Pancreatitis ndimatenda a kapamba omwe amapezeka chifukwa cha kutupa m'mimba ndi ziwalo za mkati. Matendawa amakula mukamakhala ndi moyo wosayenera, kusunthika pang'ono, kusaphunzira mokwanira, kubadwa kungakhale chifukwa.
Matendawa ayenera kuthandizidwa ndikuwonetsa zizindikiro zoyambirira mwa mawonekedwe am'mimba, kupweteka kwa hypochondrium wamanzere, kutentha thupi. Dokotala wazachipatala amazindikira matendawa, amazindikira kuopsa kwa matendawa ndikuwapatsa mankhwala oyenera.
Ngati m'mbuyomu chithandizo chachikulu cha kapamba chinachitika ndi thandizo la opaleshoni, lero pali mankhwala angapo omwe amatha kuthandizira matendawa - akhoza kukhala piritsi kapena yankho. Nthawi zambiri, madokotala amamulembera Gordox pancreatitis yamtundu uliwonse.
Kufotokozera kwa mankhwalawa
Gordox ndi mankhwala mu mawonekedwe a yankho la jakisoni, yemwe ali ndi chikhalidwe cha hemostatic. Phukusi la ma ampoules asanu a 10 ml atha kugulidwa ku pharmacy. Mankhwalawa amaperekedwa kudzera mu minofu molingana ndi dongosolo lomwe adokotala adapereka.
Zomwe zimagwiritsa ntchito mankhwalawa ndi aprotinin, komanso mowa wa benzyl, sodium chloride, madzi a jakisoni amaphatikizidwa. Kugwiritsa ntchito mankhwalawa kumaperekedwa m'njira zingapo - kumachitika pancreatitis yovuta komanso yosatha, komanso zimakupatsani mwayi wopewa kutukusira kwa njira yotupa pakukonzanso.
Chithandizo cha pancreatitis Gordoksomzaklyuchitsya pakugawa kwa yogwira zinthu za yankho mthupi lonse, kuchuluka kwambiri kwa mankhwala m'magazi kumatha kuchitika kwa maola asanu mpaka khumi.
Poyerekeza ndi mankhwala ena ofanana, mankhwalawa samakhudza ubongo, komanso samalowa mu placenta. Zomwe zimagwira zimalimbana ndi mapuloteni - zinthu zomwe zimawononga mapuloteni.
Kuphatikiza mankhwala kumathandizira:
- Anachepetsa ntchito ya pancreatic enzyme;
- Kutsitsa milingo ya kallikrein;
- Kukhazikika kwa njira ya fibrinolysis;
- Kuletsa kutulutsa magazi.
Mankhwalawa amagwiranso ntchito, kutengera mtundu wa mankhwalawa omwe dokotala wakupatsani komanso mlingo wake.
Yankho likhoza kugulidwa ku pharmacy iliyonse mukamapereka mankhwala. Gordox ali pa Mndandanda B.
Sungani mankhwalawo pamtunda wa madigiri 15-30, kutali ndi ana komanso dzuwa. Moyo wa alumali sukupitilira zaka zisanu.
Yemwe amawonetsedwa ngati mankhwalawo
Gordox ndi mankhwala othandizira ovuta, chifukwa cha ichi amalembera matenda osiyanasiyana. Nthawi zambiri, yankho limagwiritsidwa ntchito kuletsa magazi pambuyo pakuchita opaleshoni kumapazi, poizoni, zoopsa komanso zovulala.
Mankhwala ndi analamula kuti pachimake mawonekedwe a matendawa, kuchulukitsa kwa matenda osachiritsika, gawo limodzi la necosis ya pancreatic minyewa, kusagwira bwino kwamkati kwa ziwalo kapamba chifukwa cha kuvulala. Komanso, mankhwalawa amagwiritsidwa ntchito pobwezeretsa pambuyo pochita opaleshoni, ndikubwereza pafupipafupi kwa matendawa, ndi cholinga chofuna kukonzanso.
Musanamwe mankhwalawa, malangizo omwe angagwiritsidwe ntchito ndi Gordox pancreatitis ayenera kuphunziridwa. Popeza yankho limawonedwa ngati mankhwala amphamvu, lingagwiritsidwe ntchito pokhapokha mutakambirana ndi adokotala. Mankhwalawa amachitika kuchipatala, moyang'aniridwa ndi madokotala.
Komabe, ndikofunikira kuganizira kuti Gordox mu pancreatitis pachimake ndi matenda ena atha kukhala ndi contraindication. Makamaka, yankho silingagwiritsidwe ntchito:
- Pa mkaka wa m`mawere;
- Nthawi yoyamba ndi yachitatu ya trimester ya mimba;
- Pamaso pa thupi lawo siligwirizana aprotinin ndi zina za mankhwala;
- Pankhani yochepetsera kutentha pansipa mwazonse;
- Ngati kusokonezeka kwa magazi;
- Ngati wodwalayo wachita opaleshoni yam'mapapo ndi mtima pafupipafupi.
Nthawi zambiri, odwala amalolera bwino mankhwalawa, koma nthawi zina, zovuta zina zimachitika chifukwa cha nseru, mtima, kuyerekezera zinthu zina, matupi awo sagwirizana ndi urticaria, anaphylactic.
Odwala ambiri atagwiritsa ntchito Gordoks amasiya ndemanga zabwino ndi kapamba wazithunzi zosiyanasiyana, ngakhale mtengo wake unali wokwanira.
Kugwiritsa ntchito mankhwala osokoneza bongo
Malangizo ogwiritsira ntchito ndi Gordox pancreatitis ali ndi chidziwitso chonse chomwe muyenera kudziwa. Musanayambe chithandizo, kuyesedwa kwapadera kumayenera, komwe kumakupatsani mwayi kuti muwone ngati ma antibodies amatha kupangidwa mukakumana ndi zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa.
Pochiritsa kapamba, makulitsidwewo ayenera kuchepetsedwa ndi 0,9% sodium kolorayidi kapena 5% shuga yokhala ndi voliyumu yosachepera 500 ml. Mankhwala ocheperawa amagwiritsidwa ntchito maola anayi otsatira.
Dotolo amaba jekeseni wa mayeso a 0,1 ml kudzera m'mitsempha kuti adziwe momwe thupi limvera ndikumwa. Kenako, yankho limabwera ndi dontho.
- Wodwalayo ali m'malo apamwamba ndipo amasintha kwambiri momwe angathere.
- Mankhwala amaperekedwa pang'onopang'ono, kusamala, mu mtsempha waukulu.
- Mankhwala ena saloledwa kulowetsedwa pamalo omwewo pakagwiritsidwe ntchito ka mankhwala ndi Gordox.
Mlingo weniweni umawerengeredwa ndi adotolo, kuwonetsetsa momwe thupi limakhalira komanso kupezeka kwa matenda ang'onoang'ono. Koma nthawi zambiri mankhwalawa amagwiritsidwa ntchito molingana ndi chiwembu chotsatira chovomerezeka:
- Zochizira za akulu, 0,5-2 ml yankho limagwiritsidwa ntchito maola anayi ndi asanu ndi limodzi.
- Pazachipatala cha ana, Gordox amagwiritsidwa ntchito muyezo wa tsiku lililonse wa 0,5 ml pa kilogalamu imodzi ya kulemera kwa mwana.
Ngati mankhwalawa salekerera bwino, adokotala amamulembera mankhwala analogue omwe ali ndi vuto lofanana ndi thupi, kuphatikiza Ingitril, Contrical, Trasilol.
Vuto la mankhwala osokoneza bongo, wodwalayo amatha kuyanjana, komanso kuti anaphylactic angadabwe. Kwa zizindikiro zilizonse zokayikitsa, kugwiritsa ntchito mankhwalawa kuyimitsidwa.
Ngati wodwalayo ali ndi hyperfibrinolysis ndi kufalitsa mafala am'mitsempha, yankho limagwiritsidwa ntchito pazamankhwala pokhapokha ngati onse osafunikira atachotsedwa.
Mosamala kwambiri, ndi muyeso wa phindu ndi chiwopsezo, mankhwalawa angagwiritsidwe ntchito ngati wodwala:
- Opaleshoni ya mtima inachitidwa, hypothermia yozama imawonedwa, palinso chiwopsezo chomangidwa mozungulira chifukwa cha kulephera kwa impso;
- M'mbuyomu, panali zisonyezo zamankhwala omwe amapezeka ndi aprotinin, popeza kubwerezabwereza kwa yankho nthawi zambiri kumayambitsa kuyanjana kwambiri ndi anaphylactic. Ngati munthu adalandira mankhwalawa m'masiku 15 otsatirawa, muyenera kuyesedwa pogwiritsa ntchito mlingo woyeserera.
- Matupi a diathesis adapezeka, pankhaniyi, chithandizo chikuchitika mosamalitsa ndikuyang'aniridwa ndi dokotala. Popewa kugwiritsidwa ntchito kosafunikira, muyezo umodzi womwe umagwiritsidwa ntchito kutsimikizira mphamvu ya mankhwalawa.
Kuti muzindikire hypersensitivity, mayesowo amachitika mphindi 10 isanayambike chithandizo chachikulu.
Ngati kukhazikitsidwa kwa muyeso kwa vuto lililonse kukuwonekera, Gordox iyenera kutayidwa, mwinanso kugwedezeka kwa anaphylactic kungayambike.
Kuchita ndi mankhwala ena
Yogwira pophika mankhwala amapangira heparin. Ngati Gordoks adalowetsedwa m'magazi ophatikizana, nthawi yowundana imachulukana.
Ngati Dextran ndi aprotinin atengedwa limodzi, onse awiriwa azidzithandiza okha. Pofuna kupewa kukula kwa hypersensitivity reaction, osagwiritsa ntchito mankhwalawa nthawi yomweyo.
Aprotinin amathanso kuletsa mankhwala osokoneza bongo a thrombolytic, omwe amaphatikizapo ma urokinases, alteplases ndi streptokinases. Pankhani yodzapuma minofu m'masiku atatu otsatira, ndikofunikira kuchenjeza adokotala kuti apite kutero, chifukwa izi zitha kuyambitsa mavuto. Ngati zizindikiro zapezeka, chithandizo chamankhwala chikuyenera kuyimitsidwa nthawi yomweyo.
Momwe mungachitire pancreatitis afotokozedwa ndi akatswiri mu kanema munkhaniyi.
