Cov kev txhaj tshuaj rau pancreatic pancreatic pab zoo tshaj

Txoj kev mob ua rau daim tawv nqaij hu ua pancreatic. Qhov mob hnyav ntawm tus kab mob no yog nrog sclerotic, mob thiab necrotic hloov khoom nruab nrog. Vim li cas rau tus mob no yog qhov tsis tsim nyog ntawm cov kua txiv mus rau hauv duodenum. Tom qab ntawd muaj qhov nce siab nyob rau hauv cov hlab ntsha, ua rau lub hlwb ntawm cov khoom nruab nrog. Qhov no ua rau autolysis thiab necrosis ntawm lub caj pas cov ntaub so ntswg.

Cov tsos mob tseem ceeb ntawm tus kab mob pathology yog girdle mob hauv lub plab mog sab sauv. Nws radiates dhau lub sternum lossis mus rau thaj chaw hauv plawv. Qhov kev siv ntawm cov tsos mob hnov ntau ntxiv nrog kev vam meej ntawm hom hemorrhagic ntawm hom mob tshwm sim. Thaum cov hlab ntsha hauv lub qog ua npog los ntawm necrosis, qhov mob ncus tsawg zuj zus.

Dab tsi yog qhov txaus ntshai pancreatitis

Nrog txoj kev loj hlob ntawm hemorrhagic pancreatic necrosis, qhov kev ua kom mob tshwm sim tsis dhau 24 teev tom qab pib qhov pib tshwm sim. Yog tias tus neeg mob nrhiav kev pab sai sai, cov tsos mob tuaj yeem nres hauv ntu 1. Thaum tus kab mob zuj zus, nws txoj kev pheej hmoo ntawm kev loj hlob:

Mob ntsws hnoos qeev.
Necrosis ntawm lub plab.
Daim siab ua haujlwm.
Edema GM.
Tsis hlauv.

Qhov tshwm sim ntawm kev tuag nyob rau hauv cov mob hnyav ntawm tus kab mob yog 15%. Nrog tas nrho necrosis, tus neeg mob tuag nyob rau hauv 70% ntawm cov neeg mob. Qee zaum ntawm keeb kwm ntawm tus kab mob pancreatitis, txoj kev mob oncological los yog ntshav qab zib loj hlob tuaj.

Kev pab kho mob rau kab mob pancreatitis

Kev kho mob ntawm cov kab mob no yog nqa tawm hauv tsev kho mob. Tom qab tswj tau tus neeg mob lub siab nyob tus yees, tus kws kho mob nyaij mus tshem tawm qhov mob hauv qab. Intolerable mob yog tshem tawm los ntawm analgesics. Txhawm rau kom lub cev rov qab los ntawm kev tua kab mob ntshav ntswg, tus neeg mob tau sau tshuaj rau lub cev khoom noj kom muaj zog. Qhov no pab ua kom tsis txhob muaj lub cev tsis ua haujlwm thaum lub cev qhuav dej.

Ua ntej lub tsheb thauj neeg mob tuaj txog, tus neeg mob yuav tsum tso tus mob txias rau ntawm lub plab mog sab saud. Mob khaub thuas txo qhov mob, pab txo qis ntawm lub cev enzymes los ntawm lub cev. Yog tias qhov mob tsis yooj yim, nws raug tso cai siv 1-2 lub hau. nitroglycerin. Intramuscularly, koj tuaj yeem nkag mus Tsis-shpa lossis Papaverine.

Antispasmodic kev txhaj tshuaj

Kev siv cov tshuaj antispasmodic txhaj tshuaj rau hauv cov mob ua rau tsis tuaj yeem yog vim tsis yog lawv cov nyhuv analgesic xwb. Lawv kuj tseem pab txhawb rau kev so ntawm cov leeg ntawm cov khoom nruab nrog. Lub sijhawm teem kho antispasmodics tshem tawm qhov kev pheej hmoo ntawm necrosis. Ntau zaus, tus neeg mob tau txhaj tshuaj:

Kev tswj hwm ntawm kev txhaj tshuaj ntawm Nitroglycerin pab txhawb rau kev so ntawm lub hlwb ntawm hepatic-pancreatic ampoule.

Kev kho mob nrog kev siv tshuaj loog

Exacerbation ntawm pathology cuam tshuam txog kev teem caij Paracetamol, Baralgin, Analgin. Cov kev txhaj tshuaj no ua rau muaj txiaj ntsig ntawm kev hnoos qeev los ntawm ducts ntawm cov khoom nruab nrog thiab qhov kev tawm ntawm kua txiv mus rau duodenum.

Cov tshuaj no ua ke nrog antihistamines. Kev siv ntawm Diphenhydramine, Suprastin, Tavegil yog qhov kev pom zoo. Lawv muaj cov nyhuv sedative thiab antiemetic.

Txhawm rau kom txo qis mob thiab txo qis kev zais ntawm lub cev, Sandostatin txhaj tshuaj yog kho rau tus neeg mob. Cov tshuaj tau muab tshuaj subcutaneously, tsis pub ntau tshaj 3 zaug / 24 teev Yog tias tus neeg mob ntsib mob uas tsis tuaj yeem, nws tau raug siv los ntawm Tramadol lossis Promedol. Cov tshuaj no muaj lub cev ntaj ntsug. Lub sijhawm tiv thaiv yog 3 hnub.

Pancreatic Khoom

Kev hno tshuaj rau kev txhim kho ntawm txiav pancreatitis yog kho tsis yog rau lub hom phiaj ntawm kev txiav tseg kev hnov mob nkaus xwb. Nrog lub caij nyoog ntev, tus kab mob hloov mus rau tus mob ncua ntev. Qhov no pab txo qis cov tshuaj insulin hauv cov ntshav, tom qab uas ntshav qab zib loj zuj zus.

Mob txha cajqab ntev nrog kev tswjhwm insulin hormone txhaj tshuaj. Thaum lub sij hawm exacerbation ntawm pathology, tshuaj tua kab mob yog tshuaj rau tus neeg mob. Cov tshuaj muaj zog tshaj plaws yog Gentamicin. Nws yog txhaj rau hauv cov leeg 2-4 zaug / hnub. Lub hom phiaj ntawm cov tshuaj no pab kom tsis txhob muaj qhov tshwm sim ntawm cov teeb meem purulent.

Teem sij hawm ntawm Contrycal rau pancreatitis

Kontrikal yog kev npaj ntawm Croatian pharmaceutical corporation Pliva Khrvatsk doo. Nws qhov kev nqus nws cuam tshuam rau kev ua haujlwm ntawm pancreatic enzymes. Lub chaw muag tshuaj ntawm cov tshuaj suav nrog proteinolysis inhibitors thiab tus neeg sawv cev hemostatic.

Muaj kev sib txuam muaj nyob rau hauv daim ntawv ntawm lyophilisate rau kev daws daws rau kev txhaj tshuaj. Lub npe tshwj xeeb tshaj plaws yog Counter-ampoule. Nws yog tshuaj tua rau tus kab mob pancreatitis. Cov tshuaj tiv thaiv tsis haum ntawm cov tshuaj yog aprotinin, thiab cov pabcuam tivthaiv yog mannitol. Lawv ua ke muab lyophysilate. Pre-diluted nrog cov tshuaj lom, nws yog txhaj rau txoj leeg ntawm tus neeg mob.

Cov lus qhia siv dav dav suav nrog Gordoks, Pantripin, Respikam. Gordox yog pheej yig dua li Contrikal, tab sis nws ua rau ua xua. Pantripine yog siv los tiv thaiv tus mob pancreatic necrosis.

Kev taw qhia thiab contraindications

Kontrikal yog cov tshuaj tshwj xeeb siv rau hauv kev kho thiab tiv thaiv kab mob pancreatitis:

pancreatitis mob ntxiv,
pancreatic necrosis,
mob leeg txhaj,
hemorrhagic poob siab,
cov ntaub so ntswg tob tob.

Cov tshuaj yog txwv kom nres lub qia ntawm tus kheej. Tsis tas li, kev txhaj tshuaj yog kho rau tus neeg mob hauv kev tiv thaiv ntawm kev mob tom qab nqaij hlav tawv nqaij.

Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm rhiab heev rau aprotinin. Tsis muaj kev hno tshuaj nyob rau lub sijhawm 1 hlis thiab thaum lactation. Qhov mob tshwm sim loj tshaj plaws yog kev tawm tsam tsis haum.

Yuav siv cov tshuaj li cas?

Tus neeg mob yog kws kho mob tso ntshav los yog txhaj tshuaj tiv thaiv ntawm Contrikal hauv tus mob ua paug pancreatitis. Qhov ntau npaum ntawm cov tshuaj tuaj yeem tsim raws qhov txiaj ntsig nruab nrab. Lub sijhawm ntev, qhov ntau ntawm cov tshuaj tau muab rau tus neeg mob, uas yog 300,000 ATPE. Tom qab ntawd nws poob mus rau 30,000 ATPE.

Hauv kev mob hnyav ntawm tus kab mob pancreatitis, kev pib txhaj tshuaj txawv ntawm 200,000 txog 300,000 ATPE. Tus saib xyuas koob tshuaj, txo los ntawm 10 zaug, yog tswj hwm ib teev. Nrog kev ua kom tsis zoo los ntawm kev mob tshwm sim ntawm tus mob, qhov ntau npaum ntawm 25,000 rau 50,000 ATPE / 24 teev Lub sijhawm kho yog 3-6 hnub.

Nrog mob hauv plab los ntshav, qhov ntau npaum 1,000,000 ATPE. Tom qab ntawd tus neeg mob tau txais koob tshuaj, uas muab cov nyiaj ceev ntawm 200,000 ATPE / 60 min.

Cov tshuaj yog muab thaum tus neeg mob nyob hauv kab rov tav. Tus nqi ntawm kev tswj hwm ntawm thawj qhov tshuaj ntawm cov tshuaj nws txawv ntawm 5-10 ml / m. Txoj kev saib xyuas txij nkawm yog siv siv ib rab roj hmab tawm. Thaum kho mob, nws yog ib qho tsim nyog yuav tau qhia 7,000,000 ATPE rau tus neeg mob. Cov neeg mob uas ua rau muaj kev tsis haum tshuaj, tib lub sijhawm yuav tsum tau noj Zyrtec lossis Suprastin.

Cov tswv yim kev noj haus

Hauv kev kis tus kab mob, tus neeg mob tau pub noj tsuas yog tom qab 4-5 hnub. Ua ntej qhov no, koj tuaj yeem haus cov dej muaj dej ntxhia pob zeb tsis muaj roj. Tus neeg mob yuav tsum tau ua raws li kev noj qab haus huv ntawm pancreatic. Cov zaub mov nplua nuj nyob hauv cov protein zom tau yooj yim yuav tsum tau muab faus.

Hauv daim ntawv uas tsis mob ntev, kev noj zaub mov zoo tau ua tiav rau ntau xyoo. Fried, ntsim tais, nqaij qaib daim siab, cawv txwv tsis pub tawm. Koj tuaj yeem noj cov ntses rog, nqaij, zaub.

Antispasmodic kev txhaj tshuaj

Kev txhaj tshuaj tiv thaiv kab mob los ntawm tus kab mob pancreatic yog siv vim muaj cov khoom hauv qab no:

Cov tshuaj no ua rau kom ploj ntawm qhov mob. Raws li qhov tshwm sim, tus neeg mob pib mloog zoo dua.
Tsis tas li, kev npaj ntawm hom no pab nyob rau hauv kev so lub leeg cov leeg ntawm cov khoom, ua rau cov txheej txheem ntawm kev tso cai ntawm cov kua txiv quav yeeb mus rau hauv lub plab zom mov tuaj yeem ua kom rov ua haujlwm.

Feem ntau, kev txhaj tshuaj spasmolytic hauv qab no yuav tsum raug siv los kho tus neeg mob txiav:

Platyphyllin. Cov tshuaj no tsuas yog siv nyob rau hauv chaw nyob nrog kev saib xyuas ntawm tus kws kho mob. Txhawm rau kom pleev qhov quav. Tus neeg mob raug pom zoo kom txhaj tshuaj 1-2 milliliters ntawm 0.2% tshuaj subcutaneously. Lub sijhawm ntawm kev txhaj tshuaj yuav tsum yog 12 teev.

Odeston. Cov tshuaj no txhawb nqa kev tshem tawm thiab tshem tawm cov kua tsib, ua kom zoo dua ntawm qhov ua haujlwm ntawm Oddi, tshem tawm mob plab thiab tshem tawm cov tsos mob xws li mob, ntuav, xeev siab, raws plab thiab flatulence. Qhov no pab tiv thaiv txoj kev txhim kho ntawm kev cuam tshuam ntawm pancreatitis li cholecystitis.

Metacin. Qhov ntau tshaj plaws ib koob ntawm cov tshuaj no yog 2 milligrams. Tsis pub ntau tshaj 6 milligrams ntawm cov tshuaj yuav siv tau hauv ib hnub rau tus neeg mob. Yog li, thaum nruab hnub, qhov ntau ntawm cov koob tshuaj tsis tuaj yeem dhau peb qhov kev txhaj tshuaj.

Atropine Kev daws teeb meem 0.1% hauv ampoules yog qhov pom zoo. Nws tuaj yeem raug tswj hwm rau tus neeg mob subcutaneously. Cov kev kho mob zoo li no feem ntau ua ke nrog kev tswj hwm ntawm kev siv tshuaj kho qhov ncauj. Ib koob tshuaj Atropine tsuas yog ib qho ntawm ampoule ntawm cov tshuaj. Yog tias tsim nyog, cov tuaj yeem tuaj yeem rov ua dua tom qab 3-4 teev.

Tsis-Shpa. Nws tau tso tawm, ob qho tib si rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj rau hauv intramuscular, thiab rau kev tswj hwm txoj hauv kev. Tus txheem ntawm cov tshuaj yog 2 millilitres. Yog tias nws yog ib qho tsim nyog yuav tsum txhaj rau hauv txoj hlab ntshav, li 8-10 millilitine rau cov dej qab ntsev yog ntxiv rau lawv. Txhawm rau kom tsis txhob ua rau poob qis hauv cov ntshav siab, cov tshuaj tau maj mam muab rau 5 feeb.

Papaverine. Kev siv ntawm tus neeg sawv cev no ua kom paub tseeb tias tshem tawm cov kua tsib, txo qis rau hauv lub siab, txo qis ntawm qhov hnoos qeev ntawm Oddi, thiab tseem txhim kho cov nyhuv analgesic ntawm lwm yam tshuaj.

Mob nyhav thiab mob caj dab feem ntau yog kho nrog cov tshuaj saum toj no hauv kev daws teeb meem rau kev txhaj tshuaj, tso ntshav thiab txhaj tshuaj subcutaneous.

Kev muab tshuaj loog tawm

Kev tso tshuaj kom tsis txhob mob caj dab vim muaj cov txheej txheem ua paug hauv nws hauv qhov mob sai ntawm tus kab mob yog pom zoo nrog kev pab ntawm NSAIDs.

Paracetamol Kev kho mob ntawm txoj hlab ntuag nrog cov twj zoo li no yog vim nws ua rau nws txo qhov kub ntawm lub cev, tshem tawm qhov mob thiab txo qis qib kev txhim kho ntawm cov kab mob pathological hauv lub cev. Kev hno rau pancreatitis nrog cov tshuaj no yog nqa tawm siv ib qho kev daws teeb meem nrog qhov ntau npaum li 10 milligrams ntawm cov tshuaj nquag ib milliliter.

Baralgin. Cov cuab yeej no pab txhawm rau kho qhov mob vim ntau yam khoom muaj txiaj ntsig. Ntawm lawv, nws tsim nyog qhia pancreatic anesthesia, tshem tawm spasm ntawm cov leeg, tshem tawm rau qee qhov mob thiab txo qis lub cev kub. Ib tus neeg laus tuaj yeem siv cov kev daws teeb meem ntawm 2.5 thiab 5 millilitres, ob qho tib si rau kev txhaj tshuaj thiab rau cov neeg tawm. Kev sib xyaw ua ke ntawm cov tshuaj tau tso cai nrog qee lwm yam tshuaj uas tuaj yeem txo tus mob.

Analgin. Zoo li ntau lwm yam tshuaj, cov tshuaj no muaj peb yam tseem ceeb tshaj: kev ua kom loog, mob npaws qis thiab txo qhov mob tshwm sim. Cov tshuaj muaj nyob hauv ampoules ntawm 1-2 millilit nrog kev daws ntawm 0.25% lossis 0.5% ntawm cov tshuaj nquag.

Sandostatin. Nws yog cov tshuaj tiv thaiv hluavtaws ntawm somatostatin. Ib qho tshuaj yog tsim nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj lossis lyophilisate rau nws txoj kev npaj. Hauv ib qho tshuaj yeeb tshuaj ampoule, uas nws lub ntim yog 1 milliliter, qhov tshuaj ntau npaum 0.05 mg lossis 0.1 milligrams ntawm cov tshuaj nquag yuav muaj. Sandostatin tuaj yeem pab cov txiav ua kua ntshav vim qhov tseeb tias nws inhibits qib ntawm kev zais ntawm cov khoom hauv nruab nrog, qhov txiaj ntsig ntawm cov kua txiv uas ua kua txiv quav yeeb ua kom tsawg. Feem ntau xws li cov tshuaj tau tawm rau cov neeg mob tom qab kev phais. Yuav luag txhua qhov rov ntsuam xyuas txog kev siv qhov cuab yeej ntawm Is Taws Nem no yog qhov zoo.

Kev hno tshuaj rau tus mob txiav ua ntej coj mus kho tus mob pancreatitis yuav tsum yog tus kws kho mob tus kws kho mob tau saib xyuas tom qab kuaj mob ntau yam.

Nws yog txwv tsis pub rau nws tus kheej nqa tawm kev kho mob, txij li ib cov tshuaj muaj tag nrho cov npe ntawm nws cov contraindications thiab phiv.

Lwm cov khoom lag luam nqus dej

Muaj qee kis, ntxiv rau kev siv tshuaj analgesics thiab antispasmodics rau mob pancreatitis, lwm yam tshuaj siv kuj tau siv.

Cov tshuaj insulin. Kev siv cov cuab yeej no yog vim qhov tseeb hais tias nrog kev mob ncua ntev ntawm tus mob pancreatitis, qhov txo qis ntawm cov tshuaj insulin hauv cov ntshav ntawm tus neeg mob tau tshwm sim. Feem ntau, cov kab mob no coj mus rau kev txhim kho ntshav qab zib.

Gentamicin. Cov lus qhia txog cov tshuaj tua kab mob no rau kev siv tau tuaj yeem siv rau qhov ua rau tus kab mob hnyav ntxiv, thaum ib tus neeg txhim kho cov tshuaj tiv thaiv mob hnyav rau hauv cov leeg kab mob. Gentamicin yuav tsum tau txhaj tshuaj intramuscularly ntawm 2 txog 4 zaug hauv ib hnub. Lub hom phiaj ntawm cov tshuaj no tseem zam rau kev nthuav dav ntawm ntau yam ntawm purulent pathologies, uas nyob rau qee kis tau tshwm sim nrog mob pancreatitis.

Contrikal. Cov cuab yeej no cuam tshuam ncaj qha rau kev ua haujlwm ntawm tib neeg pancreatic enzymes. Ib qho kev npaj tau tsim tawm hauv daim ntawv ntawm lyophilisate rau txoj kev daws rau kev txhaj. Cov tshuaj tseem ceeb ntawm cov tshuaj yog Aprotinin. Cov khoom yuav tsum tau txhaws ua ntej siv, thiab tom qab ntawd txhaj rau hauv txoj leeg ntshav ntawm tus neeg mob.

Nws tsim nyog kom mloog lub npe ntawm cov tshuaj tsis raug cai, txij li siv cov tshuaj tsis yog tuaj yeem ua rau tsis zoo rau tib neeg kev noj qab haus huv.

Pancreatitis yog suav tias yog ib hom tsis kis, yog li ntawv txhaj tshuaj tiv thaiv tsis tuaj yeem tiv thaiv menyuam yaus los ntawm tus kabmob no. Nws tsis pom zoo kom txhaj tshuaj tiv thaiv kab mob rau lwm cov kev mob hauv qhov mob kis mob vim qhov tseeb tias nws tsis tuaj yeem suav qhov tshwm sim tsis zoo uas yuav cuam tshuam los ntawm kev siv dag siv.

Tus kws tshaj lij hauv daim yeeb yaj kiab hauv tsab xov xwm no yuav tham txog kev kho mob ntawm pancreatitis.

Pancreatic o tshuaj noj

Hauv kev mob taub hau kom zoo, cov tshuaj siv tau muab tshuaj pleev ib ce, intramuscularly lossis subcutaneously siv cov tshuaj thiab txhaj tshuaj..

Cov ntsiav tshuaj tau kho nyob rau theem ntawm attenuation ntawm tus kab mob thiab nyob rau hauv kev kho mob ntawm kev mob caj dab ntev.

Qhov ua tau zoo ntawm kev kho yog nyob ntawm seb cov tshuaj dab tsi noj nrog pancreatitis. Cov tshuaj zoo xaiv txo sijhawm ntev ntawm kev kho mob, tiv thaiv kev cuam tshuam thiab kev hloov pauv ntawm tus kabmob mus rau ib daim ntawv uas siv sijhawm ntev.

Tseem Ceeb! Tshuaj kho mob rau tus kab mob ua tus txiav ua pancreatitis raug mob faib ua pawg loj thiab pabcuam pab.

Cov pawg tseem ceeb muaj xws li:

antispasmodics
analgesics
enzyme npaj
Antenzyme npaj
tshuaj tiv thaiv kab mob
Cov H2-histamine blockers,
tshuaj tua kab mob
detoxifiers.

Pab pawg muaj:

choleretic tshuaj
vitamin ntau heev
tshuaj xaj
tshuaj ntsuab npaj.

Antispasmodics

Nto moo Tsis muaj-spa, Papaverine, Spasmalgon nplij pob leeg mob soob, txo qhov siab hauv cov ducts thiab thiaj li tshem tawm qhov mob. Yog tias muaj mob hnyav, tus neeg mob raug tso tshuaj lossis tsaug leeg. Buscopan, Meteospasmil tuaj yeem noj thaum lub sij hawm exacerbation ntawm kev mob caj dab ntev. Nws yog qhov zoo dua ua qhov no tam sim ua ntej noj mov.

Kev muab tshuaj loog

Analgin, Baralgin, Pentalgin siv rau qhov mob nyem, kev daws teeb meem rau kev txhaj tshuaj yog yooj yim dua. Cov nyhuv ntawm cov tshuaj yog zoo heev sai sai.

Narcotic analgesics Promedol, Tramadol yog siv los nres kev tawm tsam mob hnyav rau cov neeg laus. Cov tshuaj pleev xim ntawm pab pawg no tau siv hauv tsev kho mob.

Kev npaj enzyme

Cov txheej txheem inflammatory cuam tshuam cov khoom tsim tawm ntawm pancreatic enzymes. Txhawm rau pab txhawm rau txhawm rau txhawm rau txhawm rau nqus plab, txheej txheem enzyme tau kho. Feem ntau cov feem ntau lawv siv nyob rau hauv kev zam txim, tab sis txhua tus kheej. Cov nto moo tshaj plaws yog Mezim, Festal, Panzinorm, Creon. Cov tshuaj thiab ntau npaum li cas yog tus kws kho mob sau tseg. Yuav tsum tau noj cov enzymes nrog cov pluas noj.

Tseem Ceeb! Thaum qhov mob tshwm sim tom qab mob siab noj mov, koj tsis tuaj yeem npaj cov tshuaj tiv thaiv enzyme - qhov no tuaj yeem ua rau kev ua kom hnyav ntxiv. Nws yog qhov ntau zoo dua rau noj tsis-shpa lossis ib lub ntsiav tshuaj baralgin.

Antenzyme npaj

Kontrikal, Trasilol, Gordoks, Tsalol. Kev kho mob nrog cov tshuaj no pib rau thawj hnub ntawm tus kabmob. thiab txuas ntxiv mus kom txog thaum tus neeg mob hloov kho. Sodium chloride yog qhia rau hauv qhov kev daws isotonic siv nrog poob.

Nws raug nquahu rau kev tua kab mob rau pancreatic kom siv cov tshuaj tiv thaiv kab mob los tiv thaiv cov tshuaj acid acid. Siv nyob rau hauv ua ke nrog antienzyme npaj. Cov no yog Almagel, Alumag, Fosfalugel, Maaloks, lwm tus.

Cov H2-histamine blockers

Siv tshuaj tua kab mob pab txo cov mob los ntawm kev txo cov khoom tsim cov hydrochloric acid. Cov kab mob no suav nrog ranitidine, famotidine, nizatidine. Hauv kev kho mob ntawm kev hnoos qhuav, lawv siv los ntawm thawj hnub ntawm tus kabmob hauv daim ntawv txhaj tshuaj. Hauv daim ntawv mob voos, lawv haus 2-3 zaug ib hnub twg rau 14-20 hnub.

Tshuaj tua kab mob

Tsis muaj kev pom zoo ntawm kev siv tshuaj tua kab mob los kho tus mob pancreatitis. Tso rau kev tiv thaiv kom tsis txhob muaj mob cholangitis, mob gallstone, sib tawg ntawm tus kab mob pancreatic duct. Cov tshuaj tua kab mob feem ntau siv hauv koob tshuaj penicillin (Amoxiclav, Amoxicillin), lossis hauv kev sib txuam, piv txwv li, penicillin nrog streptomycin.

Tus txheej txheem rau kev kho tus mob pancreatitis

Kev kho tus neeg mob yog nqa tawm hauv ntau qhov qhia:

tsis kam haus cawv,
tom qab cov zaub mov uas muaj rog tsawg (tsis ntau dua 80 g hauv ib hnub). Noj zaub mov me me 5-6 zaug nyob rau ib hnub,
Nyem qhov mob
kho enzyme deficiency,
kev kho vitamin
kev kho mob ntawm pathologies ntawm endocrine, hepatobiliary thiab lub plab zom mov.

Tseem Ceeb! Cov txheej txheem kho rau tus mob pancreatitis nrog tshuaj yuav kho raws tus yam ntxwv ntawm tus neeg mob, nyob ntawm daim ntawv mob thiab nws mob hnyav.

Lub Cheebtsam yuav tsum tau ua ntawm kev kho tus mob pancreatitis:

detoxification los ntawm kev tso ntshav ua paug ntawm cov tshuaj electrolyte thiab colloidal (Lactosol, saline). Siv tshuaj kho cov neeg vwm Reosorbilact, Sorbilact, rheological kev daws teeb meem Reopoliglyukin, Refortan, Heparin, qabzib cov kev daws teeb meem 5%, 10%, hepatoprotectors,
kho kev tshaib plab dhau 2-3 hnub,
analgesia nrog analgesics, antispasmodics, lwm yam tshuaj,
kev ntshaw lub plab lossis kev teem caij ua haujlwm ntawm antacids,
kev txwv tsis pub pais plab zais cia siv H2-blockers (Ranitidine, Cimetin). Siv yog tias cov ntsiab lus ntawm lub plab tsis tuaj yeem nqus,
ntshav tawm prophylaxis: infusion ntawm ntshav, ntshav hloov chaw,
kev siv ntawm pancreatic secretion inhibitors thiab proteolytic enzyme inhibitors,
enzyme hloov txoj kev kho. Nws yog nqa tawm ntawm ntau qib ntawm tus kabmob,
kev kho tshuaj hormones - Somatostatin, Sandostatin, Glucagon, lwm tus. Ib txoj kev kawm tsis txaus, tab sis kev siv cov nyiaj no muaj qhov ua rau lub ntsej muag tsis zoo rau lub plab thiab qhov txiav. Raws li qhov tshwm sim, qhov mob thiab o kis tau sai heev.

Qhov muab tshuaj rau piav qhia tsuas yog hais txog cov lus yuav ua li cas los txo tus mob pancreatic nrog tshuaj. Txhua lub sijhawm teem los ntawm tus kws kho mob!

Tshuaj rau kev kho mob

Kev siv tshuaj rau kev kho mob rau cov neeg laus yog xaj los ntawm tus kws kho mob endocrinologist, kws kho mob plab, kws phais neeg los yog kws kho mob. Nyob rau tib lub sijhawm, tshuaj kho mob raug kho rau kev kho mob ntawm cov kab mob concomitant thiab tshem tawm cov tsos mob ntawm tus kab mob.

Kev mob caj dab rau cov neeg mob sai sai vim tsis ntuav thiab xeev siab. Cov tshuaj antiemetic Cerucal tau tsim nws tus kheej los kho tus mob ua tiav pancreatic. Cov tshuaj raug tso tawm nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj hauv ampoules ntawm 2 ml. Nkag mus rau hauv txoj kev mob siab thiab intramuscularly, qhov siab tshaj plaws niaj hnub noj yog 80 mg.

Cov tshuaj no kho cov mob pancreatitis, mob rwj ntawm lub plab thiab duodenum, mob ntawm txoj hlab pas. Cov tshuaj txo cov acidity ntawm lub plab, txo kev tsim cov kua txiv hauv plab, uas ua rau qhov mob o ntxiv, qhov mob ploj mus. Cov tshuaj yog muab los ntawm kws kho mob.

Cov cuab yeej no yog qhov deb ntawm qhov tshiab. Nws feem ntau raug txo qis lub acidity ntawm lub plab hauv pancreatitis, mob plab duodenal thiab mob plab, mob rau txoj hlab pas thiab mob plab. Lawv tau tsim nyob rau hauv daim ntawv ntawm kev txhaj tshuaj ntawm 2 ml hauv ampoule thiab ntsiav tshuaj ntawm 150 thiab 300 mg.

Cov tshuaj ua rau cem quav uas tshwm sim nyob rau tom qab ntawm kev siv tshuaj. Cov tshuaj nrog tsawg nqus tsis ua kom tsis muaj zog ntawm cov leeg nqaij ntawm txoj hnyuv. Muaj nyob rau hauv daim ntawv ntawm syrup.

Novocaine muaj tshuaj loog, tiv thaiv mob thiab antitoxic los ntawm tus neeg mob. Tsis tas li ntawd, cov tshuaj txo cov qoob loo ntawm cov kua txiv ua kua txiv roj thiab txo qis spasm ntawm cov leeg.

100 ml ntawm 0.25% kev daws teeb meem yog muab tso dej khov ib hnub ob zaug.

Cov tshuaj los ntawm NSAID pawg. Tshuaj kho kom zoo mob. Feem ntau tsis ua rau muaj kev mob tshwm sim, tab sis tsis pom zoo rau cov neeg mob uas mob peptic.

Sandostatin

Kev kho ntawm pancreatitis nyob rau hauv lub mob huam thiab tom qab lub sijhawm yog nqa nrog somatostatins - npaj ntawm Sandostatin, Octreotide.

Sandostatin tam sim ntawd txo qis kev mob zais zis, kev kho mob nrog cov tshuaj yog nqa los ntawm thawj hnub ntawm tus kabmob. Nkag subcutaneously ntawm 100 mcg 3 zaug hauv ib hnub rau 5 lossis ntau hnub. Cov tshuaj ua kom loog thiab txo qhov mob.

Tseem Ceeb! Txhawm rau kom tsis txhob muaj kabmob xws li kev quav yeeb tshuaj, koj tsis tuaj yeem muab tshuaj rau tus kheej!

Kev npaj enzyme, hloov rau cov kua txiv pancreatic. Raws li ob hom plhaub hom. Qhov zoo ntawm cov tshuaj no yog cov tshuaj nquag nquag xa mus rau duodenum. Nrog rau pancreatitis, nws yog tshuaj kom them nyiaj rau pancreatic enzyme tsis txaus.

Trypsin Inhibitor (pancreatic enzyme). Koom nrog hematopoiesis, ua rau lub cev tiv thaiv ntau dua. Siv 1-2 ntsiav tshuaj peb zaug ib hnub tom qab noj mov. Lub sijhawm ntawm cov chav kawm hauv kev mob hnyav ntawm pancreatitis yog ob lub lis piam, nyob rau hauv ntev ib thiab ib nrab rau ob hlis.

Kev siv tshuaj kho kab mob kev kho mob siab ntsws thiab mob nrawm suav nrog kev siv tshuaj antienzyme. Nrog rau tus kab mob pancreatic, qhov kev tso tawm sai ntawm cov kua txiv quav yeeb tau tshwm sim. Cov kab mob sib xyaw ua kom qhov kev ua haujlwm ntawm cov zaub mov enzymes, thiab tiv thaiv tus kheej ntawm kev puas tsuaj ntawm lub cev. Cov tshuaj no tau muab txhaj tshuaj rau hauv tsev kho mob.

Cov tshuaj muaj cov ua haujlwm choleretic, tiv thaiv kev tsim cov pob zeb, txhawb kev tsim khoom ntawm cov kua tsib, yog li nws yog qhov tsim nyog rau kev ua mob ntawm cov txiav thiab mob siab hauv lub xeev ntawm kev zam txim. Siv 2 lub tshuaj 3 zaug ib hnub twg.

Tshuaj kho mob rau kev tawm tsam mob pancreatitis

Kev tawm tsam ntawm tus mob pancreatitis feem ntau mas maj mam poob, nrog zaub mov lossis tom qab 20-25 feeb. Tsawg tsawg zaus, kev tawm tsam tus kabmob pib 2 teev tom qab noj mov. Qhov mob tsis loj heev ua rau ib tus neeg tuaj yeem tsis nco qab lossis tuag los ntawm kev mob siab.

Ailing pancreatitis yuav tsum muaj peev xwm daws tau tus mob ua mob pancreatitis nyob hauv tsev. Nws yog ib qho tseem ceeb rau kev ua kom loog thaum pib ntawm kev tawm tsam.

Analgesics thiab antispasmodics yuav ua qhov no. Cov tshuaj yooj yim pheej yig Analgin thiab No-shpa tuaj yeem nres qhov mob thaum pibCov. Lawv txhaj tshuaj nrog cov tshuaj intramuscularly.

Qhov kev txhaj tshuaj yog qhov zoo dua rau kev npaj ntsiav tshuaj, vim nws ua haujlwm sai dua. Ntxiv rau, tus neeg mob quaj los ntawm xeev siab thiab ntuav, nws nyuaj rau haus tshuaj.

Ib txoj hauv kev zoo los kho tus mob pancreatitis rau mob yog Baralgin. Cov tshuaj no yog tshuaj ua ke, nws suav nrog analgesic thiab antispasmodic. Cov tshuaj yog muab rau maj mam, intramuscularly. Yog tias nws tsis tuaj yeem los txhaj, haus cov ntsiab lus ntawm ampoule thiab ntxuav nrog dej.

Papaverine yog txhaj tshuaj intramuscularly nrog 2 lossis 3 ml ntawm 2% kev daws. Cov tshuaj ua rau rov zoo sai dua ntawm cov leeg ntawm cov plab hnyuv siab raum.

Nitroglycerin 1-2 tee pom zoo kom mob hnyav thiab mob plawv.

Cov tshuaj uas tsis yog tshuaj steroidal pab tiv thaiv kev mob. Nrog rau pancreatitis los ntawm mob o, Paracetamol feem ntau kho mob. Cov tshuaj muaj contraindications, nws tsis yog kws kho rau daim siab mob, mob plab zom.

Tseem Ceeb! Cov dej khov ntim tso rau ntawm qhov kev txiav txim siab ntawm cov txiav, nws yog qhov zoo kom pw tus neeg mob. Tus kws kho mob yuav tsum paub txog kev siv yeeb tshuaj, thiab qhia yam tshuaj twg.

Tag nrho cov lus qhia ntau ntawm cov kws kho mob los txog rau ib qho: txhawm rau tiv thaiv txhua yam kabmob yooj yim dua los kho. Kev tiv thaiv kab mob yog xav tau.

Pom zoo:

raws sij hawm kho cov kab mob siab thiab lub plab,
saib xyuas cov kev ua haujlwm niaj hnub - noj thaum lub sijhawm, pw txaus,
zom zaub mov kom huv si, tsis txhob maj rau khoom noj,
noj zaub mov me me
muab mus ua kev phem tsis zoo.

Cov tshuaj zoo tshaj plaws yuav tsis pab yog tias tus neeg mob tsis ua raws kev noj haus thiab haus cawv ntau. Cov kev ntsuas yooj yim no muaj peev xwm tiv thaiv kev mob ntawm tus txiav.

Kev siv tshuaj ntsuab

Tsis txhob quav ntsej txog cov tshuaj ntsuab. Txawm hais tias nrog exacerbation ntawm pancreatitis, tshuaj ntsuab tsis siv, tab sis nyob rau hauv kev kho mob ntawm kev mob caj dab ntev, lawv yuav nqa cov tsis muaj txiaj ntsig. Nws yog feem ntau pom zoo kom haus decoctions ntawm tshuaj ntsuab ib nrab ib teev ua ntej noj mov. Cov thawj coj ntawm cov tshuaj ntsuab nyob rau hauv kev kho mob ntawm pancreatitis yog chamomile, immortelle, calendula, sawv duav.

Pancreatitis: kev txhim kho kabmob

Lub luag haujlwm tseem ceeb ntawm cov txiav ua kab mob yog tsim cov enzymes uas nquag ua cov khoom noj, rhuav tshem ntau yam tshuaj. Lub caj pas ua kua txiv hauv qab zib, uas muaj nws cov enzymes hauv kev ua haujlwm. Lawv tau ua haujlwm hauv duodenum. Yog tias lawv cov kev tawm mus los cuam tshuam rau ib qho laj thawj twg, kev ua kom cov enzymes tshwm sim hauv cov ntaub so ntswg ntawm lub caj pas nws tus kheej: kev rhuav tshem ntawm cov khoom hauv lub cev. Cov mob o uas tsim muaj ua rau:

hloov lub hlwb ua haujlwm nrog adipose lossis cov ntaub so ntswg mob,
hauv cov mob hnyav, mob nyhav necrosis (kev tuag) ntawm cov khoom hauv nruab nrog cev.

Clinically acute or chronic pancreatitis nyob rau theem mob sai sai yog tus cwj pwm los ntawm qhov mob hnyav ntawm girdle mob uas ua rau kev puas tsuaj ntawm cov hlwb hauv lub caj pas. Daim duab zoo sib xws yog pom nrog kev mob caj pas. Nws mob tshwm sim yog tias lub gallbladder lossis lwm yam khoom hauv lub plab zom mov ua rau hnyav dua. Cholecystitis uas twb muaj lawm yog tus kab mob uas feem ntau ua rau muaj kev cuam tshuam nyob rau hauv cov leeg. Hauv nws qhov kev tshwm sim, nws tsa los tawm tsam kev mob hnyav ntawm tus mob pancreatitis.

Qhov mob pib nyob rau sab laug thiab yog girdle-zoo li, ntxiv rau hauv txoj hauj lwm supine thiab tom qab noj mov lossis haus cawv.

Ntxiv nrog rau qhov mob hnyav, tus kab mob no nrog: xeev siab,

ntuav indomitable uas tsis coj kev pab,
raws plab (tso quav muaj roj nrog cov khoom noj uas tsis muaj pov thawj),
siab kub.

Spasmolytic spectrum kev txhaj tshuaj

Yog tias tus mob yuav rov ua qub li qub tsis muaj kev phais mob, txheej txheem kev kho mob ntxiv yog nqa tawm hauv lub chaw kho mob hauv chaw kho mob lossis chaw kho mob. Ntau pawg ntawm cov tshuaj nrog cov txheej txheem sib txawv ntawm kev txiav txim tau siv los rov ua haujlwm pancreatic. Ntawm lawv yog cov tshuaj antispasmodics, uas tuaj yeem raug txhaj tshuaj rau hauv lub xub pwg thiab lub pob tw:

Lawv muaj cov nyhuv myotropic (nthuav cov lumen ntawm cov hlab ntsha, txhim kho cov ntshav ncig) thiab txo cov leeg ntawm cov leeg.

Papaverine - Cov tshuaj muaj lub npe ntawm nws cov tshuaj nquag kev lom zem. Yog siv rau antispasmodics muaj hwj chim. Muaj nyob hauv ntau hom pharmacological, ib qho ntawm lawv yog qhov 2% daws rau kev txhaj tshuaj. Nws yog muab cov tshuaj intramuscularly, tab sis nws txoj kev tswj hwm kev kho mob raws li ib feem ntawm kev sib xyaw lytic nyuaj tau. Txhawm rau kom tsis nco qab zoo, ib txoj kev nrog dej los qhia cov kev daws teeb meem no yog siv. Cov txheej txheem ntawm kev txiav txim yog raws li:

ntawm qhov normalization ntawm cov tawm ntawm cov kua tsib thiab kua txiv qab zib,
ntawm kev txo qhov siab nyob sab hauv cov hloov pauv.

mob ntsws
atrioventricular block (ib qho ntawm cov kev ntxhov siab ntawm lub plawv cuam tshuam),
arterial hypotension,
daim siab pathology
tus neeg tsis kam txais.

xeeb tub
cov poj niam thaum lub sijhawm lactation,
cov menyuam yaus hnub nyoog qis dua 1 xyoos

Rau lawv, cov tshuaj no tuaj yeem raug kho ib tus zuj zus rau cov cim tshwj xeeb tsuas yog los ntawm kws kho mob vim tias muaj kev mob tshwm sim:

kev fab tshuaj tsis haum
kev ntxhov siab txawv
txos cov ntshav siab
lub siab ua ntxhov,
hws
eosinophilia hauv cov ntshav cov ntshav (feem ntau nrog hais tawm los tiv thaiv tsis haum).

Thaum kws kho cov tshuaj, cov lus qhia tau ua tib zoo kawm. Nws yog siv rau tus kheej, coj mus rau hauv tus account tag nrho cov kab mob uas twb muaj lawm.

Kev txhaj tshuaj rau pancreatic

Hauv kev ua si hnyav lossis cov txheej txheem mob hnyav, nrog los ntawm kev tso tawm ntau ntawm cov enzymes, cov tshuaj tiv thaiv antienzyme tau siv rau hauv cov txheej txheem dej:

Gordoks - 500 txhiab units,
Contrikal - 200 txhiab units.

Cov koob tshuaj txhua hnub yog 1 lab units thiab 400 txhiab units, ua ntu zus. Lawv tiv thaiv cov kev puas tsuaj ntawm cov proteolytic enzymes. Nws raug nquahu kom tso cov menyuam poob rau hauv lub tsev kho mob xwb.

Dav siv Kvamatel (nquag muaj khoom noj - famotidine) - blocker N₂–Histamine receptors. Histamine provokes ib qho kev tsim tawm ntawm cov kua txiv ua kua plab, yog li ua kom hnyav dua cov txheej txheem o. Kvamatel (koob thib 3 lub tshuaj tiv thaiv H₂Cov neeg tau txais keeb kwm) muab cov haujlwm ua haujlwm ntawm cov hlwb ua kom yuag:

tsis ncaj qha txo qhov kev coj ua ke ntawm proteolytic enzymes,
stimulates kev txhim kho ntawm cov nqaij sib txuas ntawm qhov chaw ntawm necrosis.

Txoj kev kho yog pib nrog kev tso dej tawm thiab yog nqa tawm hauv tsev kho mob.

Dalargin yog cov tshuaj tiv thaiv kab mob, tab sis kuj tseem siv rau hauv kev kho mob ntawm kab mob pancreatitis:

inhibits zus tau tej cov enzymes,
rov qab kho cov nqaij mos ntawm lub caj dab,
hloov chaw thaj chaw uas muaj hlwb tag nrho.

Cov tshuaj yog kws kho raws li kev txhaj tshuaj rau kev mob ntawm tus txiav ntshav ua ke los yog mob leeg.

Sandostatin (Octreotide) - yog siv los daws qhov mob ntawm mob caj dab ntev los yog mob huam sai. Nws cuam tshuam qhov zais cia ntawm tus txiav, thaiv nws. Cov tshuaj tsis yog rau siv hauv tsev. Nws yog ntawv sau los ntawm kws kho mob txhawm rau txhaj tshuaj hauv tsev kho mob ua ib feem ntawm kev kho mob dav. Nws yog txaus kom tau ob peb hno los ntawm pancreatitis yog li tias qib ntawm amylase hauv cov ntshav poob rau qhov qub. Siv los ntawm cov kws phais neeg hauv kev txiav mob pancreatitis.

Trental thiab solcoseryl hauv kev txhaj tshuaj me me (2 ml) nrog kev tswj hwm kev sib koom tes ua rau cov ntshav khiav haujlwm hauv cov ntshav hauv lub cev. Qhov no yog qhov tsim nyog nyob rau thaum ntxov ntawm kev kho mob ntawm txoj kev mob ntawm tus kab mob siab tiag tiag los txhim kho cov nyhuv ntawm cov tshuaj ntawm lwm pab pawg.