Pancreatitis ndi matenda akuluakulu okhudzana ndi kutukusira kwa kapangidwe komanso kusayang'anitsitsa vuto lomwe limayambitsa mavuto. Kuchiza kwa chifuwa ndi mankhwala ndi sitepe yoyamba, monga lamulo, mankhwala a matendawa amayamba ndi iwo. Pali mankhwala ambiri omwe amathandiza kuthetsa matendawa mosavuta.
Kodi ndibwino bwanji kuti muzitha kupha chifuwa?
Kutupa kwa kapangidwe kumachitika pamene michere yomwe imagawanika imayikidwa mu chikho. Pancreatitis imayamba m'njira zosiyanasiyana, pali ziwirizi: zovuta komanso zosapitirira. Mlingo wa matendawo umadalira chithandizo chake. Poyamba kudziŵa za matenda, mankhwala osokoneza bongo ndi mavitamini amalembedwa, ndipo kukonzekera matenda opatsirana aakulu (olumala) akuphatikizapo mankhwala othandizira kusokoneza, antispasmodics ndi gulu la antchito ena. Malamulo atatu akuluwa ndi awa: kupereka mtendere kwa wodwala, zakudya zabwino ndi kuzizira kuchotsa kutupa.
Malingana ndi zizindikiro zomwe amapatsidwa mankhwala kuti apite ku matendawa, asiye zizindikirozo. Ndikofunika kumvetsera (ndi cholinga chochotseratu) odwala matenda omwe amayamba kumene, makamaka ngati:
- shuga;
- Ululu wam'mimba ;
- miyala mu gallbladder;
- poizoni ndi mankhwala;
- matenda opatsirana.
Kuchiza kwa matenda osapatsirana aakulu ndi mankhwala
Ngati kupatsirana kwapezeka, matenda amachititsa kuti apeze mankhwala ndipo mankhwalawa amachokera, koma osagwira ntchito, matendawa amatha kuonedwa ngati osapitirira. Mu minofu munali kutupa, ndipo mankhwala ovuta omwe amachititsa kuchotsa zizindikiro amafunika. Kodi ndi mankhwala otani omwe angatenge ndi chifuwa chachikulu cha mawonekedwe osatha? Mankhwalawa ndi awa:
- ndi ululu waukulu pogwiritsa ntchito antispasmodics;
- pa mankhwala oopsa a antibiotics angasankhidwe kapena asankhidwe;
- Pofuna kuchepetsa acidity m'mimba, antiacids amawonongedwa;
- gwiritsani ntchito ntchito zachinsinsi zotchedwa inhibitors ndi H2-blockers;
- Mavitamini amauzidwa, malinga ndi kufunika kwa thupi kuti lipase;
- Nthawi zambiri, othandizidwe a antifoam amatengedwa mowa.
Kuchiza kwa chifuwa chachikulu ndi mankhwala
Kuchuluka kwa kuperewera kwa chiwindi ndikovuta kuti mudziwe, pali mavuto pamene zizindikirozo zikufanana ndi zovuta zina. Wodwala akumva chisangalalo chosangalatsa m'madera, mtima, mapewa, hypochondrium. Kusokonezeka kumapitirira mpaka kumanzere kwa thupi, pali ululu waukulu. Pambuyo pa chakudya chochuluka pamakhala kupweteka m'mimba, kunyowa, kutsekula m'mimba . Matendawa amafalikira, ndipo n'zotheka kuchipatala kuchipatala ndi opaleshoni yapanyumba. Dokotala amapereka mankhwala omwe amathandiza kuti mliriyo azidwala matenda oopsa kwambiri:
- amatanthauza, kuimiritsa ntchito za chiwindi;
- zowawa;
- mankhwala omwe amaletsa kutsekemera kwa gland;
- kukonzekera kuchotsedwa kwa edema;
- mankhwala odana ndi kuchepa kwa madzi.
Ndi mankhwala ati omwe amachiza kupatsirana?
Kuchiza bwino matenda opatsirana pogonana ndi njira yayitali. Pofuna kubwezeretsa chizoloŵezi choyendetsa gland ndikupanga madzi a pancreatic, njira zosiyanasiyana zimagwiritsidwa ntchito. Chinthu chachikulu ndicho kumwa mankhwala. Mu kubwezeretsa kwa mankhwala, mankhwala amathandiza kwambiri. Pansi pa kuyang'anitsitsa kwa gastroenterologist, kutupa kwa kapangidwe kumatsekedwa, mankhwala, mankhwala akulamulidwa ndi katswiri.
Painkillers chifukwa cha kuperewera
Chimodzi mwa zizindikiro zosasangalatsa kwambiri za matenda ndi matenda opweteka. Chisokonezo sichingakhale chosamvetsetseka kuti wodwala akupuma ndikuyankhula movutikira. Kupweteka kuli kolimba, kumabwereranso, kumachepetsa mmbuyo ndi ziwalo zina za thupi, kusonyeza mbali yomwe thupi limakhudzidwa. Ndiye madokotala amapereka mankhwala osokoneza bongo: odwala amphamvu, mankhwala osagwiritsa ntchito mankhwala osokoneza bongo, mankhwala osokoneza bongo atengedwa mowa. Kuchiza kwa chifuwa chachikulu ndi anesthetics m'magulu angapo ikuchitika.
- H2-blockers of histamine receptors. Kuchepetsa kupanga mavitamini a pancreatic, mankhwala omwe amagwiritsira ntchito mankhwalawa amatchedwa Famotidine, Ranitidine.
- Ngati mukufunika kuthetsa masewera olimbitsa thupi ndikuthandizira kuti mukhale ndi mavitamini, perekani mankhwala osokoneza bongo. Ndikumva kupweteka kwambiri, Papaverin, Atropine, Aprofen, No-Shpa amagwiritsidwa ntchito .
- Mankhwala osagwiritsidwa ntchito omwe amatengedwa ndi kutupa ndi ululu - Paracetamol, Ibuprofen, Aspirin, Nimesil. Amasiya kupweteka ndi malungo.
- Analgesics. Mwachitsanzo, Baralgin, Analgin.
- Buprenorphine ndi Tramadol ali ndi mphamvu zothandizira zomwe zimagwiritsidwa ntchito mopitirira muyeso.
Mankhwala osakanikirana ndi opaleshoni
Panthawi ya matendawa, nkhuku zowonongeka zimadulidwa ndi michere yake, ndipo thupi limaledzera. Mankhwala osokoneza bongo ayenera kutsegula chiwombankhanga cha ululu, kukulitsa mitsempha ya magazi pafupi ndi kuyang'ana kwa kutupa, komanso kulimbikitsa kulimbana kwa thupi ndi kuvuta. Gululi la mankhwala osokoneza bongo limaletsa mapangidwe a thrombi ndipo ali ndi zotsutsa. Kuchiza kwa chifuwa chachikulu ndi mankhwala apakhomo ndi kotheka, koma ndibwino kuika thanzi lanu kwa akatswiri.
Ma CD odziwika bwino:
- Majekeseni awiri a Analgin ndi 3 ml a Baralgina, mozungulira. Maphunzirowa amasinthidwa ndi dokotala ndipo pafupifupi sabata.
- Fenicaberan (2 ml / 0.25% r-ra), Atropine (1 cube ya 1% yankho) ndi Papaverine (4/2%).
- Phwando lamakono No-shpy ndi Platifillin (1 ml m'mawa ndi madzulo). Zina zowonjezera mautumiki a Prostanone.
- Pamene matendawa akufalikira, mankhwala opha tizilombo amatha kuuzidwa: Cefuroxime, Ampiox, Levomycetin ndi ena.
Mankhwala okonzekera chiwopsezo
Pambuyo popanga ululu wa ululu ndi kutha kwa nthawi yovuta, chithandizo cha kuperewera kwa mankhwala ndi mankhwala kumaphatikizapo kumwa mankhwala omwe ali ndi amylase, lipase, ndi trypsin. Kukonzekera kwa mapuloteni ndi chiwopsezo: Creon, Pancitrat, Penzinorm, Mezim, mavitamini osungunula mafuta ndi mankhwala ena. Nthawi zina (komanso pamene matenda akuyambirira) perekani mankhwala osokoneza bongo. Iwo amaletsa ntchito ya antchito ena ophera, koma amakhala ndi zotsatira zoipa zambiri. Kukonzekera kunyamula:
- Chotsutsana;
- Gordoks;
- Aprotinin;
- Inhistril.
Antacids mu chiwopsezo
Kuwonjezera pa mavitamini a enzyme, kukonzekera kwa mankhwalawa kumaperekedwa kuti athetse chifuwa, chomwe chimapangitsa kuti ntchito yawo ikhale yogwira mtima. Pofuna kuchepetsa chapamimba cha acidity, zimagwiritsidwa ntchito, monga Almagel, Fosfalugel ndi zina zotero. Mankhwalawa amachititsa kuti asapitirize kuchita zinthu zina, zomwe zimapangitsa kuti munthu asagwiritse ntchito bwino mankhwala a duodenum, ndipo mlingo wa acidity wa mpweya wosakanizika m'mimba umachepa.
Cholagogue kukonzekera chifuwa
Pofuna kuthetsa zotsatirazi monga kuchepetsa kusungira katundu pamatenda, kuchotsa edema ndi kuchepa kwa bile, kukonza chimbudzi chogwiritsa ntchito cholagogue. Ngati mankhwala akugwiritsidwa ntchito pofuna kupatsirana, mankhwalawa amaperekedwa ndi dokotala ndipo, ndi chilolezo chake, zitsamba zimatha kuwonjezeredwa ndi zitsamba zomwe zili ndi zigawo monga vitamini C, mafuta ofunika, shuga wamphesa, tar, menthol, flavones, flavonoids, tanins, ndi zina zotero. Mapiritsi omwe amagwiritsidwa ntchito kwambiri ndi operewera, mankhwala monga:
- Chofunika;
- Chiwonongeko;
- Hofitol;
- Allochol;
- Libiol;
- Ursosan;
- Odeston;
- Nikodin.
Mankhwala othandizira kupatsirana ndi mankhwala - mankhwala
Masiku ano mankhwala, njira ndi njira zosiyanasiyana zimagwiritsidwa ntchito, mothandizidwa ndi momwe ziwonongeko za kuperewera kwa thupi zikuchotsedwa. Udindo waukulu mwa iwo umasewera ndi othandizira mankhwala. Koma nkofunika kulingalira kuti chifuwa chachikulu ndi chofunika kwambiri, chithandizo chomwe chimachitidwa kuchipatala. Kawirikawiri, odwala ali kuchipatala, amaika phokoso, akuthandizira ntchito za ziwalo zosiyanasiyana ndi machitidwe, akupereka mankhwala kuti athetse zizindikiro za matendawa. Njira zothandizira kwambiri zimaphatikizapo mankhwala osokoneza bongo, omwe amalepheretsa kuwonongeka kwa mankhwala osokoneza bongo ndikupha matendawa.
Kuchiza kwa chifuwa chachikulu pamudzi - mankhwala
Chithandizo cha kutupa kwapakati ndi mankhwala n'zotheka kunyumba, koma ngati mwayamba kuti adzalankhulana ndi dokotala, ndipo zovuta kwambiri zatha. Izi ndizowona makamaka pa mtundu wosavuta wa matendawa. Ndikofunika kuonetsetsa mtendere wathunthu, kutsatira chakudya. Matenda achisoni achotsedwa ndi analgesics ndi maantibayotiki. Ngati kuukira si koyamba, munthu akhoza kumwa mankhwala:
- Koma-Shpu;
- Papaverine intramuscularly;
- Drotaverine.
Zolinga za mankhwala odwala matendawa ndi kupewa njira zovuta zowonongeka, necrosis ndi matenda. Kupha kupweteka kwakukulu kungayambitse matenda ena, ndipo chithandizo cha mankhwala chimadalira iwo. Ngati vutoli silili losasunthika, kupanikizika kukugwedezeka, dokotala akulamula kuti mankhwala asamalire:
- Glucagon;
- Chodabwitsa;
- Somatostatin.
Kuchiza kwa chifuwa chachikulu ndi mankhwala kuchipatala
Kawirikawiri, pamene matendawa amapezeka mu mawonekedwe ovuta, kuchipatala kumafunika. Mankhwalawa akuyang'aniridwa ndi madokotala m'chipatala. M'masiku oyambirira okhala m'chipatala analamula zakudya zovuta, ngakhale njala. Pofuna kuchotsa mowa, madzi ochulukirapo, kuphatikizapo shuga ndi saline, amaikidwa mu droppers, ndi mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo omwe amapatsidwa komanso operesikira. Malingana ndi kuopsa kwake kwa zizindikiro, mankhwala osiyana amalembedwa:
- Spasmolytics (Ketanov, Spazmalgon) amachotsa ululu mmimba.
- Mankhwala a enzyme amachepetsa ntchito zapascita (mankhwala monga Sandostatin, Contrikal).
- Kupezeka kotheka kwa mankhwala ozunguza bongo, koma polamulidwa mwamphamvu ndi dokotala (Hydromoron, Meperidin).
Muliwonse ndi matenda ena, chithandizo cha kuperewera kwa mankhwala ndi mankhwala chiyenera kuyang'aniridwa ndi dokotala yemwe amadziwa mbiri ya matendawa ndipo amadziwa zomwe zimayambitsa kukula kwa matenda. Ndibwino kuti tiyambe kumwa mankhwala mwamsanga, mpaka matendawa amachititsa mavuto ndipo samapita ku gawo losatha.