Kukonzekera kwa kapamba

Pancreatitis ndi matenda oopsa omwe kapamba amayambitsidwa. Zomwe zimayambitsa kutupa ndizomwe zimayambitsa ma enzymes omwe amayamba kugaya zimakhala. Ma enzymes omwe amagwira ntchito samangowononga ma cell a pancreatic parenchyma, komanso amawongolera makoma a mtima. Popeza adalowa magazi motere, amawanyamula mthupi lonse ndikukhudza ziwalo zofunika - mtima, impso, m'mimba ndi ubongo.

Pancreatitis imatha kuchitika pachimake komanso chovuta mawonekedwe. Ndiwadzidzidzi kapena kuwonjezereka kwa chifuwa chachikulu, mankhwalawa amachitika kuchipatala. Ntchito zikuluzikulu ndikupumula kwa zizindikiro zopweteka, kubwezeretsa kugaya chakudya ndi kubwezeretsa kwa exocrine kusakwanira. Kuti athetse matenda a pancreatic, magulu angapo a mankhwala amagwiritsidwa ntchito.

Kupukutira & Makoswe

Mankhwala osankhidwa a kapamba ndi Paracetamol, popeza alibe mphamvu ya mucous nembanemba. Komabe, odwala omwe ali ndi matenda a chiwindi ayenera kumwedwa mosamala, ndipo okhawo omwe akuwongoleredwa ndi dokotala. Kutsutsana kwathunthu kotenga Paracetamol ndi hepatitis ndi cirrhosis, komanso chidakwa cha kapamba.

Ma salicylates ndi acetylsalicylic acid - Aspirin, Asfen, Askofen, Excedrine, Citramon amathandizira kuchepetsa ululu. Kuthetsa ululu wammbuyo, Analgin, Baralgin, Pentalgin, Dexalgin, Ketorolac, Pentazocine ukhoza kugwiritsidwa ntchito. Mankhwala osapweteka a anti-steroidal anti-yotupa (NSAIDs) ochokera ku kapamba amagwiritsidwa ntchito kawirikawiri chifukwa chokwiyitsa zimagwira mucous nembanemba.

Chizindikiro chotsogola cha matenda a kapamba ndi kupweteka, kuyambitsa mavuto akulu kwa anthu; gastroenterologists akhala akugwiritsa ntchito No-spa yopumira ululu kwa zaka zoposa 50, kuthandiza odwala omwe akuzunzidwa

Popeza choyambitsa kupweteka pancreatitis ndi kuphipha kwa minofu yosalala, kugwiritsa ntchito antispasmodics ndikoyenera kwambiri. Mankhwala amakono a antispasmodic ali ndi mphamvu yokhalitsa, yogwira ntchito kwambiri, komanso osakhalapo ndi zotsatira zoyipa.

Mankhwala odziwika kwambiri ndi No-shpa, Papaverine, Drotaverina Hydrochloride, Spazmol, Mebeverin. Zizindikiro zogwiritsidwa ntchito antispasmodics ndi minyewa yam'mimba yomwe imayamba chifukwa cha hypermotor dyskinesia of the bile duct, komanso zovuta zamagulu pantchito ya sphincter ya Oddi. Ndizovuta zam'mimba zomwe zimayambitsa zovuta ndi kutuluka kwachimbudzi kuchokera ku kapamba mpaka duodenum.

Mothandizidwa ndi antispasmodics, ululu wamalingaliro osiyanasiyana mwamphamvu ndi chilengedwe amachotsedwa - kupweteka, lamba, lakuthwa. Zonse zimatengera gawo liti la kapamba wamatsenga. Zokhudza kupweteka pang'ono, kukonzekera kwa kapamba kumalembedwera mapiritsi. Ngati wodwalayo amasanza pafupipafupi, ndiye kuti Papaverine ndi Baralgin amayendetsedwa ndi njira ya Pareeral (Drip).

Enzymes ndi antiferments

Pakuwongolera kwa ma enzymes mu nthawi yovuta kwambiri, othandizira omwe amachepetsa kubisalira kwa kapamba amagwiritsidwa ntchito - Contrical, Gordox, Pantripin, Ingitrile. Nthawi zina, mankhwala a mahomoni Somatostatin amalembedwa, omwe amachititsa kuti magazi aziyamwa mokwanira, azigwiritsa ntchito kufalikira kwa magazi, amachepetsa kupanga m'mimba, amachepetsa magazi m'mimba ndi m'mimba.

Ma enzyme inhibitors amagwiritsidwa ntchito kwambiri kuchipatala ndipo amaperekedwa kwa odwala ndi kukapumira. Popeza chithandizo ndi mankhwalawa gululi nthawi zambiri chimayendera limodzi ndi matupi awo sagwirizana, ma antihistamines amawokedwa pamodzi.

Pambuyo mpumulo wa zizindikiro za pachimake, mankhwala enzyme m'malo mwake amachitika. Kubwezera ntchito ya exocrine kumathandiza mankhwala okhala ndi ma enzymes. Kusankhaku ndikwakukwana, koma maziko a mankhwala ambiri ndi pancreatin. Izi sizitanthauza kuti mankhwala onse ndi ofanana: kapangidwe ka mapiritsi ndi makapisozi kumaphatikizanso magawo angapo a chinthu chomwe chimagwira.

Kuphatikiza apo, zigawo za bile zimatha kuwonjezeredwa. Mankhwala ena ali ndi mawonekedwe omwewo, koma amapezeka kuchokera kwa opanga osiyanasiyana. Chifukwa chake mayina osiyanasiyana azamalonda. Popeza pamwambapa, sizikulimbikitsidwa kuti azichiritsa pancreatitis palokha, popeza ndi dokotala yekha amene angasankhe yankho la wodwala wina.

Mndandanda wa kukonzekera kwa enzyme yosinthira magwiridwe antchito ndi monga:

• Pancreatin, Creon, Mezim, Lycrease, Zimet, Vestal, Pangrol;
• Panzim Forte, Panzinorm Forte N, Pancreasim, Pancrealipase;
• Pancreal Kirchner, Pankrenorm, Pancreon, Pancreoflat;
• Pancytrate, Penzital, Prolipase, Tritorment.

Chithandizo cha Pancreatic Herbal

Njira zophatikizira ndi zigawo za bile:

• Festal, Enzipalmed, Enzistal;
• Forte Enzyme, Forestal, Tagestal;
• Rustal, Panstal, Panolez, Pankral;
• Normoenzyme, Menzim, Ipental;
• Digestal Forte, Chimbudzi.

Ndizofunikira kudziwa kuti kuchepa kwa enzyme sikuti kokha ndi kapamba. Kuperewera kwa enzyme kumatha kubereka, koyambirira komanso kwachiwiri, kotheratu komanso wachibale. Kusowa kwenikweni kumachitika m'matenda a chithaphwi palokha (steatosis, khansa), ndipo chachiwiri chimayamba motsutsana ndi maziko a ziwalo zina zam'mimba.

Mbiri ya exocrine lobe ya kapamba imayimiridwa ndi acini (kuchokera ku Latin "gulu la mphesa) - zigawo zomwe zimatulutsa michere. Ndi m'maselo awa omwe trypsin, chymotrypsin, lipase, amylase ndi ma enzyme ena angapo amapangidwa.

Mosasamala kanthu zomwe zimayambitsa zotupa, ntchito ya acini imalephera, ndipo kupanga kwa enzyme kumachepa. Kulipira kufooka, lipase, proteinase ndi amylase zilipo pokonzekera zonse mosiyanasiyana.

Maantacid

Maantacid adapangidwa kuti athetse hydrochloric acid yam'mimba, chifukwa imalimbikitsa mapangidwe a pancreatic madzi. Pankhani imeneyi, amodzi mwa madera azachipatala ndi kuthetseratu kwa acid acid factor. Mu chifuwa chachikulu cha pancreatitis, ma antacid amagwiritsidwa ntchito limodzi ndi secretion inhibitors - ma antienzymes, chifukwa chosakwanira nthawi yayitali komanso mphamvu ya asidi yotsitsa.

Maalox ali ndi zotsekemera komanso zowunikira, mutamwa mankhwalawa, hydrochloric acid imatha msanga komanso mosavomerezeka, ndipo ntchito ya madzi am'mimba imachepetsedwa kwambiri.

Chithandizo cha chifuwa chachikulu chokhala ndi ma Mlingo akuluakulu a michere sikugwira ntchito nthawi zonse, chifukwa asidi m'mimba amathandizira mankhwala othandizira - trypsin ndi lipase mwachangu kwambiri. Mphamvu ya ma enzyme atha kuchepetsedwa pazifukwa zina - mulingo woyenera kapena osagwirizana ndi njira yovomerezeka.

Komabe, nthawi zambiri kusowa kwa zotsatira zofunika kumachitika chifukwa chokwanira cha ma antacid. Kukonzekera kambiri komwe kumathandizira acidity yam'mimba kumakhala ndi mchere wa phosphoric acid, magnesium ndi aluminium hydroxide, magnesium stearate ndi alginate (yochokera ku seaweed). Bwino kuposa ena omwe ali ndi zowonongeka m'matumba ndi mankhwala monga Almagel, Maalox, Almagel-Neo ndi Fosfalugel.

Akatengedwa, mphamvu yotsutsayi imachitika mofulumira mokwanira ndipo imakhala kwa maola 2,5 mpaka 3. Kutengera Mlingo woyenera, mankhwalawa antacid alibe njira yodalirika komanso yovuta.

Maantibayotiki

M'matenda a kapamba, maantibayotiki amagwiritsidwa ntchito ngati prophylaxis komanso mankhwala osokoneza bongo zikaoneka zizindikiro za matenda oyambitsidwa ndi bakiteriya. Matenda amapezeka pafupifupi gawo limodzi mwa magawo atatu a odwala ndipo amatha kufalikira kudzera m'magazi, madzi a m'magazi komanso kuchokera ku ziwalo zoyandikana - duodenum 12, bile system ndi portal mtsempha.

Clarithromycin ndi amodzi mwa mankhwala atsopano m'gulu lama macrolides omwe amatha kuwononga ma virus mkati mwa ma cell.

Chithandizo cha antimicrobial ndi zolinga zoteteza (kupewa) ndizosowa. Komabe, pakakhala mawonekedwe a zizindikilo - nseru, kusanza, kutentha thupi - kumwa mankhwala ofunikira kumafunika.

Popeza sizotheka kufufuza njira ya pancreatic microflora mwanjira yomwe singawonongeke (popanda kuwonongeka) chifukwa cha malo okhala mkati mwa limba, ma anti-wodziwika wambiri amagwiritsidwa ntchito. Pankhaniyi, kukana kochepa kwambiri kwa iwo komwe kumatulutsa mabakiteriya otchuka kwambiri kumazingidwa.

Monga prophylaxis, mankhwala opha maantibayotiki amachitika ngati wodwala ali ndi matenda oopsa, omwe ndi:

• Edzi ndi HIV;
• virus hepatitis;
• chifuwa chachikulu cha m'mapapo;
• matenda a shuga;
• zotupa.

Nthawi zambiri, maantibayotiki amatha kupatsidwa mankhwala a biliary pancreatitis, limodzi ndi kuwonongeka kwa chiwindi ndi ndulu ya chikhodzodzo ndikupezeka mu milandu 40-57%. Mankhwala osankhidwa ndi othandizira a macrolide, makamaka, Clarithromycin ndi analogues - Klabaks, Fromilid, Klacid, etc.

Kuphatikiza pazowonera zambiri, ma macrolides ali ndi mwayi wina - amathandizidwa kuchokera ku thupi limodzi ndi bile. Chifukwa cha izi, kuyang'ana kwambiri komanso kutchulidwa kotsutsana kumapangidwa.

Kusankha kwa maantibayotiki kumatengera mtundu wa matenda komanso kuchuluka kwa matendawa. Zowonda zochepa zimaperekedwa ndi mankhwala a penicillin otetezedwa (Timentin), cephalosporins a m'badwo wa 3 ndi 4 - Medocef, Cefobid, Kefsepim, Movizar.

Chitetezo champhamvu komanso chodalirika chomwe chimakhala ndi:

• fluoroquinolones - Ciprolet, Pefloxabol, Abactal, Ciprinol;
• carbapenems - Jenem, Mepenem, Grimipenem, Tienam;
• metronidazole (Trichopolum, Efloran) ndi kuphatikiza kwake ndi cephalosporins 3-4 mibadwo.

Ndi zotupa, tikulimbikitsidwa kuti tizikhala ndi njala kwa masiku atatu, kenako pang'onopang'ono kukhazikitse chakudya chamafuta - zakudya monga chimanga, supu zam'mimba ndi masamba. M'tsogolomo, pamene zizindikiro zoopsa zimachepa, mumatha kudya mokwanira, koma zoperewera.

Mndandanda wazinthu zoletsedwa uli ndi zakumwa zoledzeretsa, zamafuta ndi mafuta okazinga, zakudya zosavuta ndi zinthu zina zoyipa. Mfundo zazikuluzikulu za kadyedwe zimafotokozedwa muzakudya No. 5, yomwe imalimbikitsidwa kwa anthu onse omwe ali ndi matenda am'mimba.

Ndikofunikanso kudziwa kuti nthawi zambiri zimakhala zokwanira kusintha zizolowezi zodyera kuti kuchira kwathunthu kuonekere. Komabe, chomwe chingapangire chithandizo bwino ndichotsatira malangizo azachipatala komanso kumwa mankhwala. Khalani athanzi!