lipase, proteinase. Ndalama zotere sizingatengedwe kwa nthawi yayitali, chifukwa zimayambitsa kukokoloka kwa pancreatic.

Nthawi zina dokotala amalembera mankhwala a choleretic a kapamba, pofuna kuwonjezera kubisika kwa maselo a chiwindi. Zithandizo zodziwika bwino ndi Heptral ndi Allohol.

Mankhwala a antiidiarrheal ndi antiemetic

Chizindikiro monga kutsegula m'mimba m'mimba ndi chizindikiro kuti munthu adya chakudya chomwe chimakulitsa chakudya. Nthawi zambiri, kutsegula m'mimba kumachitika mu nthawi ya kukokomeza.

Kukodza pafupipafupi kumabweretsa kuchepa kwamphamvu kwa thupi ndi kuledzera. Pankhaniyi, mankhwala othandizira ayenera kuthandizira kuthana ndi chizindikiro chosasangalatsa komanso kupewa kupewa mavuto akulu. Mndandanda wamankhwala ogwira mtima amaperekedwa pagome.

Matendawa ali pachimake nthawi zambiri amawonetsedwa ndikusanza, pambuyo pake sipamachitika. Woopsa milandu, kumabweretsa kutsitsimuka. Chifukwa chake, adotolo amakupatsani imodzi mwamankhwala otsatirawa:

• Metucal;
• Tserukal;
• Metoclopramide.

Tiyenera kukumbukira kuti mankhwalawa amayenera kumwedwa mosamala malinga ndi malingaliro a dokotala komanso malangizo omwe akuperekedwa. Kudzidziwitsa nokha kumatha kubweretsa zotsatirapo zosayembekezeka.

Mankhwala a antacid ndi antisecretory

Ndi nthawi yayitali ya kapamba, kumachitika mavuto am'mimba, monga kuphatikiza kwa hydrochloric acid.

Pankhaniyi, adotolo atha kukulemberani mankhwala kuchokera pagulu la ma antacid omwe amasokoneza kupanga hydrochloric acid.

Mankhwala oterewa amatha kuchepetsa kuchuluka kwa m'mimba ndikuwongolera kugaya chakudya:

1. Phosphalugel;
2. Almagel;
3. Maalox;
4. Omez.

Ndi kuledzera kwambiri kwa thupi, kuyeretsa mwachangu zinthu zakupweteka ndikofunikira. Pankhaniyi, muyenera kugwiritsa ntchito mankhwala osokoneza bongo a Enterosgel kapena kaboni yokhazikitsidwa nthawi zonse.

Nthawi zambiri ndi kutupa kwa kapamba, wodwalayo amakumana ndi dysbiosis, yomwe imatha kuchotsedwa mothandizidwa ndi wothandizirana ndi Smecta. Trimedat imatha kubwezeretsanso matumbo oyenda.

Pofuna kuphwanya chinsinsi cha ntchito yam'mimba, dokotala amamulembera mankhwala antisecretory. Kuchulukitsa kwa michere kumayambitsa kufooka kwa kapamba. Zotsatira zake, pancreatic necrosis imatha kukhazikika - necrosis ya zimakhala za chiwalo, chomwe ndi chisonyezo chothandizira opaleshoni kutiichotse.

Mankhwala a Antisecretory amaphatikiza ma blogamine H2 receptor mabulogu ndi ma proton pump zoletsa. Mapiritsi otchuka kwambiri a kapamba:

• Esomeprazole;
• Rabeprazole;
• Lansoprazole;
• Nizatidine;
• Cimetidine;
• Gordox;
• Omeprazole

Kumwa mankhwalawa kumathandizira kuchepetsa ululu komanso kuchepetsa kupanga kwa hydrochloric acid. Nthawi zambiri amalembedwa chifukwa cha chifuwa chachikulu.

Mankhwala osokoneza bongo

Mankhwala osapweteka a antiidal (NSAID) omwe ali ndi anti-yotupa, antipyretic komanso analgesic.

Poyerekeza ndi glucocorticoids, NSAIDs kwenikweni sizimayambitsa zovuta. Mankhwala othandiza kwambiri amaperekedwa pagome.

Tizilombo toyambitsa matenda tikalumikizidwa, ndikofunikira kugwiritsa ntchito maantibayotiki omwe ali ndi zochita zambiri. Mwachitsanzo, ndikofunikira kumwa mankhwalawa popanga cholecystopancreatitis:

1. Bactrim;
2. Ampicillin
3. Kanamycin;
4. Oletetrin;
5. Sigmamycin.

Njira ya mankhwala ndi mankhwalawa ndi masiku ochepa chabe. Malinga ndi malingaliro a madotolo ndi odwala, maantibayotiki amatsogolera ku dysbiosis. Kugwirizana ndi maantibayotiki othandizira, kukonza microslora yamatumbo ndikofunikira. Pankhaniyi, tikulimbikitsidwa kugwiritsa ntchito mankhwala osokoneza bongo ndi prebiotic.

Chithandizo cha Pancreatic

Popeza pancreatitis yosachiritsika ndi matenda osachiritsika, ndikofunikira kuti nthawi zonse zinthu ziziyenda bwino.

Kugwiritsa ntchito kwa nthawi yake moyenera komanso moyenera kumalepheretsa kusintha kwamatumbo mu ziwalo za thupi.

Pambuyo pakuthana ndi gawo la kufalikira, wodwalayo amachotsedwa kuchipatala.

Amayenera kutsatira chakudya No. 5 ndikugwiritsanso ntchito mankhwala omwe amabwezeretsa pancreatic function:

1. Pancretinol ndi mankhwala azitsamba, omwe amaphatikiza timbewu tonunkhira, tsabola, chamomile, fennel, elm ndi chikasu. Mlingo watsiku ndi tsiku ndi piritsi limodzi. Njira ya mankhwala kumatenga mpaka masiku 30.
2. Bifidumbacterin ndi mankhwala othandiza kwambiri pakati pa mankhwala ena okwera mtengo. Limagwirira a zochita za mankhwala zimagwirizanitsidwa ndi khazikika ntchito ya maselo a islet zida ndi matumbo microflora. Monga gawo la malonda, sucrose, bifidobacteria wamkaka, mkaka wa skim, gelatin yokhayokha ndiyopadera. Mankhwala amatengedwa theka la ola musanadye. Momwe mungawerengere kuchuluka kwa mlingo womwe ukufunidwa kukusonyezedwa pa phukusi.
3. Hilak Forte ndi njira yothanirana ndimatenda a dyspeptic. Mankhwalawa amathandizira kukonza bwino, kupangitsa kuti asidi asakhale ndi asidi, kubwezeretsa microflora yamatumbo komanso kapamba. Mankhwala amatengedwa 50 akutsikira katatu patsiku. Kutalika kwa maphunzirowa kumatsimikiziridwa ndi dokotala payekhapayekha.

Chifukwa ndi kutupa kwa kapamba, chitetezo cha wodwalayo chimachepa kwambiri, akatswiri ena amalimbikitsa kugwiritsa ntchito mankhwala othandizira ofooketsa omwe amayambitsa matenda a chimfine ndi SARS.

Dokotala aliyense amatha kupatsa mankhwala ambiri. Komabe, zakudya zapadera ziyenera kutsatiridwa, zomwe sizimangolepheretsa zovuta zingapo za kapamba, komanso zina, zomwe sizowopsa, mwachitsanzo, steatosis, shuga mellitus, ndi zina zambiri.

Kodi chithandizo cha kapamba chimafotokozedwa bwanji mu kanema munkhaniyi.