Ndingamwe chiyani ndi kapamba wa kapamba

M'matenda a kapamba, ndikofunikira kusankha mankhwalawa kwa ana ndi akulu omwe.

Sayenera kungochotsa ululu ndi zizindikiro zina, komanso kukonza magwiridwe antchito, mankhwalawa amayenera kuchitira chiwalo ndi kapamba.

Mitundu ya mankhwala a kapamba

Tikuwona nthawi yomweyo kuti chithandizo cha pancreatitis chikuwonetsa kuti mutha kumwa mankhwala otsatirawa:

1. analgesics
2. Kukonzekera kwa enzyme
3. mankhwala anticholinergic
4. kukonzekera kwa antienzyme
5. mafuta
6. maantacid
7. Ma H2 blockers.

Munthawi yoyamba kugwiritsa ntchito mankhwalawa, chithandizo chothandiza kwambiri cha matendawa chimatheka. Kuchuluka kwa pancreatitis kumapangidwira kukonzekera kwa antienzyme, komwe chinthu chogwira ntchito ndi aprotinin polypeptide. Katunduyo amachokera m'mapapu a ng'ombe.

Kukonzekera kwa antienzyme kwa pancreatitis yovuta komanso yosatha kumayenera kuphatikizidwa ndi kuyeretsedwa kuchokera ku michere ya pancreatic ndi zinthu zawo zowola. Ndikofunikanso kuchitapo kanthu kuti muyeretse matumbo.

Mankhwala omwe amalembera zotupa za kapamba amatha kugawidwa m'mitundu ingapo:

Mankhwala a Antispasmodic amatha kuledzeretsa kuti muchepetse kupweteka kwapachangu ndi kutupa kwa kapamba ndikuthandizira vutoli. Mankhwala atha kuphatikizira analgin kapena paracetamol.

Kuvomerezedwa kuyenera kuvomerezedwa ndi adotolo, popeza pali mwayi wokhudzana ndi matupi awo.

Mankhwala enzyme omwe adapangidwa kuti:

• kuchepetsa nseru
• kusintha chimbudzi
• kuchepetsa kuchuluka kwa kupweteka kwa ana ndi akulu.

Kuphatikizikako kumakhala ndi ma enzymes omwe amathandiza kugaya chakudya. Kugwiritsa ntchito michere mopitilira muyeso kumatha kubweretsa vuto m'tsogolo, kenako vuto limodzi liyenera kuthandizidwa. Musanagule, muyenera kudziwa zonse kuchokera kwa dokotala.

Zokonzekera zonse za enzyme zimagawidwa m'mitundu iwiri:

1. Mankhwala okhala ndi bile omwe ali ndi mphamvu. Zabwino zimathandizanso kwa mankhwala a choleretic, omwe amatha kukhala ndi bile kapena yopanda bile. Koma kwa mitundu yonse iwiri ya mankhwala pali contraindication kwa ana ndi akulu.
2. Maantacidids omwe amachepetsa acidity ya madzi am'mimba komanso kuchuluka kwa michere yomwe imawonongeka m'mimba. Mutha kumwa iwo kuti muwonjezere mphamvu ya kukonzekera kwa enzyme.
3. Kukonzekera kwazitsamba ndi choleretic kanthu, mwachitsanzo, mankhwala azitsamba.

Pafupifupi mitundu yonse ya mankhwalawa omwe adalembedwapo amagwirizana ndi othandizira kapena oyambira. Dziwani kuti mankhwalawa a choleretic ochokera ku mankhwala azikhalidwe, omwe nthawi zambiri amatha kuledzera, amatsimikizira kugwiranso ntchito kwawo pothana ndi vuto la kapamba, ndipo amatha kuchiza.

Cholinergic ndi antispasmodic mankhwala

Chithandizo cha pancreatitis chimachokera pa kugwiritsa ntchito mankhwala a antispasmodic ndi anticholinergic. Amadzipaka jekeseni pang'ono pakatikati, kotero kumwa iwo pakumwa sikungathandize.

Chithandizo chotere chimachitika pokhapokha chifukwa cha kutupa kwa kapamba wokhala ndi ululu waukulu.

Tikulemba mndandanda wa mankhwala omwe amagwiritsidwa ntchito panthawiyi:

Atropine

1. Gastrocepin
2. Palibe-shpa
3. Papaverine
4. Platyphyllin

Maantacid

Maantacid okhala amalimbikitsa kukonzekera kwa enzyme. Mwa zomwe zikulimbikitsidwa kumwa chifukwa cha zovuta ndi kapamba, mayankho awiri akhoza kuyankhidwa:

1. Almagel
2. Phosphalugel.

Kuphatikiza apo, pali zosakaniza zamchere zamchere.

Ma blockers a H-2 akulimbikitsidwa kumwa pamaso pa kupweteka kwakutchulidwa mu kapamba. Pakati pawo pali othandiza kwambiri:

• Famotidine
• Ranitidine.

Mankhwala enzyme

Pancreatitis, michere ya kapamba imayenera kudyedwa mukangodya, kapena munthawi ya kuchuluka kwa makapisozi atatu. Mankhwalawa amagwiritsidwa ntchito atachotsa kutulutsa, wodziwika ndi kupweteka kwambiri.

Mlingo wofanana wa ana ndi akulu umakhazikitsidwa mwa aliyense payekha. Izi zimatengera momwe munthu akufunira lipase.

Ndi kapamba, adotolo atha kukulembera kukonzekera kwa enzyme:

• Chiboni. Ndi chinsinsi chokha chosakwanira.
• Pancurmen
• Panzinorm. Ndi biliary pancreatic insuffuffence

Mwa mitundu yayikulu ya steatorrhea, madotolo amakupatsani mankhwala owonjezera: mavitamini K, D, E, A ndi gulu B, omwe mudzamwa pa ndandanda.

Maantibayotiki

Pakakhala mtundu wina wa kapamba ndipo pakakhala chiwonetsero cha cholangitis ndi peripancreatitis, mankhwala amaikidwa. Njira yothandizira mankhwalawa sikukutengera zaka za wodwalayo, ndipo chithandizo cha matenda a kapamba sikuti amangokhala othandizira.

Kuphatikiza pa maantibayotiki, cefuroxime ndi mankhwala, omwe amaperekedwa 1 g kudzera m'mitsempha kapena intramuscularly.

Munthawi yomweyo, intramuscularly pa mankhwala kutumikiridwa:

1. cefobid
2. Ampiok.

Therapy Antenzyme

Mankhwala a Antenzyme akuwonetsedwa kwa anthu omwe ali ndi vuto lotere:

• kapamba edema
• hypermilasemia
• yapakati mawonekedwe a pancreatic aakulu kutupa.

Ndikofunikira kudziwa kuti ndi ziti mwazoyipa zomwe zalembedwera zomwe zimakonda kwambiri inu, komanso zodziwika bwino.

Mankhwala a Antenzyme amawonetsedwa kukapanda kuleka. Mwachitsanzo, aprotinin amapatsidwa mankhwala mpaka kawiri pa tsiku, ndi mlingo wa mayunitsi 100,000, contracal of 20,000 units.

Nthawi zambiri njira yochizira imachokera masiku 7 mpaka 10. Mwa akulu ndi ana, kutalika kwa mankhwalawa kumatha kusiyanasiyana, mwachidziwikire, kuchuluka kwa mankhwalawa.

Kugwiritsa ntchito mankhwala a antienzyme kumatengera kulekerera kwa wodwalayo!

Kupumula

Ululu wamankhwala ndiwowona pafupifupi gawo limodzi mwa magawo atatu a odwala omwe ali ndi pancreatitis yayitali. Nthawi zambiri, dokotala yemwe amakupatsani mankhwala amakupatsani mankhwala otsatirawa kwa akulu ndi ana oti amwe:

• analond
• baralgin
• paracetamol.
• palibe-shpa

Nthawi zina amasankha kupereka mankhwala: tramadol kapena buprenorphine. Nthawi zina, melipramine (pali chiopsezo kwambiri cha mankhwala osokoneza bongo) ndipo stelazine amawonjezeredwa ndi analgesics, onsewa amatha kuledzera moyenera molamulidwa.

Chithandizo cha zotupa za kapamba zimaphatikizapo mndandanda wa mankhwala omwe amasankhidwa payekhapayekha. Mwambiri, mndandanda wamankhwala umakhala ndi anti-kutupa, mwachitsanzo, opanda-spa.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kufunsa dokotala. Izi zikugwiranso ntchito pakugwiritsa ntchito mankhwala a choleretic kuchokera ku zida zamankhwala azikhalidwe.