Kuukira kwamphamvu kwa kapamba kumayendetsedwa ndi kuwonongeka kwakukulu muumoyo, wodwalayo amasokonezeka ndi kupweteka kwambiri, mpaka kusiya kuzindikira. Kupirira zoterezi kunyumba ndizosatheka. Wodwala amafunika kugonekedwa m'chipatala.
Kuperewera kwa chithandizo chokwanira kumayambitsa kulumala, chifukwa, kulumala, ndipo pazowopsa kwambiri, imfa. Chithandizo cha pancreatitis kuchipatala chili ndi mawonekedwe ake, zimathandizira kubwezeretsanso magwiridwe antchito a kapamba.
Mu dipatimenti iti omwe ali ndi kapamba? Zonse zimatengera chithunzi cha chipatala. Nthawi zina wodwala amagonekedwa m'chipinda cha odwala osamala kwambiri, komwe amathandizira odwala. Nthawi zina, wodwalayo ayenera kuyikidwa mu dipatimenti yopanga opaleshoni - ngati pakufunika opaleshoni.
Tiyeni tiwone pamene kuchipatala cha kapamba kumafunikira, ndipo kodi chithandizo chimachitika bwanji?
Zoyenera kuchita ndi kuwukiridwa kovuta?
Musanadziwe chithandizo chamankhwala a pancreatitis pachimake kuchipatala, muyenera kuyang'anira chidwi chofuula foni ya ambulansi. Chingachitike ndi chiyani akatswiri azachipatala asanafike, ndipo ndizosavomerezeka? Mayankho a mafunso awa ayenera kudziwika kwa wodwala aliyense.
Ngati pali kupweteka kwambiri pansi pa nthiti yakumanzere kapena yakumanja, ndiye kuti sikuletsedwa kupirira. Zinthu sizingoyenda zokha. Muyenera kuyimba ambulansi. Dokotala asanafike, simungatenge mapiritsi a mankhwala osokoneza bongo (Analgin, Spazmalgon ndi mankhwala ena).
Simungathe kuyika poto yotentha kapena yotentha pamalo owawa; kutulutsa tambalo ndi mpango kapena mpango; kumwa zakumwa zoledzeretsa kuti muchepetse ululu; imwani zakumwa zilizonse. Ngati muli ndi nseru kwambiri kapena kusanza kulipo, mankhwala a antiemetic ndi oletsedwa kugwiritsidwa ntchito mpaka madokotala atafika.
Ndi kuchuluka kwa matendawa, mutha kuchita izi:
- Ikani wodwalayo pampando wampando kapena pa sofa.
- Ikani chinyezi, kapena zoziziritsa kukhosi kapena poyatsira kuzizira kupita kumalo opweteka.
- Ventil chipinda.
Ngati wodwala wadwala kwa nthawi yayitali chifukwa cha kutupa kwa kapamba, amalembetsedwa ku chipatala komwe amamuthandiza kuti adziwe matenda a kapamba, zomwe zikutanthauza kuti akudwala matendawa.
Dokotala yemwe adafika azichita chithandizo chofunikira potengera Zizindikiro zakuchipatala. Podwalitsa wodwalayo kumbuyo kwa ululu waukulu, jekeseni Papaverine wothandizidwa ndi saline.
Ndi koletsedwa kukana kupita kuchipatala, ngakhale pali zovuta zilizonse kuntchito, m'banja, ndi zina.
Kugoneka kwa odwala ndi kapamba
Ndi angati ali kuchipatala omwe ali ndi kapamba? Yankho lenileni la funsoli mulibe. Wodwala akakhala ndi mawonekedwe ochulukirapo, amalimbikitsa kulowetsedwa, ndiye kuti wodwalayo amatha kupita kwawo. Kutalika kwa chithandizo kuchipatala kumadalira nthawi yayitali yolumikizana ndi madokotala.
Mwanthawi yovuta, kulandira zipatala kumalimbikitsidwa nthawi zonse. Ndikothekanso kuwunika momwe wodwalayo alili, momwe thupi limagwirira ntchito, ndi zina zofunika mu chipatala.
Wodwala akangolowa kuchipinda chodzidzimutsa, choyambirira, zizindikiro za kuthamanga kwa magazi ndi kutentha kwa thupi zimayezedwa. Kenako, dokotalayo amatulutsa malo am'mimba, amayang'ana azungu amaso,
Njira zina zodziwira matenda:
- Kupezeka kwa leukocytes m'magazi kumayesedwa.
- Biochemical kusanthula magazi, kutsimikiza kwa michere.
- Kufufuza kwa Ultrasound kuti kuzindikiritse kutulutsa kwazinthu zotupa.
- Laparoscopy
Pambuyo pa kupezeka koyambirira, katswiri wa zamankhwala amazindikira mtundu wa nthendayo, kuthekera ndi kuchuluka kwa zotupa. Kuthekera kopanga zovuta kumawerengeredwa. Kutengera ndi chidziwitso ichi, chisankho chimapangidwa pamankhwala ena. Chithandizo chimatha kukhala chosasangalatsa kapena kuchitidwa opareshoni. Koma wodwalayo amamwa mankhwala mulimonsemo.
Mwanthawi yochepa, chithandizo chimachitika m'chipinda chothandizira kwambiri. Ngati wodwala wapezeka ndi kuledzera kwakukulu, kuwopsa kwa chikomokere, kusiya kuzindikira chifukwa cha kuwawa kwakumva - nthawi yomweyo kupita kuchipatala.
Therppentent Therapy
Wodwala amayenera kukhala m'chipatala moyang'aniridwa ndi madokotala. Ochuluka kwambiri, odwala amalandila chithandizo chamtundu wa edematous kapena necrotic. Zojambula zambiri - pafupifupi 70%, chithandizo chokwanira cha mankhwala osokoneza bongo.
Cholinga ndikukhazikika kwa momwe munthu aliri, kupewa chiwonongeko chowononga mthupi. Wodwala amafunika kukhazikika mwachangu, chifukwa pali mwayi waukulu woti afe.
Choyamba muyenera kukhazikitsa magawo omwe amathandizira kuchepetsa katundu pa kapamba. Panthawi yopweteka kwambiri, nseru komanso kusanza, wodwalayo samalandira chakudya kudzera mkamwa. Kumwa nkoletsedwa. Ndiofatsa mpaka digirii yotsika, njala imatha kwa masiku 2-4. Kwa masiku 3-5, mutha kudya chakudya chamadzimadzi kwa masiku atatu.
Catheter imayikidwa kudzera pamphuno m'mimba, zomwe zimathandizira kupanga kuthamanga kwa magazi. Ili m'mimba maola 24-72. Nthawi zambiri mwa odwala, izi zimachepetsa ululu mkati mwa maola ochepa.
Ngati palibe ululu waukulu, ndiye kuti mankhwala a antacid amalimbikitsidwa - Almagel 10 ml 4 pa tsiku. Ngati maphunzirowa ali ovuta, makonzedwe a makolo amabwera.
Zochita kuti muchepetse kutupa kwa mkati:
- Pesi yotenthetsera yozizira pamalo a chiwalo.
- Njira yothetsera Mannitol imalowetsedwa m'mitsempha.
- Drip Hemodez.
- Patsiku loyamba, Furosemide imayendetsedwa.
Popewa kuledzera kwa enzymatic, gwiritsani ntchito Contrical. Mankhwala amalowetsedwa mthupi ndi njira yolumikizira - mpaka katatu patsiku. Nthawi zambiri, odwala samayanjana ndi mankhwala. Chifukwa chake, pochotsa wodwala pamkhalidwe wowopsa, ndikofunikira kuti pali ma ampoules omwe ali ndi Prednisolone pafupi.
Ngati mawonekedwe a necrotic adapezeka mwa munthu wamkulu, ndiye kuti mankhwalawa amadziwika ndi antibacterial. Nthawi zambiri, Tienam amawonetsedwa pa 250 kapena 500 mg, kukoka pang'ono kumachitika.
Analgin imalembedwa ngati mankhwala a ululu - kutumikiridwa kudzera m'mitsempha kapena intramuscularly; Procaine, Promedol. Zojambula zambiri, ma analgesics a narcotic komanso osakhala a narcotic amaphatikizidwa ndikugwiritsa ntchito myotropic antispasmodics.
Kusintha madzi ndi electrolyte bwino, muyenera kulowa yankho la isotonic sodium chloride kapena 5% shuga. Njira yotsirizayi imagwiritsidwa ntchito pokhapokha ngati wodwala ali ndi kuchuluka kwa glucose moyenera. Pofuna kuthana ndi vuto la mtima, yankho la mahomoni (adrenaline ndi norepinephrine) ndi catecholamines amagwiritsidwa ntchito.
Ndikosatheka kuchiritsa matendawa, koma kuchipatala, madokotala amatithandizanso wodwalayo, kusintha zochitika za kapamba.
Njira ya mankhwala munthawi yamagetsi inakonzedwa kwa masabata atatu. Pambuyo pachipatala kuchipatala, ndikofunikira kulandira chithandizo chodzitchinjiriza pambuyo pamiyezi isanu ndi itatu kuti tipewe kubweretsanso matenda.
Chipatala chithandizo cha kapamba
Pambuyo popereka chithandizo kuchipatala, wodwalayo ayenera kuthandizidwa pang'onopang'ono, kutsatira zakudya zapanchipi, kumwa mankhwala onse omwe dokotala amafunikira. Nthawi zambiri, odwala amapezeka ndi cholecystitis, yomwe imawerengedwa mu njira yothandizira.
Odwala amathandizidwa kulandira chithandizo kuchipatala kawiri pachaka. Maphunzirowa adapangidwa kwa milungu itatu ndi itatu. Mukalandira, desensitization imachitika, kutanthauza kuyeretsa kwa poizoni, poizoni.
Povomereza, njira za enema zimachitika, m'mimba mumatsukidwa, kusala kudya kwa prophylactic ndikulimbikitsidwa kwa kapamba kuyang'aniridwa ndi madokotala. Machitidwe awa amathandizira kukonza ntchito ya pancreatic. Wodwalayo ayenera kukhala pachakudya cha madzi kwa pafupifupi maola makumi awiri ndi awiri.
Gawani kulandila kwa sorbyts:
- Smecta.
- Sorbex.
- Almagel.
Rheosorbylact imathandizidwa tsiku lililonse, mlingo ndi 200 ml. Pamapeto pa gawo ili, wodwalayo amalimbikitsidwa kudya motsatira chiwerengero cha zakudya patebulo 14, 15 kapena 16.
Lemberani mankhwala oletsa kutupa:
- Wampikisano. Musatchule pa mimba, tsankho mapuloteni a ng'ombe, munthu tsankho la mankhwalawa. Mankhwalawa amaperekedwa kudzera m'mitsempha, muyezo Mlingo ndi 500,000. Malinga ndi zomwe zikuwonetsa, ndizovomerezeka kuuchulukitsa.
- Gordok. Sikugwira ntchito mu nthawi yoyambirira ya mimba. Amayendetsa pang'onopang'ono kwambiri. Kuthamanga - zosaposa 5-10 ml pamphindi. Lowani mu mitsempha yayikulu. Poyamba, kuyambitsidwa kwa 1 ml kumachitika kwenikweni - gawo "loyeserera," chifukwa wodwalayo amatha kuyamwa.
- Mannitol imayendetsedwa ndi njira ya drip kapena ndege. Mlingo umasiyanasiyana kuchokera 150 mpaka 200 ml. Contraindication imaphatikizira mtundu woopsa wa kulephera kwa chiwindi, kusefedwa kwa impso, hemorrhagic stroke. Sangagwiritsidwe ntchito ndi ma organic tsankho.
Kusankhidwa kwa mankhwalawa kumachitika chifukwa cha zotsatira zasayansi. Kutengera pa iwo, adotolo amapaka mankhwala othandizira.
Monga mankhwala a diuretic omwe amathandizira kuchepetsa hydrolysis mu minofu yofewa ya minofu, kugwiritsa ntchito furosemide ndikofunikira. Mlingo wokhazikika ndi piritsi limodzi masiku atatu aliwonse. Nthawi zambiri Furosemide imaphatikizidwa ndi Asparkam.
Zotsatira zake, tikuwona kuti ndikofunikira kuchiza pancreatitis yovuta kwambiri komanso yodwala pakachipatala munthawi yake. Izi zimakuthandizani kuti mubwezeretse ntchito ya mkati komanso kapangidwe kazinthu zofunika kwambiri za maholide, zomwe zimapangitsa moyo kukhala wabwino.
Momwe pancreatitis imathandizira ikufotokozedwa mu kanema m'nkhaniyi.
