Kukula kwa chiwopsezo cha kapamba ndi mkhalidwe womwe chisamaliro chodzidzimutsa chiyenera kuyitanidwa. Mpaka ambulansi itafika, mutha kuyesayesa nokha kuti muchotse zowawa zomwe zili mwa wodwalayo.
Mukamatenga njira zadzidzidzi kuti muchepetse vuto la munthu, ziyenera kukumbukiridwa kuti zochita za pancreatitis pachimake ndizosiyana ndi zomwe zimachitika chifukwa cha matenda omwe ali kale.
Chisamaliro chodzidzimutsa chifukwa cha pachimake kapamba
Chizindikiro chachikulu chomwe munthu amakhala ndi pancreatitis yovuta kwambiri ndi mawonekedwe a ululu wopweteka kwambiri womwe umachitika mwadzidzidzi ndikuwonetsedwa m'dera la epigastric pamimba pamimba kapena m'chigawo cha hypochondrium chakumanzere. Nthawi zina, ululu umatha kuoneka ngati wa angina.
Wodwalayo amakhala ndi ululu woopsa kotero kuti amasinthasintha mawonekedwe ake pabedi pofunafuna malo amthupi, momwe ululuwo umachepera.
Ululu mu pachimake kapamba limayendera limodzi ndi kuwonjezeka kwa kutentha kwa thupi.
Kuphatikiza pa kuwonjezeka kwa kutentha kwa thupi ndi kupweteka kwambiri m'munthu, kuukira kwa pachimake kapamba kumayendetsedwa ndi izi ndi zizindikiro zotsatirazi:
- kutuluka thukuta, thukuta limayamba kuzizira komanso kunjenjemera;
- kusanza kosatheka ndi mseru waukulu kumawonekera;
- kusangalala kumachitika;
- Kuukira kumayendera limodzi ndi kutsegula m'mimba.
Kuphatikiza apo, wodwalayo angawonetse zizindikiro za kuledzera kwa thupi, kuwonekera mwa kufooka kwambiri, kupweteka mutu, lilime lokhazikika komanso ena.
Zizindikirozi zikawoneka, nthawi yomweyo muyenera kuyitanitsa gulu la ambulansi.
Kusamalira mwadzidzidzi chifukwa cha pancreatitis pachimake ambulansi isanachitike ndi njira ina yochitira zinthu zomwe zimapangitsa kuti wodwalayo akhale ndi vuto.
Malangizo othandizira asanachitike azachipatala komanso osagwiritsa ntchito mankhwala osokoneza bongo ndi awa:
- Iyenera kutsimikizira wodwalayo ndikuwonetsetsa kuti thupi likudekha kwambiri.
- Kumasulira thupi la munthu zovala zomwe zimaletsa kupuma komanso kufinya pamimba.
- Kuti achepetse mphamvu komanso kupweteka kwambiri, wodwalayo ayenera kukhala m'malo momwe thupilo limakhazikika pang'ono pang'ono.
- Limbikitsani wodwala kuti atenge mpweya wochepa womwe sukulitsa ululu.
- Siyani kudya.
- Ndikulimbikitsidwa kuti wodwala amwe zakumwa zazing'ono 50-60 ml, pakatha mphindi 30 zilizonse. Pakumwa, mutha kugwiritsa ntchito madzi wamba owiritsa kapena mchere wam'madzi wopanda mpweya.
- Pakusanza, m'mimba sayenera kutsukidwa ndi yankho lililonse.
- Dokotala asanafike, sizikulimbikitsidwa kuti mupatse odwala mankhwala othandizira ululu, chifukwa amachititsa kuti mtsogolo muzidziwike.
- Dokotala asanafike, sikulimbikitsidwa kum'patsa wodwalayo mankhwala okhala ndi amylase, chifukwa izi zimatha kukulitsa mkhalidwe wa munthuyo.
Ambulansi imatengera wodwala kuchipatala, komwe amamufufuza kuti amutsimikizire kuti ali ndi matendawa.
Choyamba thandizo kukweza mawonekedwe a kapamba
Pankhani ya kukokomeza matenda kapamba, zizindikiro zomwezo zimawonekera ngati mawonekedwe. Koma amawonetsedwa mofooka. Kuchulukitsa kwa matenda osakhazikika kungayambitse zovuta monga pancreatic necrosis kapena cholecystitis.
Kukula kwa zowawa pang'onopang'ono kumachepera pakuwukira kuti kuukira. Nthawi zambiri, ululu womwe umayamba ndi kupweteka.
Malingaliro a paramedic pakuthandizira koyamba muzochitika zoterezi makamaka amachepetsa ululu ndimankhwala, kuwonjezera pa izi, paramedic iyenera kuthetsa kutupa.
Pa gawo lotsatira, wodwalayo amapatsidwa mapiritsi awiri a Allohol kuti atenge. Mankhwala amalimbikitsa kutulutsa kwa pancreatic madzi. Chizindikiro cha mankhwalawa ndi kugwiritsidwa ntchito kwake kochepa pamaso pa miyala yamtengo wapatali. Pamodzi ndi Allohol, mankhwala omwe ali ndi antispasmodic ayenera kumwedwa. Kupititsa patsogolo mkhalidwe wodwala, mankhwala omwe amasintha chimbudzi ndikutsitsimutsa katundu pazomwe zimayambitsa kapamba amatha kugwiritsidwa ntchito. Pancreatin ndi mankhwala otere omwe amakhala ndi michere ya gland.
Kuchepetsa ululu pancreatitis yayikulu kapena uchidakwa, ndizoletsedwa kugwiritsa ntchito ma tinctures ndi mankhwala omwe amakhala ndi mowa. Kulandila chithandizo chotere kumatha kuyipa kwambiri kwa wodwalayo.
Pambuyo pakupita kuchipatala wodwalayo kuchipatala ndikuwunika, wodwalayo amakhala wokonzekera kuyesedwa.
Pambuyo pa kufufuza, njira yothandizira imatsimikiziridwa payekhapayekha. Ngati ndi kotheka, ngati mungadziwe necrosis, opareshoni imachitika.
Mankhwala omwe amagwiritsidwa ntchito pochiza pancreatitis
Mankhwalawa amtundu wa kapamba komanso matenda a kapamba, magulu osiyanasiyana a mankhwala amagwiritsidwa ntchito. Kuphatikiza apo, njira za physiotherapy monga, mwachitsanzo, mankhwala ozoni amatha kugwiritsidwa ntchito pochiza matenda.
Kuti matendawa azigwira ntchito, tikulimbikitsidwa kuyang'anitsitsa njira zina zamankhwala. Mumiye adziwonetsa yekha bwino pancreatitis.
Kuphatikiza apo, munthu amene ali ndi vuto la kapamba amafunika kutsatira zakudya zomwe adokotala amapeza.
Mankhwala omwe amagwiritsidwa ntchito pochiza matendawa ndi monga:
- antispasmodics ndi analgesics (amagwiritsidwa ntchito ngati. kapamba ndi zilonda kwambiri);
- Olepheretsa a H2;
- mankhwala okhala ndi ma enzymes.
Ma painkiller omwe amagwiritsidwa ntchito mankhwalawa ndi No-shpa, Papaverin, Baralgin. Mankhwalawa ndi othandiza komanso otetezeka kwambiri kwa wodwala.
Zida zogwiritsidwa ntchito zimathetsa kupindika kwa minofu yosalala ndikuchepetsa ululu. Ngati ndi kotheka, antihistamines angagwiritsidwe ntchito kuti aletse kukula kwa sayanjana.
Ma blockers a H2 amagwiritsidwa ntchito poletsa ntchito zachinsinsi za kapamba.
Mankhwala okhala ndi ma enzymes amagwiritsidwa ntchito pokonzanso chimbudzi ndipo amatha kutsitsimutsa katundu pazenera.
Pazithandizo za kapamba zimafotokozedwa muvidiyoyi.
