Mndandanda wa mankhwala ochizira kapamba

Munthu yemwe sazindikira chibadwa sangathe kunena za kapamba, pomwe amafunsa funso lolakwika: kodi chimatani m'thupi lathu?

Koma kutchulidwa koyamba kumapezeka muzochita za anatomists omwe adakhala zaka masauzande zapitazo. Mu Talmud, bukhu la malamulo a moyo ndi miyambo yotengedwa kuchokera m'Baibulo, kapamba amatchedwa "chala cha Mulungu."

Pokhala zonse zofunikira pakubisika kwamkati ndi kunja, zimagwira ntchito yayikulu pakudya m'mimba ndi kagayidwe.

Kodi chiwalo chofunikira chija chimayatsidwa chifukwa chiyani? Chifukwa chiyani timachita kuti akakamizidwe kumadzikumbutsa kupweteka?

Zimayambitsa kutupa kwapancreatic

Mapamba ndi chiwalo chovuta kwambiri.

Mwakusalola kapena kuthetsa zifukwa zomwe tafotokozazi, mutha kuyendetsa bwino moyo wake:

1. Kulimbitsa thupi ndi mowa.
2. Matenda a ndulu ndi ma ducts ake (kutupa, kuchepetsa).
3. Kuvulala kwam'mimba.
4. The matenda a duodenum mu mawonekedwe a kutupa kwa mucous nembanemba ndi duodenitis.
5. Kumwa mankhwala: anticoagulants, maantibayotiki, anti-yotupa, sulfonamides ndi ena.
6. Matenda ogwirizana ndi matenda opatsirana: ma hepatitis C ndi B, mamps.
7. Hyperfunction ya parathyroid tiziwalo timene timalumikizana ndi kuchuluka kwawo kapena kuchuluka kwa parathyroid timadzi.
8. Kupezeka kwa thupi la ascariasis ndimatenda omwe amayamba ndi matumbo a ascarids.
9. Hormonal kusakhazikika.
10. Matenda a mtima.
11. Kuwonjezeka kowopsa kwa ma seramu lipids - mafuta okhala ngati ma organic.
12. Makamaka.
13. Zakudya zopatsa thanzi ndizakudya zambiri zamafuta ndi zonunkhira.

Zizindikiro ndi zizindikiro za kusintha kwa ma pathological

Zizindikiro zoyambirira zamatenda a gland zimawonekera, monga lamulo, patatha zaka makumi anayi, osowa kwambiri mwana. Izi zimachitika ngati munthu wamupweteka kale ndikudziwonetsa yekha.

Kupweteka kwa Hypochondrium

Ndi pancreatitis mu mawonekedwe ake pachimake omwe amawonetsa zizindikiro zoterezi ndi zowawa. Kutengera kuzungulira kwa kutuluka, kupweteka kumagawika: kuzimiririka, lakuthwa, kudula, kukoka. Izi ndichifukwa choti minofu yokhala ndi zotupa zimakakamiza matendawa.

Dyspepsia

Ndi kapamba, chinthu chodabwitsa, dyspepsia, nthawi zambiri chimachitika. Uku ndikuphwanya kovomerezeka kwam'mimba, komwe kumasonyezedwa nseru, kusanza mutatha kudya, defecation (kukhumudwa m'mimba, kudzimbidwa).

Zizindikiro zoterezi zimawonetsedwa nthawi zambiri kumayambiriro kwa matendawa. Zomwe zimayambitsa zimatha kukhala ndizovuta zakudya, kudya zakudya zosaloledwa ndi m'mimba, komanso kumwa mankhwala ndi mowa.

Kusiya ngati chizindikiro cha kuledzera

Ndi kuchulukana kwa kapamba, mitsempha ya vagus imakwiyitsidwa, kuyambitsa nseru. Mu milandu 80%, izi zimapangitsa kumasulidwa kudzera mkamwa.

Pa gawo loyamba - chifukwa cha zomwe zili m'mimba, komanso m'malo olemetsa, kutulutsidwa kwa bile kumachitika. Kumbukirani, wina akafotokozera vuto: palibe chomwe chingang'ambike, koma ngati zonse "zikutembenuka" - izi ndi momwe ziliri.

Kuthetsa madzi m'thupi

Ichi ndi chizindikiro choopsa chomwe chimadziwika ndi kusowa kwamadzi. Pokhapokha "kuphatikizika" kwachipatala kwadzidzidzi, kumatha kupha.

Oopsa kwambiri osati thupi, komanso moyo ambiri, ndi gawo lachiwiri ndi lachitatu la matendawa.

Amapezeka m'mawu awa:

• kuchepa thupi mpaka 9%;
• munthu akumva ludzu losasunthika;
• nembanemba yamkamwa imakuma;
• khungu la mkodzo limadetsedwa, kutuluka kwake kumachepa;
• palpitations kuchuluka ndi chizolowezi phokoso;
• zinthu zamitsempha zimawonekera (chikumbumtima chosazindikira, kugona, kusokonekera kwa mawu).

Zizindikiro za pakhungu

Chifukwa cha kutukusira kwachitsulo, umachulukana kukula, kuyambira kukakamiza ziwalo zake zoyandikana ndikuletsa kutuluka kwa bile.

Izi zimawonekera pakhungu, limapeza mthunzi wachikasu kapena wotuwa wotuwa.

Kuphatikiza apo, chifukwa cha kupuma komanso kuperewera kwa okosijeni, khungu la makona atatu la nasolabial, misomali pamiyendo ndi mikono, khungu pamimba ndi mbali zimatha kuchitika.

Zizindikiro zina

Pa palpation, zizindikiro zina za matenda a kapamba zimachitika:

1. Ululu kumanzere kuzungulira gawo la nthiti ndi msana.
2. Ndi mawonekedwe opsinjika pamizere yozungulira msomali (mkati ndi m'mwamba), ululu umachitika.
3. Panthawi yodziwika kuchoka kwa zala zam'mimba, kumamva kupweteka kwambiri.

Makanema azithunzi pazomwe zimayambitsa matendawa:

Kodi ndimankhwala ati omwe amamwa pancreatitis?

Pancreatitis ndi matenda oopsa omwe amafunika kuyang'aniridwa mosamalitsa komanso njira yolumikizana ndi njira yochizira.

Mukamamwa mankhwala, muyenera kumvetsetsa bwino cholinga chawo.

Zolinga za mankhwala:

1. Opaleshoni kuchotsa ululu wambiri.
2. Kuthetsa kusokonezeka kwa thumbo (kulephera).
3. Kufotokozera za yotupa njira komanso chithandizo cha odwala matenda.
4. Kupewa kwa zomwe zimayambitsa kukula kwa zovuta.

Zikondazo zikapweteka, mapiritsi otsatirawa athandizira kukhazikika kwa ntchito yake ndikupangitsa kuti mumve bwino:

1. Sungani kukokana ndikuchepetsa ululu - No-shpa, Papaverin, Baralgin akutumikirani izi. Ndikofunika kukumbukira kuti mlingo wawo umodzi sayenera kupitilira mapiritsi awiri. Madokotala amalimbikitsa kutenga Papaverine ndi Plifillin. Ululu wosapweteka wopweteka umatha kuthandizidwanso ndi dokotala pochita opaleshoni.
2. Mezim, Festal, Creon azitha kukhazikika ndikuwongolera magwiridwe antchito a kapamba - awa ndi m'malo mwa ma enzymes.
3. Diclofenac ndi Aspirin amatha kuchotsa kutupa, limodzi ndi ululu.
4. Madokotala amamulembera Octreotide ku mankhwala othandizira - mawonekedwe awa ndi omwe amaperekedwa chifukwa cha pancreatitis pachimake ndipo amathandizira kudzera m'mitsempha.

Gulu la mankhwala

Chithandizo cha pancreatitis ndi mankhwala chitha kukhala chothandiza pokhapokha pakuwongolera zakudya komanso kugwiritsa ntchito zida zonse zochiritsira.

Zida zamakono zamankhwala zili ndi mankhwala opitilira muyeso omwe amatha kuchepetsa kuvutika kwa wodwala, amatha kuthetsa kufalikira kwa njira yotupa yomwe idakhudza gawo lanyumba ya kapamba.

Kugawidwa kwa mankhwala kutengera zolinga zakuchira komanso momwe amathandizira matendawa zimaperekedwa pagome:

Ophera

Cholinga cha mankhwalawa chimatsatira kuchokera ku dzina lawo, ndiye kuti, ayenera kuthetsa ululu. Ndizofunikira kudziwa kuti ngakhale akumva ululu, atavala utoto wotchulidwa, madokotala amatipatsa mankhwala omwe alibe mankhwala a narcotic.

Izi zimaphatikizapo:

1. Antispasmodics: No-Shpa, Mebeverin, Meteospasmil, Papaverine, Buscopan.
2. Mankhwala ochepetsa mphamvu ya anti-yotupa: Voltaren, Indomethacin, Movalis.
3. Ma analgesics: Acetamifen, Baralgin, Analgin, Paracetamol.

Enzymes

Mankhwala a gululi adapangidwa kuti athandizire kugwira ntchito kwa kapamba, womwe mwanjira yake watayika.

Malinga ndi cholinga ndi ma enzymewo, gulu lomwe liripo limagawika m'magulu asanu:

1. Zosavuta: Abomin, Betaine.
2. Zophatikizika: Flogenzim, Wobenzin.
3. Mankhwala okhala ndi pancreatin okhala ndi zigawo zake (steapsin, wowuma, proteinase): Mezim, Creon, Pancreatin, Mikrasim, Pangrol, Hermitage, Festal.
4. Zogawanikana pazomera: Somilase, Unienzyme, Solisim.
5. Mankhwala omwe amaphatikizapo bile, pancreatin, hemicellulase: Enzistal, Digestal, Festal, Panzinorm.

Antiemetic

Tiyenera kudziwa kuti kusanza pambuyo poyizoni wa chakudya komanso kapamba kumadutsa m'njira zosiyanasiyana. Mlandu wachiwiri, umakhala wofowoka, wopatsa mphamvu, osabweretsa mpumulo ndipo umapangitsa kuti thupi lithe mphamvu. Pakadali pano, phala lam'mimba losavuta silothandiza.

Apa, njira zofunika kwambiri zokhudzana ndi kuledzera zimachitika: poizoni wopangidwa pambuyo pa kufa kwa minofu umalowetsedwa mu medulla oblongata kudzera m'magazi ndikuchita pa malo osanza omwe ali m'chigawo chozungulira magazi.

Chithandizo chothandiza kwambiri cha ma spasms ndi Cerucal. Amagwiritsidwa ntchito ngati jakisoni.

Kuphatikiza apo, ndikusanza tengani: Motilium, Bimaral, Torekan.

Torecan, mosiyana ndi Etaperazin ofanana, Haloperidol, Meterazin, kuwonjezera pa mphamvu ya antiemetic, amakhalanso ndi vuto lotha kusintha.

Antidiarrheal

Kutsegula m'mimba kapena kutsegula m'mimba ndi zina zomwe zimachulukana za kapamba. Panokha, popanda thandizo la kuchipatala, sizingatheke kuti tichotse izi osati zosasangalatsa kwambiri, komanso zoopsa kwambiri.

Chifukwa chake, sizingachitike mwadzidzidzi kuti madokotala pakuzindikira khansa apereka chithandizo chokwanira cham'mimba, chokhala ndi zotsatirazi:

1. Mwa "kukweza" njira yogaya chakudya, mankhwala a enzymatic amalembedwa: Festal, Mezim, Pancreatin.
2. Enterosorbents - mankhwalawa amagwira, ali m'mimba, amatenga poizoni osiyanasiyana. Mtsogolomo, amawachotsa m'thupi mwachilengedwe. Izi ndi monga: Almagel, kaboni yodziyambitsa, Polysorb.
3. Kuti muchepetse mawu ofooka a rectum komanso kuti muchepetse mayendedwe am'mimba amatenga: Loperamide, Lopedium, Immodium.
4. Ma Painkiller ndi antispasmodics a matenda am'mimba: Baralgin, No-Shpa, Papaverin, Spazmil, Renalgan.
5. Kuti athetse matumbo microflora, madokotala amalimbikitsa: Colibacterin, Bactistatin, Lactobacterin.
6. Vitamini-mineral complexes omwe amathandizira kulimbikitsa ntchito zoteteza thupi: Supradin, Vitrum, Complivit.

Antacid

Kutulutsa kochulukirapo kwa hydrochloric acid kumayendetsa ntchito ya pancreatic secretion, yomwe siili yofunika chifukwa cha kufalikira kwa kapamba. Maantacidin amatengedwa kuti ateteze izi.

Amagawidwa kukhala mitundu yosakanikirana komanso yosamwa. Pochiza pancreatitis, madokotala amatha kupatsa mankhwala okhala ndi aluminium-magnesium kapena osamwa.

Odziwika kwambiri a iwo: Phosphalugel, Almagel, Altatsid, Maaloks, Gastratsid, Maalukol, Alumag.

Mankhwala osokoneza bongo

Kuchulukana kwa katulutsidwe ka madzi a m'mimba, kamene kamaphatikizapo hydrochloric acid, kumapangitsa kukwiya kwa kapamba. Cholinga chachikulu cha mankhwala a antisecretory ndikuchepetsa kumasulidwa kwa hydrochloric acid.

Popanda kupita kuchipatala mwakuya, ndikofunikira kudziwa kuti mitundu yonse ya mankhwalawa imagawidwa malinga ndi momwe amathandizira mu PPIs (proton pump inhibitors) ndi histamine H2 receptor blockers. Zonsezi zimachepetsa usiku ndi usana kupanga zipatso. Zoyambazo sizimakhudza cholinergic, pomwe zotsalazo sizimakhudza ma histamine receptors.

H2-histamine receptor blockers:

1. Generation of Cementidin: Histodyne, Altamet, Belomet, Ulcometin, Tagamet.
2. Kukula kwa Ranitidine: Zantag, Histak, Ranisan, Acidex, Zoran.
3. Generation of Famotidine: Antondine, Ulfamide, Gaster, Quamatel, Pepsid. Topzid.

PPIs kapena ma proton pump blockers:

1. Generation of Omeprazole: Omez, Zerocide, Omizak, Osid, Erosit.
2. Kukulitsa kwa lansoprazole: Lanzap, Lanzopton.
3. Generation Pantoprazole.
4. Generation Rabenprazole: Parry.
5. Generation of Esomeprazole: Nexium.

Ma anti-sipekitiramu ambiri

Ali ndi mayina awo chifukwa cha kuthekera konsekonse, kapena, kwenikweni, kochiritsira konsekonse. Zotsatira zake zimafikira matenda osiyanasiyana, kuphatikizapo kapamba.

M'badwo watsopano wa maantibayotiki, omwe nthawi zambiri amauzidwa ndi madokotala kwa odwala akuluakulu, amaphatikizapo:

• Ceftriaxone;
• Azithromycin;
• Cefotaxime.

Koma musaiwale zakale, zotsimikiziridwa, koma zosagwiritsa ntchito mankhwala omwe ali ndi mawonekedwe ambiri amachitidwe, omwe akuphatikizapo:

• Cefoperazone;
• Doxycycline;
• Zosangalatsa;
• Amoxiclav;
• Ampicillin.

Myotropic antispasmodic

Kutulutsa ndi kuchotsa kwa zotupa m'matenda am'mimba, kapamba, chikhodzodzo ndulu ndi ducts ya bile ndi cholinga chachikulu cha mankhwala a myotropic antispasmodic.

Izi zikuphatikiza mitundu ya mankhwala omwe ali ndi antispasmodic ndi vasodilating katundu.

Odziwika kwambiri komwe akupita ndi (magulu awiri):

• Papaverine, Papaverine hydrochloride;
• Mebeverin, Duspatalin;
• Njinga, Halidor;
• Drotaverin, Drotaverina hydrochloride, No-Shpa, No-Shpa Forte, Spazmol;
• Otilonia bromide, Spasmomen;
• Pinaveria bromide, Dicetel;
• Platyphyllin;
• Trimebutin;
• Fenicaberan;
• Flavoxate.

Otsutsa a non-steroidal

Awa ndi mitundu yotchuka kwambiri komanso yotchuka. Wina akuyerekeza kuti ku United States mankhwala opitilira mankhwala opitilira 70 miliyoni amafunsidwa kuti azigula mankhwalawa pachaka.

Mitundu yonse ya gululi, koma ndikofunikira kudziwa kuti awa ndi mayina oposa zana, ali ndi zikhalidwe zomwezo ndipo amachita zinthu zomwezo: anti-yotupa, analgesic ndi antipyretic.

Kodi ndi mankhwala abwino ati omwe mungatenge, zomwe mungasankhe? Funsoli limafunsidwa molakwika kwambiri.

Pofuna kuthana ndi zotupa zomwe zimakhudzana ndi kuchulukana kwa kapamba, madokotala nthawi zambiri amapereka:

• Acetylsalicylic acid kapena Aspirin;
• Kusiyanitsa;
• Sulindak;
• Lysine monoacetylsalicylate;
• Phenylbutazone;
• Indomethacin;
• Flurbiprofen;
• Piroxicam;
• Diclofenac;
• Nabumeton;
• Ibuprofen;
• Ketoprofen;
• Mesalazine ndi ena ambiri.

Kanema kuchokera kwa Dr. Evdokimenko:

Zithandizo Zabwino Kwambiri

Kupereka yankho losatsutsika kufunso la mankhwala othandizira kwambiri othandizira ziphuphu ndizosayamika monga kukangana kapena kutsutsana komwe malo kapena nyengo ndiyabwino kwambiri kuti anthu azikhalamo.

Ndipo tikuganiza kuti muvomera kuti yankho lomveka lomwelo, loti: zonse zimatengera thupi la munthu - zidzakhala zolondola pazinthu ziwiri.

Pancreatitis ndimatenda ovuta kwambiri omwe samachiritsidwa. Zambiri zimatengera njira ndi njira zothanirana ndi matenda awa, pazamankhwala omwe asankhidwa ndi zovuta kugwiritsa ntchito.

Ngakhale zovuta zina zozikika pofufuza zamankhwala zitha kupangidwa.

Nthawi zambiri, chifukwa cha kutupa kwa kapamba, madokotala amalembera: ma pinkiller, maantibayotiki ndi mankhwala osokoneza bongo kuchokera ku gulu la enzyme.

Izi zikuphatikiza:

1. Kukonzekera kwa enzyme: Creon, Panzinorm.
2. Maantacid: Gaviscon, Rennie, Phosphalugel, Maalox.
3. Proton pump blockers: Omez, Lanzap, Pantoprazop, Lanzopton.
4. Maantibiotic: Azithromycin, Cefotaxime.
5. Othandizira: Palibe-Shpa, Meteoospasmil, Voltaren, Movalis. Baralgin, Paracetamol.

Kuti muthane bwinobwino ndi mavuto omwe amadza chifukwa cha matenda apamba, muyenera kusungitsa osati kokha ndi chipiriro. Ndikofunikira kutsatira mosamalitsa zomwe adokotala amapeza ndikuwunikira moyo wonse, kuphatikizapo kapangidwe kake ndi zakudya, komanso njira yopumira komanso ntchito zolimbitsa thupi.