Mankhwala othandizira pancreatitis ndiwodziwika kwambiri, chifukwa ndi chithandizo chake chokha ndi chomwe chingathe kusintha mkhalidwe wa wodwalayo. Musanayambe kumwa mankhwala aliwonse, muyenera kufunsa katswiri.
Pancreatitis ndimatenda a chiwalo monga kapamba. Matendawa amatha kuchitika chifukwa choti m'mbuyomu munthu wadwala matenda opatsirana, komanso chifukwa cha kuvulala, zilonda zam'mimba, chifukwa chodalira mowa kapena kudya kwambiri.
Kuphatikiza apo, zomwe zimayambitsa kukhala makolo. Zizindikiro zazikulu za matendawa ndi izi:
- wopanda chidwi;
- nseru
- ludzu
- kuphwanya tizilombo tosaoneka bwino.
Chithandizo cha kapamba ndi mankhwala
Muyenera kupita kwa dokotala, kumayesedwa, chifukwa chake, adokotala adzakufotokozerani chithandizo choyenera ndi mankhwala oyenera.
Mankhwala osokoneza bongo amatha kukhazikika pogwiritsira ntchito mitundu yosiyanasiyana ya mankhwala, mlingo womwe umatsimikiziridwa payekhapayekha.
Madokotala amalemba ndalama mu mawonekedwe a makapisozi, ma MicRoganu. Izi mitundu ya mankhwala ali mwachangu kwambiri.
Chifukwa cha chithandizo chamankhwala pogwiritsa ntchito zida zamankhwala, ndizotheka kuchotsa zizindikiro zina za matendawa, mwachitsanzo, kutsegula m'mimba, komwe kumatha kuonekera chifukwa cha kutupa m'matumbo komanso kuyamwa bwino kwa mafuta.
Zochizira matenda, zovuta njira zochizira zimagwiritsidwa ntchito, zimaphatikizapo:
- enzyme zoletsa
- antibacterial othandizira
- michere
- mankhwala a antispasmodic ndi anticholinergic,
- Ma H2 blockers
- maantacid.
Inhibitors (blockers) a michere ya pancreatic.
Enzyme inhibitors (kontrikal, gordoks, trasilol, antagozan) amagwiritsidwa ntchito kuchepetsa ntchito za pancreatic proteinases, zomwe zimayambitsa kutupa komanso kufalikira kwa ma pathologies.
Ndalamazi zimapangidwa kuchokera ku kapamba ndi pulmonary parenchyma ya nyama. Chothandiza kwambiri ndikugwiritsa ntchito enzyme zoletsa tsiku loyamba la matendawa.
Othandizira antibacterial.
Othandizira awa amadziwika kuti amachepetsa kutupa mu kapamba ndi ziwalo zapafupi, komanso ziwalo zowonongeka.
Mothandizidwa ndi antibacterial mankhwala, mutha kupewa:
- pancreatic pancreatic necrosis;
- purulent kutupa kwa cholocha thumba;
- kutupa kwa peritoneum;
- kuzungulira kwa cellulitis cellulose retroperitoneal space.
Ikani maantibayotiki omwe ali ndi zovuta zingapo. Izi zikuphatikizapo: cephalosporin, penicillin, fluoroquinolone, macrolide.
Enzymes
Othandizira awa amakhala ndi ma pancreatic enzymes monga lipase, amylase, ndi proteinase: pancectin, creon, pancurmen, festal, enzistal, ndi panzinorm.
Mankhwala omwe ali ndi zida zachipatala ali ndi zotsatirazi mthupi:
- amaletsa kapamba;
- amalimbikitsa kuyamwa bwino kwa mapuloteni, mafuta ndi chakudya;
- bwino chimbudzi;
- amachotsa dyspepsia.
Mankhwala a Antispasmodic.
Ndi kupweteka kwa minofu yosalala, yomwe imalumikizidwa ndi pathological mu bile duct komanso kuphwanya kwa ntchito kwa michere-minofu kesi, zimakhala zofunika kutenga antispasmodics.
Matendawa amawoneka chifukwa chosagwira bwino ntchito kwa ma sphincters mu pancreatic duct, zomwe zimapangitsa kuti zikhale zovuta kupeza madzi a pancreatic mu duodenum.
Monga lamulo, iwo amagwiritsa ntchito mankhwala a antispasmodic:
- mebeverin
- papaverine
- palibe-shpa
- drotaverinum
- spasmodic
- nthiti
- spasmol.
Mankhwala a Anticholinergic
Kuthekera kwakukulu kwa mankhwala a anticholinergic ndikuchepetsa zotsatira za zinthu za acetylcholine ndi cholinomimetic.
Pali mitundu yotere ya ma anticholinergics: nicotinolytics ndi muscarinolytics. Zochizira pancreatitis, monga lamulo, muscarinolytics amagwiritsidwa ntchito: pirenzepine, gastril, gastrosipine.
Mankhwala a Cholinolytic amalepheretsa njira mu cortex ndi ganglia, izi zimapangitsa kuchepa kwa kuthamanga kwa mitsempha, pomwe ntchito zawo zimakhala zofanana, ndipo njira zopulumutsira motor zimasintha.
Cholinolytic mankhwala:
- metacin
- atropine
- platyphyllin
- chlorazine
- antispasmodic.
Mankhwalawa amagwiritsidwa ntchito ngati antispasmodics wogwira ntchito.
Maantacid
Awa ndimankhwala omwe amadziwika kuti amathandizira matenda omwe amadalira asidi am'mimba thirakiti kuti athetse hydrochloric acid ya madzi a m'mimba.
Kupanga kowonjezereka kwa hydrochloric acid kumapangitsa kuti khungu lizitulutsa, chifukwa chake, ndi mawonekedwe a kapamba, othandizira amagwiritsidwa ntchito omwe amachepetsa kutulutsa kwa m'mimba, komwe kumachepetsa mphamvu ya hydrochloric acid.
Maantacid okhala ndi omwe amatengeka ndi thupi koma osamwetsa. Kuchokera ku kapamba, ma antacid osagwira ntchito amadziwika kuti:
- alumag
- Almagel
- maalox,
- altacid
- maalucol,
- gastracid
- kanjedza.
Maantacid okhala ali ndi zinthu monga aluminium ndi magnesium, omwe amatha kuyamwa pepsin, lysolecithin, bile acid, komanso kuteteza.
Mankhwala a kapamba, maantacid sagwiritsidwa ntchito padera ndi zoletsa.
Blockers-H2
Pogwiritsa ntchito antisecretory, H2-blockers amagwiritsidwa ntchito:
- mathitidine
- genotidine
- nizatidine.
Mankhwala a antisecretory amagwiritsidwa ntchito kuchepetsa mapangidwe a acid ndi m'mimba, popeza hydrochloric acid ndiye chinthu chofunikira kwambiri pakapangidwe ka secretin, komwe kamakhudzidwa ndikupanga mchere wa bicarbonate ndi epithelium ya dancts epancreatic.
Zotsatira zake, kuchepetsa kuchuluka kwa asidi, komanso mchere wa bicarbonate, kumawonjezera kugwira bwino ntchito kwamankhwala.
Mawonekedwe a Chithandizo
Chithandizo cha kapamba chimatsimikiziridwa payekhapayekha, monga momwe amachitira pancreatitis ndi mankhwala.
Mankhwala ochizira pancreatitis ayenera kuchitika mogwirizana ndi okhazikika pogona, chakudya chosiyana, makamaka ndi kuchuluka kwa mapuloteni. Wodwala ayenera kutsatira zakudya zosachepera masiku 21.
Wodwala akayamba kuchuluka kwa matendawa, ndiye kuti kudwala kwamasiku angapo kungamuthandize, ndikofunikira kwambiri kuti mupeze mankhwalawa molondola ngati ndi pancreatitis yovuta kwambiri kwa ana.
Ngati zotupa za m'matumbo zimakulitsa kwambiri, nthawi zina zimakhala zovuta kupewa opareshoni. Kenako, laparoscopy imagwiritsidwa ntchito pochiza pancreatitis.
Chithandizo chothandizira chitha kukhala chofunikira pothandizira matenda. Ndiye mankhwala ochizira pancreatitis amakhala ndi kumwa monga pancreatin. Monga lamulo, iwo amatengedwa kwa nthawi yayitali. Wodwala tsiku lililonse komanso mobwerezabwereza amamwa mankhwalawa.
Amagwiritsidwanso ntchito pochiza pancreatitis:
- mankhwala a choleretic;
- envelopu othandizira;
- mankhwala a mahomoni a mtundu wa anabolic ndi steroid.
Ndikotheka kumwa mankhwala monga mezim-forte, chikondwerero.
Pakumva kupweteka kwambiri, madokotala, monga lamulo, amapanga othandizira apadera a antienzyme.
Kugwiritsa ntchito mankhwala a antispasmodic, analgesics nthawi zambiri imakhalanso njira yabwino yochizira pancreatitis.
