Malinga ndi ziwerengero zaka zaposachedwa, anthu pafupifupi 60,000 ku Russia amadwala chifuwa chachikulu cha pachaka chaka chilichonse. Kuyambira 1980, kuchuluka kwa anthu omwe akudwala matendawa kwachulukanso, ndipo pambuyo pa 2008, odwala katatu adalembetsa.
Kukula kwambiri kwa matenda a kapamba kumalumikizidwa makamaka ndi moyo wamunthu wamakono. M'malo osowa nthawi komanso kuyesayesa kuphika zakudya zopatsa thanzi, anthu amakonda zakudya zogulitsa mwachangu, ndipo iyi ndiye nkhani yabwino kwambiri. Choyipa chachikulu, amadumphiramo chakudya cham'mawa kapena chamasana, akumamwa mafuta ambiri ndi zakudya zama calorie ambiri.
Mfundo za mankhwalawa
Pancreatitis imatha kukhala yovuta komanso yopanda matenda, kukhala ngati matenda oyamba kapena kukulira motsutsana ndi maziko ena a matenda am'mimba. Kuukira kwa pachimake kwa kapamba kumachitika chifukwa cha kuchuluka kwa michere chifukwa cha kuwonongeka kwapang'onopang'ono (kutuluka).
Mothandizidwa ndi zinthu zoyipa, ma enzyme okugaya salowa m'matumbo ang'ono, koma khalani mkati mwa gland. Zotsatira zake, iwo amapukusa tiziwalo tokha palokha. Njira ya pathological imatha kuyambitsidwa ndi kugwiritsidwa ntchito kwamafuta, mafuta okazinga ndi zokometsera, zakumwa zoledzeretsa, zinthu zotola ndi kusuta.
Dziwani kuti chithandizo cha zikondamoyo ndi mapiritsi panthawi yowonjezera sichigwiritsidwa ntchito chifukwa cha mseru kwambiri komanso kusanza pafupipafupi. Mankhwala amathandizidwa ndi jakisoni kapena kulowetsedwa, kukoka, njira.
Zizindikiro za pancreatitis pachimake ndi izi:
- ululu wolimba mu gawo la epigastric, wasiya hypochondrium. Itha kukhala ya mtundu wa zoster ndikupereka tsamba lamanzere. Mukatha kudya komanso kugona pamsana, kupweteka kumakulirakulira;
- kuchuluka kwa kutentha kwa thupi;
- nseru ndi kusanza zomwe sizibweretsa mpumulo;
- chikasu cha azungu amaso, nthawi zina khungu;
- dyspeptic phenomena - bloating, flatulence;
- maonekedwe amalo abulu pafupi ndi navel.
Chithandizo cha pancreatitis chimakhala chovuta nthawi zonse ndipo chimangoyang'ana kuthetseratu zizindikiro zake. Ntchito yake yayikulu ndikuwongolera chomwe chinayambitsa matendawa.
Mndandanda wa mankhwala omwe amathandizidwa pancreatitis ndi awa:
- analgesics, kuphatikizapo narcotic. Osagwiritsa ntchito mankhwala omwe ali ndi poizoni - - sulfonamides, Tylenol;
- kukonzekera ndi kukonzekera;
- Maantacid okhala kuti muchepetse acidity ya madzi am'mimba;
- maantibayotiki
- anti-dysbiosis othandizira;
- enterosorbents;
- mankhwala kusintha matenda magazi;
- mavitamini ma protein;
- hepatoprotectors;
- anticholinergics omwe amaletsa mkhalapakati wa acetylcholine.
Enzymes
Ma mamolekyulu a polymer a zinthu zomwe amapanga chakudya ndizokhazikika pokhazikika. Mu thupi laumunthu, ayenera kuthyoledwa pamtunda wotsika kwambiri - 36.6 °. Poyerekeza, titha kuphika mazira a nkhuku, mapuloteni omwe amangokhala m'madzi otentha.
Kuti machitidwe amachitidwe amachitidwe azidzachitika m'malo ocheperako, ma hydrolysis ndi zothandizira za inversion ndizofunikira. Zinthu izi zimapangidwa mumkamwa, m'mimba ndi ziwalo zina zam'mimba. Ma encyme a pancreatic amayamba ntchito yawo pomanga chakudya pamapeto omaliza, kuphwanya mapuloteni kukhala ma amino acid, mafuta mu glycerin ndi carboxylic acid, ndi ma carbohydrate kukhala monosaccharides.
Ngati kuchuluka kwa michere ya pancreatic ya madzi itachepa, ndiye kuti kuyamwa kwa chakudya m'matumbo kumakhala kovuta kapena kuyima. Kuti athe kulipira kuchepa kwawo, kukonzekera kwa enzyme kumayikidwa - Pancreatin, Mezim-forte, Creon, Panzinorm, Enzibene, Licreaz, Pancreolipase, Mikrasim, Hermitage.
Ndi concomitant pathologies a biliary ths, mapiritsi ochokera kapamba ayenera kukhala ndi mafuta acid. Zida ngati izi zimaphatikizapo Festal, Enzistal, Digestal, Enzim ndi Ferestal. Mankhwala onse okhala ndi ma enzymes ayenera kuledzera ndi chakudya.
Kontrikal ndi mankhwala ochokera ku chilengedwe, chifukwa amapangidwa kuchokera ku mapapu a ng'ombe
Zopinga
Mankhwala a Antenzyme amachitika podziwitsa pancreatitis ya interstitial (pachimake), yomwe imayendera limodzi ndi kutupa ndi hyperamylasemia ya kapamba. Nthawi yomweyo, ntchito yake imachulukana kwambiri, ndipo kupanga ma enzyme kumachitika mwachangu kwambiri. Zotsatira zake, mmalo mwakugaya chakudya, ma enzyme othandizira amayamba kugaya chiwalo chokha ndikuchiwononga.
Kuphatikiza apo, dongosolo lonse la chakudya cham'mimba limavutika, ndipo kukhathamiritsa kwa ma enzymus m'magazi kumabweretsa kuledzera kwa thupi komanso kuwonongeka m'moyo wonse. Pankhaniyi, mapiritsi otere a kapamba akhoza kukhala othandiza:
- Contrakal;
- Gordox;
- Aprotinin.
Ndikulimbikitsidwa kuti muzitha kukonzekera antienzyme m'masiku ochepa atangoyamba matendawa, chifukwa mtsogolo kugwirako kwake kumachepa.
Ma painkiller ndi antispasmodics
Kuti muchepetse kupweteka, komwe kumatha kupweteka kwambiri, ma analgesics amagwiritsidwa ntchito - Analgin, Baralgin, Paracetamol. Ma anti-spasms amathandizira kuthetsa mankhwala a antispastic - No-Shpa, Gastrocepin, Atropine, Platifillin, Papaverine.
Ngati m'mimba mupweteka kwambiri, ndizotheka kugwiritsa ntchito mankhwala omwe amapezeka intramuscularly. Ma analgesics amphamvu a opioid ndi Tramadol (Tramal) ndi Promedol.
Ma analgesics ndi antispasmodics amalembedwa ngati jakisoni ndipo amathandizika makamaka pancreatitis yayitali.
Mapiritsi a ululu mu kapamba kuchokera pagulu la mankhwala omwe si a antiidal - Diclofenac, Ibuprofen ndi zotumphukira zawo) sagwiritsidwa ntchito, chifukwa amakhudza kwambiri m'mimba mucosa. Izi zimatha kudzetsa zowawa zambiri.
Ma Antiemetics ndi ma antacid
Gastrocepin amatengedwa mphindi 30 asanadye, mlingo wa tsiku lililonse umachokera ku 50 mpaka 150 ml
Zovuta za mseru komanso kusanza komwe kumachitika ndi kutupa kwa kapamba kumachepetsa mankhwala monga Cerucal, Metucal, Metoclopramide. Mapiritsi a antiemetic ndi ofunika kuteteza madzi m'thupi.
Kuti pakhale kugaya bwino mu duodenum, pamafunika malo amchere, omwe nthawi zambiri amaperekedwa ndi sodium bicarbonate mu pancreatic madzi ndi bile. Ngati ntchito ya kapamba ndi kutulutsa kwa ndulu yasokonezeka, ndiye kuti zamkati sizimachitika.
Kuti athetse michere ya acidic yomwe imachokera m'mimba, ma antacid amalembedwa - Hilak-forte, Fosfalugel, Almagel, Maalok, Enterosgel ndi mayankho ena amchere.
Odwala ena amatha kumva ululu wam'mimba, makamaka pamimba yopanda kanthu. Imadzikumbutsa za kuwonongeka kwa kapamba. Pankhaniyi, mapiritsi a ululu wam'mimba azithandiza - Omeprazole, Dalargin, Gastal kapena Renny. Ndikofunikira kudziwa kuti koloko ndi koletsedwa chifukwa chaichi. Carbonate, yomwe imapangidwa pambuyo poti imagwiritsidwa ntchito, imasungunuka m'matumbo ndikuthandizira kukonzanso chakudya chomwe chimbidwa.
Bacteria ndi Enterosorbents
Chifukwa cha kuchepa kwa enzymatic pancreatitis, kuchuluka kwa chakudya komwe kumapezeka m'matumbo kumasokonezeka. Chifukwa chaichi, m'malo mwakudya, njira zowotcha ndi kupopera zimayambira, zomwe zimapangitsa kuti mawonekedwe a poizoni ndi zinthu zovulaza thupi.
Polyphepan imachotsera poizoni pafupifupi zonse zomwe zimapezeka m'mimba
Dysbacteriosis imathandizira kuwonongeka kwakuthwa pakulandidwa kwa michere ndi mavitamini, chopondera chopondapo ndi kutopa. Maantibayotiki okhala ndi bifidobacteria ndi lactobacilli amagwiritsidwa ntchito kuti abwezeretse malire pakati pa tizilombo tothandiza komanso tizilombo.
Mayina a mapiritsi a dysbiosis:
Zoyenera kuchita ngati magazi a magazi alumpha- Linex;
- Bifidumbacterin;
- Lactobacterin;
- Bifiform;
- Acipol;
- Acylact;
- Gastroparm
- Biobactone;
- Bifilis;
- Bifikol;
- Maphiri.
Limagwirira a zochita za enterosorbents zachokera mayamwidwe a poizoni ndi bactericidal kwenikweni. Mukamasankha mankhwala kwa wodwala winawake, amatsogozedwa ndi mphamvu ya mankhwalawo, ndiko kuti, mayamwidwe ake.
Ndi kapamba, ulusi wambiri wosaphatikizika ndi zinthu zapoizoni umalowa m'matumbo. Zotsatira zake, kufalikira kumachitika, ma peristalsis amakula, ndipo amalimbikitsa kuti azisiyana.
Linex imagwiritsidwa ntchito pochiza komanso kupewa dysbiosis wa mtundu uliwonse
Enterosorbents amadziwika kuti athetse poizoni ndikuchepetsa mphamvu ya matumbo. Wotchuka kwambiri komanso wotchuka wa izi ndi mpweya wozungulira. Mankhwala monga Smecta, Polysorb, Polyphepan, Lactulose, Filtrum-Sti nawonso amagwira pancreatitis.
Tiyenera kudziwa kuti kusintha matendawo, sikokwanira kumwa piritsi limodzi kapena zingapo za ndalamazi. Njira ya chithandizo ndiyofunikira, yomwe imatha kuyambira masiku angapo mpaka mwezi kapena kupitirira.
Kuchepetsa shuga ndi maantibayotiki
Ndikofunikira kuchiritsa kapamba ndi kapamba, kapamba, necrlasms, komanso chifuwa chamthupi chokhazikika chomwe chimayambiranso kugwiritsa ntchito antibacterial. Kutengera ndi momwe wodwalayo alili, dokotala amasankha kuti ndi mapiritsi kapena jakisoni liti omwe azitha kwambiri. Mankhwala othandizira omwe amagwiritsidwa ntchito kwambiri ndi macrolide mndandanda ndi cephalosporins - Cefoperazone, Cefixime, Rifampicin, Kanamycin.
Pankhani yomamatira ku matenda oyamba a matenda ashuga, wodwalayo amapita kukayezetsa ndi endocrinologist. Dokotala amasankha ndalama kuti asinthe shuga mu mawonekedwe a piritsi kapena amapereka jakisoni wa insulin.
Chifukwa chake, ziphuphu zimatha kuchiritsidwa pokhapokha ngati pali zovuta kuchipatala. Kudzipangira nokha mapiritsi sikungadzetse mpumulo, ndipo chowonjezereka, kumathandizira njira yotupa. Chifukwa chake, ngati zizindikiro za kapamba zimawonekera, ndikofunikira kulumikizana ndi achipatala ndikuti adziwe matenda. Khalani athanzi!
