Daim ntawv teev cov tshuaj rau kev kho mob ntawm lub txiav

Pancreatitis yog tus mob ntawm daim tawv nqaij hlav. Tus kab mob no tuaj yeem tshwm sim hauv ob leeg mob thiab mob ntev. Nws yog nrog los ntawm kev mob thiab ua kom tsis muaj zog, tsis yog tsuas yog ntawm lub tsev txiav txiv neej, tab sis kuj muaj cov kabmob uas nyob ib sab sib txuas nrog nws: daim siab, lub zais zis, lub plab hnyuv.

Hauv kev mob taub hau qhuav, cov duab hauv chaw kuaj mob yeej ib txwm tau hais tawm, thiab txoj kev kho tsuas yog mus pw. Qhov exacerbation ntawm tus txheej txheem mob ntev kuj qee zaum yuav tsum tau pw hauv tsev kho mob. Tab sis, pawg tseem ceeb ntawm cov neeg mob uas muaj tus mob pancreatitis yog kho hauv tsev. Nws yog ib qho tseem ceeb kom paub cov pab pawg tseem ceeb thiab cov tshuaj tshwj xeeb rau cov txiav ua qab, vim li cas lawv tau raug tshuaj thiab yuav siv lawv li cas.

Kuv puas tuaj yeem kho tus txiav ua qab kuv tus kheej

Lub ntsws thiab mob pes nrab ntawm kev mob caj dab ntev tuaj yeem kho tau nyob hauv tsev neeg mob hauv qab no:

• Koj tau ntsuam xyuas tag nrho 1-2 lub xyoo dhau los thiab lwm yam kab mob tau raug cais tawm (piv txwv, qog, mob pob txha, mob plab peptic).
• Xws li cov kev paub tsis zoo uas tau qhia rau koj paub thiab tsis txawv yav dhau los.
• Koj muaj cov lus qhia kho mob yav dhau los.
• Lub exacerbation yog mob me me, tsis ntuav, tsis muaj mob raws plab heev.
• Hauv ob peb hnub ntawm kev kho mob, tau sau tseg.

Cov hauv paus ntsiab lus rau kev kho mob ntawm kev mob caj dab

1. Noj cov zaub mov tshwj tsis yog cov roj zaub mov, cov nqaij uas muaj nqaij, noj zaub rau cov nplua nuj, cov zaub mov kaus poom. Xws li kev txwv nyob rau hauv cov kab mob ntawm cov txiav yog cai rau lub neej. Nrog exacerbation, kev tshaib kev nqhis yog tau kho rau ob peb hnub, thiab tom qab ntawd ces kev noj zaub mov muaj roj tsawg kom txog thaum qhov mob chwv.
2. Kev haus cawv thiab haus luam yeeb.
3. Nyem qhov mob.
4. Tsis tshua muaj kev zais cia ntawm cov kua txiv thaum lub sij hawm exacerbation ntawm lub txiav.
5. Kev nqus ntawm cov enzymes hauv ntsiav tshuaj los pab txhawb kev zom.
6. Kev tshem tawm ntawm qhov ua paug thiab ua haujlwm zoo li qub hnyuv.
7. Kev nqus ntawm cov vitamins thiab minerals, txij li lawv nqus los ntawm cov zaub mov nrog pancreatitis yog qhov tsis taus.
8. Tshuaj kho mob los kho lub plab hnyuv muaj nqes.
9. Kev kho mob ntshav qab zib, uas tuaj yeem yog tus mob ntawm tus mob huam los yog mob leeg qhuav.

Txoj kev kho rau tus mob pancreatitis yog qhov nyuaj, nyob ntawm cov tsos mob. Tsis muaj ib qho "tshuaj ntsiav txiav zoo". Tus kab mob tuaj yeem tshwm sim sib txawv. Ib tug yuav muaj mob thiab nws xav tau kev kho mob rau mob, lwm qhov malabsorption thiab kev zom zaub mov, thiab nws xav tau ntau yam tshuaj tiv thaiv enzyme. Qee tus neeg yuav muaj mob thiab zawv plab, tawm tsam cov keeb kwm no - poob ceeb thawj thiab sab sab.

Tshuaj Kho Mob Kom Mob Siab

Cov tsos mob tseem ceeb uas ua rau tus neeg mob lub siab txhawm chim ntawm tus mob pancreatitis yog qhov mob. Yuav noj cov tshuaj dab tsi yog tias qhov tus mob taub hau mob?

• Cov tshuaj rau qhov mob tseem ceeb uas tau noj nrog rau mob ntawm no yog Paracetamol (nws yog qhov muaj kev nyab xeeb tsawg tshaj plaws rau lub plab hnyuv). Paracetamol 1-2 ntsiav tshuaj tau noj 3-4 zaug hauv ib hnub 30 feeb ua ntej noj mov. Txawm li cas los xij, nws yog kws kho nrog ceev faj thaum concomitant siab pathology.
• Nws kuj tseem muaj peev xwm siv cov kev kawm luv luv thiab lwm yam tsis-siv yeeb tshuaj xoom - Spazgan, Baralgin, Ketanov, Ibuprofen, Nimesulide. Muaj cov kev tshawb fawb pom zoo qhov ua kom muaj zog ntawm cov nyhuv analgesic ntawm cov tshuaj no thaum noj ua ke nrog multivitamin complexes, nrog rau cov tshuaj tiv thaiv kab mob. (amitriptyline).

Cov tshuaj kho mob yuav tsum tsis txhob noj rau ntau tshaj 10 hnub.

• Antispasmodics tseem siv. - Tsis-shpa, Buskopan, Mebeverin, Duspatalin, Papaverin. Lawv daws spasm ntawm cov kua tsib txoj hnyuv, txoj hnyuv, yog li txo qis siab hauv plab lumen.
• Cov kua qaub ntau ntxiv rau cov ntsiab lus los ntawm lub plab mus rau hauv duodenum, qhov kev zais ntau yog qhib kom ua tiav ntawm cov txiav. Raws li, cov tshuaj uas tau thim tawm lub zais ntawm hydrochloric acid thaum nphav kuj ua rau mob mob. Cov tshuaj no suav nrog H2 receptor blockers. Ranitidine, Famotidinezoo li proton twj tso kua mis inhibitors Omeprazole (Omez, Losek, Ultop), Rabeprazole (Pariet), Pantoprazole (Nolpaza, Contralock), Esomeprazole (Nexium).
• Qee zaum cov tshuaj tiv thaiv kab mob tau siv Dalargin rau kev tswj hwm intramuscular lossis intravenous.
• Tshuaj Antacids - Phosphalugel, Maalox kuj txo cov acidity ntawm pais plab kua txiv. Thov lawv 40 feeb tom qab noj mov thiab ua ntej yuav mus pw.

Lub txiav ua pa yog lub caj pas nquag nyob hauv peb lub cev. Nws tsim 1.5-2 liv ntawm kua txiv qab zib tauj ib hnub nrog cov ntsiab lus ntawm 10-20 gram ntawm cov zom zaws hauv nws. Tus mob huam tuaj yuav luag txhua zaus ua rau lawv cov neeg tsawg zuj zus, uas cuam tshuam rau kev zom zaub mov (feem ntau yog cov rog).

Cov zaub mov tsis zoo nyob rau hauv cov hnyuv tsis ua kom mob plab hnyuv, ua kom mob plab, tsam plab, raws plab hauv nws (malabsorption syndrome). Cov mob plob tsis so tswj ua rau ntxiv ua rau mob plab, malabsorption ua rau tus neeg poob phaus, ntshav liab thiab ntshav hypovitaminosis.

Yog li, cov tshuaj tseem ceeb rau kev mob pancreatitis nrog exacerbation yog cov enzymes uas pab cov kev zom thiab kev nqus ntawm cov zaub mov. Indirectly, lawv kuj txo qhov mob, ib txwm tso quav, inhibit depletion thiab txhawb kev nqus ntawm cov vitamins thiab minerals hauv plab hnyuv.

Kev npaj enzyme muaj ob qho tib si hauv cov ntsiav tshuaj daim ntawv thiab hauv tshuaj ntsiav tshuaj. Ib daim foos nws muaj nws qhov zoo thiab qhov tsis zoo. Daim ntawv teev cov tshuaj noj uas muaj cov enzymes hauv plab yog qhov loj. Txhua tus ntawm lawv muaj amylase, lipase thiab protease hauv ntau yam tshuaj, ntxiv rau lwm yam tshuaj ntxiv rau.

• Qhov kev npaj qis tshaj plaws ntawm cov enzyme yog peb qhov kev kho mob hauv tsev Pancreatin Tab sis nrog lub ncab nws tuaj yeem hu ua kev kho mob rau pancreatitis, vim nws muaj qis qis ntawm cov enzymes uas nquag (hauv kev hais lus lipase - txog 3 txhiab units). Nws yog ntau siv rau qhov ua yuam kev ntawm cov khoom noj. Ntawm qhov zoo - tsis tshua muaj nqi (pib ntawm 30 rubles).
• Pancreatin analogue - Mezim. Kev ua - txog li 3,500 IU ntawm lipase. Tus nqi yog kwv yees li 100 rubles ib pob ntawm 20 ntsiav tshuaj.
• Penzital (kwv yees li 6000 PIECES ntawm lipase). Nqe - los ntawm 170 rubles.
• Enzistal P (3500 PIECES). Tus nqi yog los ntawm 70 rubles.
• Panzim forte (3500 PIECES). Tus nqi yog los ntawm 160 rubles rau 20 ntsiav tshuaj.

Yog tias peb tham txog txoj kev kho kom raug, yog li thaum tus neeg mob taub hau mob, yuav tsum tau xaiv cov tshuaj muaj kev xav ntau dua ntawm cov enzymes. Qhov kev ua si yog feem ntau nyob rau cov ntsiab lus ntawm lipase. Rau kev hloov kho kom zoo, tsawg kawg yog 25,000-40000 units ntawm lipase rau cov zaub mov tseem ceeb thiab txog 10 txhiab rau cov khoom noj txom ncauj ntxiv.

• Cov ntsiav tshuaj pancreas nto moo tshaj plaws nrog kev ua si zoo dua yog Mezim Forte 10000, 20000Cov. Cov nqi rau cov tshuaj no pib ntawm 200 rubles rau ib pob ntawm 20 ntsiav tshuaj.

Qhov zoo tshaj plaws tshuaj enzyme hnub no yog pancreatin npaj rau hauv daim ntawv ntawm microtablets, minimicrospheres lossis microplates ntim hauv gelatin capsule (IV tiam). Lub particle txoj kab uas hla ntawm pancreatin nyob rau hauv xws li tsiav tshuaj tsis ntau tshaj 2 hli. Lub plhaub nws tus kheej tsis yaj nyob rau hauv lub plab, tab sis nyob rau hauv duodenum, cov lus hais tau sib xyaw zoo ib yam nrog zaub mov, cov nyhuv ntawm daim ntawv ntawm daim ntawv thov ntawm cov enzymes yog qhov ntau.

Cov tshuaj ntsiav nrov tshaj plaws ntawm kev npaj ntawm pancreatin thiab lawv cov nqi:

Nqe ib pob 20 tsiav tshuaj

(nruab nrab)

Cov tshuaj uas kim tshaj plaws hauv cov koob no yog Creon, qhov pheej yig tshaj yog Panzinorm.

Thaum mob siab rau, mob plab hnyuv taum npaj rau pancreatin noj thaum lub sijhawm lossis noj mov tom qab ib pluas noj. Lub chav kawm ntawm kev kho mob yog los ntawm 1 mus rau 3 hlis. Yav tom ntej, koj tuaj yeem haus tshuaj ntsiav rau kev ua txhaum ntawm kev noj haus. Feem ntau, kev muab tshuaj yog nqa tawm rau lub neej.

Nws yuav tsum raug sau tseg tias nrog pancreatitis, enzyme npaj muaj cov kua tsib lub cev - Festal, Digestal, Enzistal - TSIS TAU, vim tias lawv tuaj yeem ua rau mob ntxiv.

Ib qho piv txwv ntawm kev kho kab mob rau exacerbation ntawm pancreatitis

1. Noj cov zaub mov rau pancreatitis. Kev haus cawv thiab haus luam yeeb.
2. Creon 25,000 X 3 zaug ib hnub rau pluas mov tseem ceeb, 10,000 X 3 zaug rau khoom noj txom ncauj rau 12 lub lis piam.
3. Omeprazole 20 mgX2 zaug ib hnub rau 4 lub lim tiam, tom qab ntawd 20 mg thaum sawv ntxov rau 2 lub lim tiam.
4. Mebeverin 200 mgX2 zaug ib hnub rau 6 lub lis piam.
5. Txog rau mob - Paracetamol 500-1000 mg X3 zaug ib hnub 30 feeb ua ntej noj mov 7 hnub.

Npaj rau kev txum tim rov qab ntawm hnyuv microflora

Kev ua txhaum ntawm tus piv ntawm cov kab mob ib txwm muaj thiab ua kab mob hauv txoj hnyuv yog pom hauv yuav luag txhua tus neeg mob uas muaj tus kab mob pancreatitis. Qhov no tau piav qhia los ntawm qhov tsis muaj enzyme kev rho tawm, nce fermentation txheej txheem, uas tsim kom muaj qhov chaw nyiam rau kev nthuav tawm ntawm cov kab mob microflora.

Txhawm rau tshem tawm qhov tshwm sim no, qee zaus nws tau sau tseg:

• Tshuaj tua kab mob hnyuv: Enterofuril (Tseg tsis tau)Rifaximin (Alphanormix). Los yog Ciprofloxacin, txog rau 7 hnub.
• Tom qab ntawv - probiotics thiab prebiotics muaj cov kab mob muaj txiaj ntsig zoo. Cov no suav nrog: Bactistatin, Enterol, Linex, Bifiform, Floristin, Normobact thiab lwm yam. Tau txais thaum lub sijhawm lossis tom qab noj mov hauv cov chav kawm txog 3 lub lis piam.

Txoj kev kho tus mob puas tseeb ua ke

Yog hais tias tus txiav ua paug rau lub cev, cov tshuaj rau lub qhov ncauj tswj hwm yuav tsis pab. Tshuaj mob hauv tsev kho mob yog qhov yuav tsum tau ua nyob ntawm no. Yuav muab haujlwm rau tus neeg mob:

• Kev mob plab hnyuv tawm ntawm lub cev kev daws teeb meem.
• Tshuaj loog kom txog qhov qaug tshuaj kom tsaug zog.
• Cov blockers ntawm cov enzyme proteolytic - Gordoks, Kontrikal.
• Octreotide yog tshuaj rau tshuaj tiv thaiv kom txhob muaj cov qog zais.
• Tshuaj tua kab mob.
• Cov tshuaj tiv thaiv
• Kev ua haujlwm yog tias kev ntsuas kev txuag tau ua pov thawj tias tsis muaj txiaj ntsig.

Herbal tshuaj rau pancreatitis

Nws paub tias qee cov nroj tsuag muaj cov khoom siv uas pab kho ntau yam kabmob. Txij puag thaum ub los, cov kab mob ntawm lub plab zom mov tau raug kho nrog kev kho mob ntawm pej xeem, thiab cov neeg kho neeg mob tau ua tiav zoo. Nrog txoj kev loj hlob sai heev ntawm cov tshuaj lom neeg cov tshuaj, kev txaus siab hauv tshuaj ntsuab tau ploj mus me ntsis. Tab sis cia peb tsis nco qab tias cov khoom ua kom zoo ntawm cov nroj tsuag tsis tau ploj mus, thiab tshuaj ntsuab muaj peev xwm pab tau zoo rau txoj kev kho mob txoj hnyuv mob, nrog rau kev ua kom muaj kab mob rau hauv leeg.

Tshuaj ntsuab kho ib leeg xwb yuav kho tsis yooj yim ntawm kev mob taub hau, tab sis lawv tuaj yeem txo qhov noj tshuaj tsawg.

Pob Taum Pleev

Thaum muaj mob hnyav, cov tshuaj hauv qab no tau sau tseg:

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• Antispasmodics "Nosh-pa", "Spazmalgon" yog siv yog tias cov tsos mob pheej tshwm sim vim tias muaj qhov mob siab ntxiv hauv cov hlab ntsws.
• Cov blockers ntawm lub twj tso kua mis proton Omeprazole, Rabeprazole txo cov kev ua haujlwm ntawm cov kabmob muaj kabmob.
• "Diclofenac" lossis "Nurofen" yog muaj kev txwv kom tsis txhob muaj mob.
• "Duspatalin" yog siv los daws cov mob huam sai ntawm lub plab zom mov.

Cov tshuaj tiv thaiv

Txhua theem ntawm tus kab mob tuaj yeem txuas nrog ntu ntu ntawm xeev siab thiab ua rau dyspeptic tsis txaus ntseeg. Yog tias lawv tsis tso tseg txog keeb kwm ntawm kev siv tshuaj kho mob, tus neeg mob tau txhaj tshuaj Metoclopramide, lossis lawv tau txais tshuaj noj hauv qhov ncauj (cov npe ntawm cov ntsiav tshuaj yog Tserukal, Itoprid, thiab Trimebutin).

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Pab pawg tshuaj no yuav pab txo qis ntawm hydrochloric acid tsim tawm hauv lub plab. Nws nce qib ntawm cov enzymes uas tau qhib thaum ua rau mob pancreatic thiab pib zom cov ntaub so ntswg ntawm cov khoom tau piav qhia. Vim li ntawd cov neeg mob uas muaj tus mob ua kom zoo ua rau txiav tawm yog "Maalox" lossis "Almagel".

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Tshuaj tua kab mob

Lawv yog cov tseem ceeb tivthaiv ntawm kev kho mob. Edema ntawm lub caj pas ua rau tsim ntawm effusion - kua dej uas muaj cov tshuaj lom biologically. Lawv nthuav dav hauv plab kab mob thiab sib tov nrog ib qho zuj zus ntawm cov enzymes. Xws li cov khoom tawg sib xyaw maj maj npog cov khoom hauv nruab nrog uas nyob ze. Tus mob Peritonitis tshwm sim, uas nyob hauv 70% ntawm tus neeg mob ua rau tuag.

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Txhawm rau tiv thaiv cov mob ntawm cov peritoneum, cov tshuaj tua kab mob uas ua haujlwm tawm tsam micalora anaerobic siv (Penicillins, Tselafosporins). Hauv txoj kev mob hnyav, tus mob pab tiv thaiv kom txhob muaj cov tsos mob txaus ntshai. Rau kev kho mob ntawm daim ntawv uas muaj mob ntev, kev nyiam siab yog muab rau Ampioks lossis Cefoperazone.

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Phytopreparations

Herbal cov khoom lag luam tuaj yeem maj mam pab txo kev mob pancreatic. Lawv rov tshwj xeeb hauv cov ducts, pab txhawb rau kev tshem tawm cov co toxins tawm ntawm lub cev. Xws li cov khoom muaj nqi nrog choleretic kev txiav txim. Nws raug nquahu kom siv lawv lub sijhawm ncua sijhawm, koj yuav tsum haus ntev, yim-lub limtiam kawm nrog kev so.

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Cov kws kho mob sau tawm txog tshuaj ntsuab kho mob thaum kho mob exacerbations ntawm kab mob. Cov kev kho ntxiv ntxiv tso cai rau koj kom txo tau cov tshuaj noj thiab txo lub sijhawm lawv tau txais.

Thaum xaiv txoj kev hais daws, nws yog ib qho tseem ceeb kom nkag siab tias kev kho mob rov qab yuav tsum tau ua tsuas yog ua raws li kev ntsuas. Thiab vim tias kev kho tus mob pancreatitis yuav tsum muaj tus kheej mus kom ze, phytopreparations tuaj yeem siv tsuas yog kws kho mob tau hais tseg.

Mob ncauj mob taub hau

Cov txheej txheem ntawm cov kev mob hnyav ua rau lub siab qeeb rau cov enzymes hauv cov ducts ntawm cov khoom hauv nruab nrog. Raws li qhov tshwm sim, cov txiav ua qab pib zom nws tus kheej. Kev tawm tsam, uas ua rau muaj kev txhim kho o thiab nce ntxiv ntawm qhov loj ntawm ntu cuam tshuam. Qee zaum cov ntaub so ntswg tuag tshwm sim.

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Hauv qhov no, tib neeg muaj kev mob hnyav nyob ze rau ntawm lub hnub ci plexus, nws tau muab sab nraub qaum. Lub plab tsawv, kub cev sawv. Ntsej muag muaj ntsej muag ua kom pom tseeb. Cov tawv nqaij tig ua daj ntseg thiab yog npog nrog hws tawm hws. Ib qho kev noj zaub mov twg ua rau xeev siab thiab ntuav, thaum nws tsis coj los pab. Tsuas yog yoo mov tau tuaj yeem txhim kho txoj kev noj qab haus huv ntawm tus neeg mob.

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Tawm tsam keeb kwm yav dhau los ntawm pancreatitis, raws plab tshwm, quav yuav tsum muaj qhov sib xws ua kua, nws muaj qee yam ntawm cov zaub mov tsis muaj pov thawj thiab txau. Ncuav ntuav thiab raws plab ua kom lub cev qhuav dej. Kev poob hauv cov roj ntsha ua rau muaj qhov ua kom pom kev ua tsis taus pa, ua rau muaj kev ua haujlwm tsis zoo ntawm cov hlab plawv.

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Thaum zoo li no lawm, yuav tsum tau mus ntsib kws kho mob sai sai, tsis li ntawv txoj kev tuag yuav ua tau. Txog rau lub sijhawm thaum lub tsheb thauj neeg mob tuaj txog, tus neeg mob yuav tsum ua kom muaj kev thaj yeeb nyab xeeb, siv ib qho dej khov rau hauv lub plab mog sab sauv thiab muab tshuaj loog.

Kev kho mob ntawm qhov mob hnyav tau nqa tawm nrog tshuaj kho raws li cov ua haujlwm. Ua ntej, nws yog ib qho tseem ceeb kom nres cov tsos mob tseem ceeb ntawm cov txheej txheem, yog li pab neeg kub ceev tau mus txog qhov chaw:

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• Yuav muab ib tus neeg mob ib tee nrog qab ntsev.
• Yuav muab ib txoj hauv kev los pab daws qhov ntuav ("Tserukal").
• Yuav ua kom txhaj tshuaj loog (“Ketanov”).
• Ua kom ntseeg tau tias kom tsawg ntawm ib ampoule ntawm kev siv tshuaj tua kab mob.

Twb tau nyob hauv tsev kho mob cov txheej txheem kuaj mob tsim nyog tau ua tiav. Yog tias xav tias muaj kev puas tsuaj ntawm kev txiav ua tiav ntawm tus kab mob pancreatitis, tus neeg mob yuav raug xa mus rau chav phais mob rau kev ua haujlwm txhawm rau tshem tawm qhov tuag ntawm lub qog. Yog tias pom cov tsos mob ntawm tus mob peritonitis raug kuaj, laparoscopy tau ua.

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Kev kho tus neeg mob yog nqa tawm raws li cov txheej txheem hauv qab no. Tau muab tus neeg mob rau:

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1. Diuretics uas txo qhov o ntawm cov khoom ua haujlwm o thiab tshem tawm cov enzymes hauv cov ntshav tawm (Furosemide lossis Diacarb).
2. Cov tshuaj "Omez" (80 mg rau ib hnub).
3. Txhawm rau tshem tawm ntuav, Metoclopramide muab tshuaj rau leeg.
4. Lub hauv paus ntawm kev kho mob yog tshuaj tua kabmob (pancreatic), cov tshuaj phiv uas thaiv cov hlab ntsha plab hnyuv (Gordox lossis Contrical).

Thawj rau hnub ntawm kev kho txoj kev tshaib plab pom tus neeg mob, tsuas yog pub tus neeg mob haus dej sov so hauv me me.

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Hauv daim vis dis aus no, Dr. Evdokimenko tham txog kev kho mob ntawm pancreatitis. p, blockquote 26,0,0,0,0 ->

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Mob txha cajqaum

Cov txheej txheem qeeb qeeb ua rau cov txheej txheem hloov ntawm cov txheej txheem hloov hauv cov ntaub so ntswg pancreatic. Raws li qhov tshwm sim, exocrine thiab intrasecretory tsis muaj peev xwm nthuav dav. Cov hauj lwm zoo ntawm kev tshem tawm cov mob no tsuas yog ua tau nrog kev siv txoj kev kho mob siab: tshuaj siv los kho tus txiav, zaub mov txawv ntawm lwm yam tshuaj.

Ntau qhov kev saib xyuas tau them rau txo qhov kev pheej hmoo ntawm lub sijhawm ntawm exacerbation, tswj kev ua haujlwm ntawm cov kabmob muaj kabmob. Rau cov laj thawj no, khoom noj khoom haus kho tau zoo. Tus neeg yuav tau soj ntsuam kev noj haus kom tag nws lub neej.

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Raws li kho, tshuaj siv rau cov teebmeem. Cov los yog lwm cov tshuaj raug xaiv noj mus rau hauv tus account qhov hnyav ntawm cov duab hauv qhov chaw kuaj mob thiab muaj cov teeb meem tshwm sim. Txij li thaum mob o ntawm tus txiav mus cuam tshuam kev tsim cov enzymes tsim nyog rau kev zom zaub mov, cov tshuaj uas tuaj yeem them nyiaj rau qhov tsis muaj peev xwm no tau suav nrog kev kho cov qauv.

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Txhua yam tshuaj muaj lub plhaub tshwj xeeb uas tsis yaj hauv lub plab. Qhov no muab lub peev xwm los xa cov khoom tseem ceeb ncaj qha rau txoj hnyuv. Cov tshuaj no yuav haus cawv nkaus xwb nrog pluas noj, thiab koj yuav tsum tsis txhob zom lawv.

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Kev siv cov tshuaj no ua rau cov hauv qab no:

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• Cov enzymes los ntawm sab nraud txo cov nra hnyav rau kev hloov khoom nruab nrog.
• Ua tsaug rau lawv, kev lees paub ntawm cov pab pawg tseem ceeb ntawm cov khoom (protein, carbohydrates thiab cov rog) tshwm sim sai, tsis muaj teeb meem.
• Kev zom plab yog qhov ib txwm ua.
• Cov tsos mob ntawm dyspepsia daws lawv tus kheej.

Cov tshuaj no tau muab faib ua ob pawg loj:

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Cov Ntsiav Tshuaj, uas muaj cov enzymes nkaus xwb:

Lawv kev nkag mus ua rau txoj hnyuv plab hnyuv, txhim kho kev qab los noj mov, txhawb kev xeev siab, txo qis, uas feem ntau cuam tshuam rau tus neeg mob lub cev.

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Tshuaj kho mob, nyob rau hauv uas, ntxiv rau cov enzymes, kuj muaj cov kua tsib:

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• "Enzyme."
• "Festal" (lwm lub npe lag luam yog "Pancreatin" lossis "Creon").

Cov tshuaj muaj cov tshuaj kho tau zoo, tab sis lawv tsis tuaj yeem noj yog tias tus kab mob pathology tiv thaiv keeb kwm ntawm mob plab, mob plab los yog muaj pob zeb nyob hauv cov kua tsib.

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Ntawm no Elena Malysheva hauv txoj haujlwm Pabcuam Noj Qab Haus Huv hais txog kev kho tus mob ua kom tsis muaj qab hau.

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Exacerbation ntawm pancreatitis

Ib daim ntawv rov huam dua yog tshwm sim los ntawm qhov nquag muaj mob. Lawv tsis muaj cov kev mob tshwm sim li daim ntawv mob, txawm li cas los xij, tsis muaj kev kho tau ua rau kev txhim kho ntawm tib cov teeb meem.

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Tus neeg mob tig mus rau kev pab ntawm kws kho mob, raws li txoj cai, thaum muaj kev tawm tsam tom ntej. Nws txoj kev kho mob pib nrog kev yoo mov thiab noj tshuaj pleev xim. Txoj kev kho kom zoo yog tsuas ua tom qab qhov mob tsawg dua. Nws lub hauv paus yog:

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• Antenzyme kev npaj uas tuaj yeem txwv kev ua haujlwm ntawm cov Cheebtsam uas rhuav tshem cov protein ntawm lub caj pas nws tus kheej thiab ua rau kev txhim kho cov txheej txheem necrotic. Cov npe ntawm cov tshuaj no suav nrog Pantripin, Kontrikal thiab Ingitril, Gordoks.
• Cov tshuaj Antisecretory ("Omeprazole").
• Kev tsis haum tshuaj ("Baralgin", "Trigan-D", "Acetamifen", "Pentalgin").

Kev kho yuav tsis tiav yog tias tus neeg mob tsis ua txoj kev tiv thaiv tus kab mob. Nws yuav tsum tso tseg txoj kev coj ua tsis zoo, haus dej cawv thiab haus luam yeeb, nruj me ntsis rau kev noj zaub mov, haus dej ntau dua, kho cov kab mob ntawm lub plab zom mov.

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Nws yog ib qho tseem ceeb kom nco ntsoov tias kev kawm hauv homeopathic tsis muaj peev xwm muab rov qab. Tsuas yog txoj kev kho cov tshuaj muaj zog tuaj yeem tswj thiab nres cov tsos mob tseem ceeb ntawm kev mob caj dab, tshem tawm qhov ua rau muaj tus kabmob thiab tiv thaiv qhov tshwm sim ntawm cov kev mob tshwm sim xws li mob qog nqaij hlav.

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Niaj hnub no, cov chaw muag tshuaj niaj hnub npaj los muab tshuaj nyob ntawm tus nqi pheej yig uas tuaj yeem pab rov qab ua haujlwm ntawm lub cev muaj kabmob.

Lub hom phiaj ntawm txoj kev kho kom zoo

Cov haujlwm ntawm cov tshuaj kho yog raws li hauv qab no.

1. Kev tshem tawm ntawm qhov mob lossis txo qis ntawm nws qhov siv mus rau mob me.

2. Txhim kho zoo ntawm cov txheej txheem zom(peristalsis, cais thiab nqus cov khoom noj, tshem tawm ntawm cov roj tsim ntxiv).

3. Kev tshem tawm ntawm dyspeptic manifestationsCov. Tiv thaiv mob xeev siab, ntuav, raws plab.

4. Nquag ua haujlwm ntawm kev nqus ntawm cov khoom tsim nyog uas muaj nyob hauv txoj hnyuv.

5. Kev them nyiaj ntawm enzymatic thiab hormonal deficiency. Kev siv ntawm ob qho enzymes muab kev koom tes hauv kev zom thiab insulin.

Siv tau cov tshuaj pab pawg

Lub ntsiab kev quav yeeb quav tshuaj zwm rau cov pab pawg hauv qab no.

1. Cov tshuaj tua kab mob. Kev kho nrog pancreatitis yog pom zoo kom siv cov tshuaj tua kab mob ntau. Nws raug nquahu kom kho ncaj ncees nrog cov tshuaj tua kab mob, kom qhov rhiab ntawm cov kab mob tau tshawb pom los ntawm cov noob hauv tus neeg mob no tau kuaj pom. Yuav tsum tau teem sijhawm rau lawv qhov kev xav tias muaj kab mob ua npaws, ua npaws kub, muaj cov cim ntawm kev tsim cov qog ntshav thiab mob txhaws, foci ntawm necrosis, peritonitis, septic ផលវិបាក. Tshuaj tua kab mob ntawm pab pawg ntawm cephalosporins, macrolides, phthoquinolones yog cov muaj cai.

Thaum mob hnyav, tshuaj tua kab mob tau muab tso ncaj nruab nrog cevCov. Cov ntsiav tshuaj Pancreatic tsis siv. Tshuaj tua kab mob ntawm ob peb pawg tuaj yeem tsim kho nyob rau hauv thiaj li yuav tag nrho cov kab mob pathogenic nrog lawv qhov kev txiav txim.

2. Enzymaticnpaj. Cov tshuaj no tau siv los ua kom zoo li lub txiav. Nrog kom muaj theem txaus ntawm cov pancreatic enzymes hauv cov ntshav, nws nres lawv cov khoom cua ncaj qha thiab ua kom rov qab ua haujlwm. Dab tsi yog qhov tsim nyog rau kev kho.

Pancreatic enzymes

Tsis tas li ntawd, nrog kev mob hlwb ntev ntev thiab ua tsis taus pa enzyme, hloov chaw ntawm kev siv cov tshuaj enzymatic sab hauv yog qhov tsim nyog. Qhov no tau piav qhia los ntawm qhov tseeb tias kev puas ua tiav pancreatic nqaij yog hloov los ntawm cov ntaub so ntswg sib txuas lossis adipose. Vim tias lub hlwb ua haujlwm txo qis ntawm lub txiav, theem ntawm cov enzymes ua tsis txaus rau kev ua tiav thiab rhuav tshem ntawm cov zaub mov. Kev siv cov enzymes ua rau kev ua kom tau zoo ntawm kev zom zaub mov, tshem tawm ntawm xeev siab, ntuav, tso quav ib txwm. Feem ntau cov ntsiav tshuaj thiab tsiav tshuaj yog: mob pob txha, pancreatin, pancurmen, enzistal, kev ua yeeb yam, panzinorm thiab lwm tus. Siv cov ntsiav tshuaj nrog kev hloov chaw enzymatic tshem tawm cov kev tsim roj ntau dhau, txo qhov mob.

Yuav noj li cas Creon 10000 nws yog ib qho ntawm cov tshuaj feem ntau enzyme tshuaj. Nws yog ib qho tshuaj uas tau txais los ntawm npua kev txiav mob. Cov khoom ua si tseem ceeb yog lipase. Tab sis dua li nws muaj amylase thiab protease. Cov tshuaj muaj lub plab zom mov-tiv thaiv kab mob, uas tso cai rau cov tshuaj mus rau hauv cov hnyuv, hla lub luag haujlwm ntawm cov kua txiv. Muab qhov tshwj xeeb no, nws tsis tuaj yeem zom cov tshuaj ntsiav, nws tsis tuaj yeem siv lawv diluted hauv cov zaub mov. Yog li cov tshuaj muab pov tseg los ntawm cov enzymes ntawm lub plab.

3. AntispasmodicsCov. Cov ntsiab lus tseem ceeb ntawm daim ntawv thov ntawm cov tshuaj no yog cov leeg du, uas muab kev sib zog ntawm sphincter ntawm Oddi, los ntawm kev uas pancreatic enzymes nkag mus rau txoj hnyuv, as Well as bile duct hypertonicity. Ntau ntau kws kho Tsis-shpu, Papaverine…

4. AnticholinergicsCov. Nrog rau cov mob pancreatitis, cov tshuaj siv lawv lub peev xwm antispasmodic, nrog rau lub peev xwm los txhim kho peristalsis (plab zom mov, pirenzepine, gastrosipine).

Cov ntsiab lus npaj

5. Tshuaj Antacids. Cov tshuaj no muaj cov nyhuv nruab nrab ntawm hydrochloric acid, neutralizing nws txhoj puab heev. Qhov zais cia ntawm cov kua qaub thiab nws nkag mus rau hauv duodenum pab txhawb kev zais thiab ua kom zoo ntawm pancreatic enzymes. Antacids, ua kom nws tsis zoo, cuam tshuam cov nyhuv no. Nrog kev mob pancreatitis, tshuaj tua kab mob uas tsis tuaj yeem nqus tau. Ntxiv nrog rau neutralizing hydrochloric acid, lawv adsorb pepsin thiab cov kua tsib kua qaub ntawm lawv tus kheej. Yog li, muaj ib qho kev tiv thaiv ntxiv. Cov tshuaj no Almagel, Gastratsid, Maalukol.

6.Cov blockers H2-histamine receptorsCov. Lawv yog cov cuam tshuam rau kev mob pancreatitis nrog rau antacids. Cov tshuaj no thaiv cov txheej txheem ntawm cov kua qaub tsim los ntawm cov qe ntshav ntawm lub plab epithelium.

7. Antiprotease cov tshuaj (gordoks, kontrikal, trasilol). Lawv inactivate pancreatic enzymes. Cov tshuaj no yog cov tshuaj tshwj xeeb los ntawm lub ntsws ntawm nyuj. Lawv qhov kev siv tau zoo nyob rau thawj ob peb hnub ntawm kev mob pancreatitis.

Tshuaj yias tshuaj

8. Rau cov tsos mob dyspeptic hnyav, siv tshuaj tiv thaiv mob los tiv thaiv peristalsis.Piv txwv li, metoclopramide, cerucal.

9. Nyem qhov mob. Nrog rau kev txo qis ntawm cov kab mob pancreatic, qhov ua kom loog ua hauj lwm tau muab. Antispasmodics muaj qhov ua kom analgesic. Txo spasm, lawv normalize tawm ntawm pancreatic enzymes los ntawm lub caj pas.

Yog tias qhov mob mob tsawv, tsis pom zoo siv tshuaj analgesics yog pom zoo. (analgin, baralgin)Cov. Nrog lub ci ci, tsis mob yog cov mob uas tsis tuaj yeem txav mus ntev, cov tshuaj tiv thaiv kev ua kom loog yog raws cov kws kho. Tab sis koj tsis tuaj yeem teem caij morphineCov. Nrog rau qhov ua kom zoo analgesic, nws nce lub suab ntawm sphincter ntawm Oddi. Dab tsi muaj txiaj ntsig ua rau stagnation ntawm kua txiv pancreatic nyob rau hauv lub caj pas.

10. Octreotide belongs rau cov pab pawg tshuaj hormonal. Cov tshuaj no inhibit qhov tso pa tawm ntawm pancreatic thiab gastric enzymes. Nyob rau tib lub sijhawm Octreotide txo cov ntshav kom txhaj rau cov txiav. Qhov no ua rau tsis ntseeg ntawm nws cov hauj lwm zoo.

Kev kho txoj kev lis ntshav

Cov tshuaj rau mob rau daim siab thiab tus txiav ua kab Ib daim ntawv teev cov pab pawg siv los kho tus mob pancreatitis Txoj kev lis ntshav daws teeb meem rau kev kho detoxification, niam txiv kev noj haus.

Hauv cov xwm txheej loj, yuav luag txhua cov tshuaj raug muab tshuaj rau ntawm txoj leeg ntshav los yog intramuscularly. Ntsiav tshuaj tsis siv. Tom qab ua kom zoo li qub rau cov mob thoob plaws, kev kho mob nrog cov leeg thiab intramuscular txhaj tshuaj maj mam hloov mus rau hauv cov ntsiav tshuaj thiab tsiav tshuaj.

Ua rau Pancreatic o

Feem ntau, qhov mob ntawm lub txiav yog pib los ntawm lwm yam xws li kev quav dej cawv thiab mob gallstone. Tsis tas li ntawd, cov ua rau muaj tus kabmob no tuaj yeem cuam tshuam nrog kev siv tshuaj, tshuaj hormones, kev raug mob, kev kis kab mob thiab kev siv hwj chim ntau dhau. Tsis tshua muaj tshwm sim, pathogens ntawm cov txheej txheem mob hauv cov ntaub so ntswg ntawm cov txiav tsis ua hauj lwm idiopathic - piav tsis tau.

Cov tsos mob thiab cov tsos mob

Txhua tus yuav tsum paub txog thawj qhov kev tshwm sim ntawm tus mob pancreatitis kom thiaj li tuaj yeem teb tau sijhawm thiab pib kho. Nyob rau thawj theem, mob ntawm tus txiav yuav tshwm sim nws tus kheej, tsim teeb meem hauv qab no:

• cem quav, nrog los ntawm tsam plab,
• kem plab
• zoo nkaus li hnyav thiab tsis xis nyob tom qab noj mov tas,
• mob dheev hauv plab sab sauv,
• xeev siab
• ua daus no
• ntuav.

Yam tshuaj twg ua

Pancreatitis yog qhov dav thiab kho tau qhov mob kom zoo, yog li cov tshuaj niaj hnub no muaj cov cuab yeej dav dav los tiv thaiv tus kabmob no. Kev kho mob ntawm cov qog ntshav nrog tshuaj nyob hauv tsev yuav siv sijhawm ntau, tab sis nrog kev xaiv cov nyiaj kom zoo, kev kho kom zoo tuaj yeem tshwm sim. Cov neeg mob yuav tsum muaj lub tswv yim ntawm cov tshuaj tseem ceeb uas siv los tua tus mob pancreatitis. Txhua qhov tshuaj kho tau muaj cov kev taw qhia tshwj xeeb rau kev siv, thiab lawv yuav tsum paub los ntawm lub siab thiaj li hais tias kev kho mob tau zoo thiab tsis muaj teeb meem.

Hauv mob hnyav ua mob rau sab hauv

Cov tshuaj uas sau rau hauv no yuav pab txo tau qhov kev tawm tsam, tab sis tom qab no, tus neeg mob yuav tsum mus rau lub tsev kho mob tam sim ntawd, uas cov kws kho mob tshwj xeeb yuav tshaj tawm nws txoj kev kho kom zoo. Yog tias koj lossis ib tus neeg hauv tsev neeg muaj tus mob ua xua nrog ua npaws, nco ntsoov tias cov khoom pabcuam xub thawj yeej ib txwm muaj cov tshuaj hauv qab no:

Kev tso tawm tsis zoo ntawm cov kab mob pancreatitis yuav ua rau tsis muaj paus ntsis, yog li ntawd, kev kho mob ib ntus tom qab kev tawm tsam tsis tuaj yeem suav tias yog rov qab los rau lub xeev kev noj qab haus huv. Ua tsis tiav rau kev kho mob kws ua haujlwm tuaj yeem ua rau txoj kev loj hlob ntawm cov leeg. Qhov txaus ntshai concomitant kab mob no tsis tshwm sim nws tus kheej li. Nws muaj peev xwm los ntes nws tsuas yog ua los ntawm ultrasound.

Hauv kev mob caj dab ntev

Daim ntawv uas mob mus ntev tuaj yeem ua rau lub luag haujlwm tsis zoo. Txhawm rau kom tsis txhob nce ntxiv ntawm qhov loj me ntawm lub taub hau ntawm lub txiav, cov kws kho mob tau muab tshuaj kho mob mus ntev nrog cov tshuaj los ntawm cov npe:

Ua cov tshuaj ntxiv rau cov tshuaj no, koj yuav tsum tau noj tshuaj tshwj xeeb txhawm rau txhim kho kev zom zaub mov thiab rov ua hnyuv microflora:

Kev faib tawm cov tshuaj rau kev kho mob ntawm txiav thiab mob siab

Cov arsenal ntawm cov cuab yeej los tawm tsam mob siab thiab mob raum nrog ntau ntau hom tshuaj yeeb tshuaj. Lawv tau muab faib ua ntau pawg, txhua ntu ua haujlwm tshwj xeeb. Qee cov tshuaj txo cov tsos mob, lwm tus ua kom loog, thiab lwm tus siv cov tshuaj tua ncaj qha. Txog kev kho tus mob pancreatitis, kev faib tshuaj rau cov tshuaj hauv qab no yog siv kom paub tseeb tias yuav siv lawv li cas.

Antidiarrheal

Hauv cov kab mob pancreatitis, raws plab yog feem ntau pom - qhov tsos mob uas nthuav qhia nws tus kheej raws li qhov tso quav ntau zaus. Nyob rau hauv cov xwm txheej zoo li no, ib qho kev kuaj mob yog coj tawm thiab, thaum ua tiav kev kuaj mob, kev kho mob tsim nyog tau sau tseg. Nws yog ib qho tsim nyog yuav tsum tau ua nrog kev ua txhaum ntawm cov txheej txheem ntawm kev zam ntawm cov khoom tseem ceeb kom tshem tawm cov kev ua mob ua ke (lub cev qhuav dej, qaug cawv) thiab ua kom nrawm dua. Tus neeg mob txoj haujlwm tseem ceeb yog ua raws li kev noj haus uas kws kho mob sau tseg. Tus neeg mob tau pom zoo kom haus cov tshuaj uas tswj kev mob raws plab. Siv cov tshuaj hauv qab no:

Tshuaj Antacids

Cov tsos ntawm kev tsis tuaj yeem mob nyob rau hauv plab sab saud nrog pancreatitis qhia pom tias muaj qhov nce siab hauv cov ducts thiab muaj kev tso pa ntau ntxiv ntawm cov kua txiv pancreatic. Cov kua qaub-lub hauv paus kev tshuav nyiaj yog qhov txawv txav, qhov tsis tshwm sim txawv txav hauv plab, uas tuaj yeem tsuas cuam tshuam los ntawm antacids. Raws li txoj cai, lawv tau sau tseg rau lub sijhawm luv luv, thiab tsuas yog txhawm rau tshem tus neeg mob los ntawm tus mob tseem ceeb. Sau rau koj tus kheej cov npe tshuaj uas daws qhov mob sai sai ntawm tus txiav:

Cov tshuaj Antisecretory

Npaj ntawm pawg no yog siv rau kev ua txhaum ntawm cov zais zais ua haujlwm ntawm lub plab zom mov.Yog tias tsis muaj lawv, kev kho mob ntawm txoj kev txiav tus mob ua ke mas nyuaj nyuaj. Ntev npaum li lub plab ua kua txiv rau hauv kev txwv ntau dhau, kev txhim kho yuav tsis tuaj. Kev tsis tuaj yeem tuaj yeem ua rau mob qog nqaij hlav, uas tuaj yeem tshem tawm txoj hauv kev tsuas - los ntawm kev phais mob. Txhawm rau kho tus mob pancreatitis, tsis ua rau tus mob tseem ceeb, kev noj tshuaj raws sijhawm yog qhov tsim nyog. Kev siv tshuaj sai sai yog muab los ntawm cov tshuaj hauv qab no:

Tshuaj Myotropic antispasmodic

Gastroenterological antispasmodics yog thawj qhov kev xaiv rau kev tawm tsam mob mob hnyav rau hauv cov leeg. Cov tshuaj antispasmodic ua haujlwm rau cov leeg ua haujlwm ntau teev thiab txo qhov nro hauv lawv. Qhov no muab sijhawm ntau rau cov kws kho mob los xaiv txoj hauv kev zoo los kho tus mob thiab txiav txim siab tias hom tshuaj twg zoo tshaj plaws los kho.

Thaum muaj xwm ceev tshwm sim, thaum kws kho mob tsis muaj sijhawm los tshuaj xyuas tus neeg mob hauv chaw kho mob, chav kawm ntawm cov tshuaj no yog siv los daws qhov kev tawm tsam ntawm pancreatitis. Cov pab pawg tseem ceeb ntawm myotropic antispasmodics rau kev kho mob ntawm kab mob pancreatic suav nrog cov tshuaj hauv qab no:

Cov tshuaj nonsteroidal anti-inflammatory

Cov tshuaj ntawm cov pab pawg no muaj cov tshuaj tua kab mob zoo, tiv thaiv kev ua kom tsis haum thiab ua kom loog. Lub sij hawm "tsis-steroidal" qhia qhov sib txawv ntawm cov tshuaj ntawm pab pawg no los ntawm glucocorticoids muaj qhov tsis txaus ntseeg. Qhov ntxim nyiam ntawm intoxication los ntawm cov txhais tau tias yog qhov tsawg kawg nkaus. Nws ntseeg tau tias lawv tsis muaj teebmeem. Cov neeg sawv cev tshaj plaws ntawm NSAID qeb ntawm kev kho mob ntawm cov kab mob pancreatic yog:

Kev siv tshuaj tua kab mob ua tau zoo tshaj plaws

Cov kws kho mob txiav txim siab yuav ua li cas kho cov txiav ua mob ua xua nyob rau hauv siab / ntev ua mob pancreatitis. Thaum kawg ntawm kev kawm txog yeeb tshuaj, tus neeg mob raug tshem tawm ntawm kev tshuaj xyuas thiab tau txais cov lus pom zoo txog kev ntxiv dag zog rau lub xeev kev noj qab haus huv thiab tiv thaiv kom tsis txhob rov muaj mob ntxiv. Cov kws kho mob qhia hauv kev nthuav dav tias yuav tsum noj tshuaj dab tsi los kho kom zoo nkauj rau lub txiav rov qab rau lub xeev. Feem ntau, tom qab muaj kev vam meej tshem tawm ntawm pancreatitis, kev kho mob rov qab yog hais tseg, tau piav qhia hauv qab no.

Pancretinol yog qhov muaj txiaj ntsig zoo thiab, tib lub sijhawm, tsis muaj kev puas tsuaj rau lub cev lub cev ntsuab tshuaj ntsuab. Thaum kev siv tshuaj kho mob ntawm tus mob ua kom tiav, Pancretinol yuav pab kho cov nyhuv tshuaj, pab rov ua haujlwm ntawm tes thiab them rov qab rau qhov kev puas tsuaj tshwm sim los ntawm cov tshuaj tua kab mob. Nws muaj pes tsawg leeg:

Cov lus pom zoo rau kev siv:

1. Lub sijhawm ntawm kev kho mob yog 4 lub lis piam, lub sijhawm koj yuav tsum tau noj ib ntsiav tshuaj txhua hnub nyob rau tib lub sijhawm.
2. Yog tias tsim nyog, rov ua dua chav kawm ntawm kev tiv thaiv kom tiv thaiv ib lub sijhawm ntawm 30 hnub.

Bifidumbacterin yog dav faib hauv thaj chaw ntawm Lavxias Lavxias. Cov tshuaj yuav muag hauv khw muag tshuaj ntawm tus nqi pheej yig heev. Nws ua yog tsom lub zog ua haujlwm ntawm lub hlwb pancreatic thiab rov kho microflora ntawm lub plab zom mov. Bifidumbacterin kho txhim cov metabolism, tiv thaiv kev txhim kho ntawm cov txheej txheem o thiab ntxiv dag zog rau kev tiv thaiv kab mob. Cov tshuaj sib xyaw ib koob:

• nyob bifidobacteria - tsis tsawg tshaj 107,
• sucrose - 7-10%,
• siv tau gelatin - 0.7-1.0%,
• skim mis nyuj - 15-25%.

Cov lus pom zoo rau kev siv:

1. Cov ntsiab lus ntawm lub vial yog yaj nyob rau hauv cov dej rhaub ntawm chav tsev kub ntawm tus nqi ntawm 10 ml ib koob.
2. Tus naj npawb ntawm cov tshuaj ntawm cov tshuaj rau ib koob tau txiav txim siab raws nplai ntawm lub pob.
3. Koj yuav tsum noj cov tshuaj 25-30 feeb ua ntej noj mov.

Hilak Forte yog yeeb tshuaj los pab lub plab zom mov. Kev siv cov txheej txheem pab txhim kho cov kua qaub-lub hauv paus kev tshuav nyiaj li cas, ua kom microflora li qub, rov qab ua haujlwm ntawm cov dej num ua haujlwm ntawm lub cev, thiab txhim kho qhov mob dav.

Hilak Forte pab tswj cov khoom siv kho lub cev ntawm cov nqaij mos. Nws tshem tawm cov kev cuam tshuam ntawm kev cuam tshuam nrog tshuaj los ntawm cov tshuaj uas siv los kho kab mob pancreatic. Cov nkauj muaj xws li cov substrates ntawm cov khoom lag luam metabolic thiab excipients:

• Streptococcus faecalis - 12.5%,
• Lactobacillus ac>

Cov lus pom zoo rau kev siv:

1. Cov tshuaj noj yog noj ntawm qhov ncauj lossis nrog zaub mov, diluted hauv cov kua tsawg tsawg.
2. Qhov ntau zaus ntawm kev siv tshuaj yog 3 zaug hauv ib hnub, 45-50 tee.
3. Lub sijhawm ua kom rov zoo li qub yog txiav txim siab ntawm ib tus zuj zus.
4. Thaum tus mob zoo zuj zus, qhov koob tshuaj ntawm cov tshuaj txo tsawg dua.

Pancreatic Kev Tiv Thaiv Kab Mob

Txhawm rau kom tsis txhob xav txog kev kho tus mob pancreatitis, sim tiv thaiv kom txhob kis tus mob. Yog tias koj txhawj xeeb txog ntshav qab zib, yuav tsum ceev faj tshwj xeeb, vim hais tias vim muaj tus kab mob no, feem ntau mob pancreatitis. Kev tiv thaiv ntawm kab mob pancreatic tsis yog qhov nyuaj. Sau cia rau koj tus kheej cov lus qhia yooj yim ntawm cov kws tshaj lij uas yuav pab tswj kom muaj kev noj qab haus huv rau lub xyoo tom ntej:

• tsis txhob nqa khoom noj los ntawm cov khoom noj nrawm,
• txwv koj haus cawv
• tsis txhob siv yeeb tshuaj yam tsis muaj tshuaj kho mob,
• haus cov khoom ntuj: pomegranate, propolis, citrus txiv hmab txiv ntoo, cov nqaij ntshiv thiab ntses,
• Yog tias koj xav tias koj tus mob koj tus menyuam mob leeg, koj yuav tsum tau mus ntsib kws kho mob tamsid.

Tus kabmob Pancreatic

Tus kab mob pancreatitis feem ntau tshwm sim vim yog lub zog muaj txiaj ntsig rau cov txiav ua ke los ntawm kev haus cawv, haus luam yeeb, siv cov khoom muaj roj ntau thiab cov kab mob gallstone. Tsis tas li ntawd, kab mob pancreatitis yuav ua rau cov kab mob plawv, tshuaj ntau dhau, mob plab hnyuv ntawm duodenum thiab hnyuv, mob caj ces, thiab ntshav qab zib. Nws tsis yog qhov txawv txav, tab sis txawm tias helminthic qhov kev cuam tshuam tseem tsim cov kev mob rau nws qhov kev tshwm sim, tsis txhob hais txog kev kis kab mob thiab kev cuam tshuam los ntawm hormonal hauv tib neeg lub cev.

Qhov pib ntawm cov txheej txheem ntawm cov kab mob ntawm txoj cai ntawm tus txiav yog nrog cov tsos mob hnyav:

• xeev siab muaj mob ntuav tawm,
• kub taub hau (ua daus no)
• nce hauv lub cev kub
• ntse txiav qhov mob nyob hauv lub hnub ci plexus,
• flatulence
• raws plab nrog impurities ntawm zaub mov undigested.

Cov neeg kawm ntawv ntawm cov kab mob pathology hais tias qhov loj dua lub qhov txhab ntawm lub cev, nrog lub zog ntawm cov tsos mob ntawm tus kab mob. Yog li no, thaum sau ntawv muab tshuaj rau tus mob ua xua, daim duab soj ntsuam ntawm txoj kev loj hlob ntawm tus kab mob yog coj mus rau hauv tus account. Tus mob Pancreatitis muaj ob txoj hauv kev ntawm nws txoj kev loj hlob - mob thiab mob ntev. Yog li, txhua daim foos nws muaj nws cov tsos mob thiab cov kev teem caij sib tham ntawm cov txheej txheem kev kho.

Thaum lub sijhawm muaj mob hnyav sai sai, kev kho mob hauv tsev yog contraindicated thiab yuav tsis coj cov kev xav tau ntev thiab tau txais txiaj ntsig, tab sis yuav tsuas ntxiv qhov mob rau tus neeg mob. Yog li, txoj kev kho mob yog ua tiav raws li kev saib xyuas ib puag ncig lub sijhawm ntawm cov neeg ua haujlwm kho mob, nyob rau hauv cov xwm txheej ntawm kev coj ua txhua hnub hauv tsev kho mob ntawm lub tsev kho mob. Hauv kev mob ceev ceev ntawm tus kabmob, kev siv khoom noj yog thawj txwv, thiab kev tshaib kev nqhis yog tau npaj rau 2-3 hnub.

Thaum lub sij hawm exacerbation ntawm pancreatitis, cov kev kho mob hauv qab no yog tshuaj:

• cov tshuaj uas nres qhov ua haujlwm ntawm cov enzymes thiab cov kua txiv kab mob pancreatic,
• tshuaj mob taub hau (ua kom loog),
• tshuaj ntsuab npaj thiab cov hau kev rau detoxification ntawm lub cev,
• nrog kev paub tseeb ntawm cov kis ntawm kev sib kis ntawm kis - cov tshuaj tua kab mob loj.

Thaum nyuam qhuav pib ntawm cov txheej txheem ntawm lub caj pas, qhov tshuaj tau txhaj tshuaj yog li tsis txhawm rau ua rau mob rau lub plab ua paug. Tshuaj tua kab mob rau cov txiav, lawv pib noj tsuas yog nrog txoj kev ruaj khov ntawm kev zam txim thiab txo qis ntawm tus txheej txheem inflammatory ntawm tus kab mob. Tom qab nres qhov mob, tus neeg mob tau raug tso cai noj zaub mov ntawm rooj noj mov No. 5P.

Tau hla dhau qhov pib ntawm tus mob huam mob vwm, tus neeg mob raug pom zoo kom ua raws li kws kho mob tau sau tseg thiab ua raws li txoj kev noj haus ntawm txoj kev kho nrog rau kev noj tshuaj kom noj. Tsis tas li ntawd, thaum lub sij hawm ntawm pancreatitis, nws yog ntshaw kom tshem tawm cov cwj pwm tsis zoo los ntawm kev ua neej nyob niaj hnub thiab kev noj haus.

Nrog rau pancreatitis muaj qhov muaj mob ntev, kev enzyme npaj tau sau tseg los txhim kho kev ua tau zoo (Mezim, Festal).

Cov tshuaj no yog tsim los ntawm cov organic ntawm cov tsiaj txhu hauv lub cev tsiaj txhu, thiab thaum lub sijhawm muaj teeb meem nrog kev tsim cov enzymes hauv lub qog, lawv tuaj yeem hloov thiab txhim kho lub plab zom mov.

Thiab tseem rau kev tso tseg txoj kev mob, nrog rau kev muaj mob ntev ntev ntawm tus mob, cov kws kho mob tau sau ib qho tshuaj tiv thaiv:

Cov tshuaj no muaj peev xwm tshem tawm cov txheej txheem ua mob los ntawm tus txiav thiab tiv thaiv kev txhim kho ntawm peritonitis, sepsis, voos. Koob tshuaj thiab pes tsawg hnub siv, tus kws kho mob tau sau ntawv rau, vim tias, muaj cov duab hauv chaw kuaj mob ntawm tes, nws yuav muaj peev xwm kho tshuaj kom raug nrog txoj kev kho mob. Ntxiv nrog rau cov nyiaj no, kev npaj muaj enzyme tseem tau sau tseg tias txhim kho plab zom mov. Cov tshuaj no suav nrog: Creon, Pancreatin.

Nyob rau hauv txhua rooj plaub, tsis muaj kev paub txog kev kho mob thiab kev paub, kev noj tshuaj rau tus kheej yuav tsis nqa cov txiv ntoo zoo thiab hauv ib pliag yuav tsim lub xeev ntawm ua kom tiav tsis rov qab los kho cov mob pathology. Yog li, nws raug nquahu kom soj ntsuam tag nrho ntawm lub cev thiab kom pom tseeb meej txog kev coj ua kev cai ntawm kev kho mob hauv tsev kho mob hauv tsev kho mob.

Yuav siv cov tshuaj twg

Cov tshuaj dab tsi tuaj yeem pab nrog txiav pancreatitis thiab ua kom rov ua haujlwm nyob rau hauv txoj hnyuv? Nov yog cov lus nug tseem ceeb uas tau nug tas li los ntawm cov neeg raug tsim txom thaum sib tham hauv tsev kho mob.

Nrog rau pancreatitis, muaj qee zaus muaj kev tawm tsam mob thiab cov tsos mob mob, yog li ntawd, cov ntsiav tshuaj tau sau tseg rau tshem tawm cov ntsiab lus no:

1. Antispasmodics. Cov tshuaj yog siv rau qhov mob hnyav thiab txiav mob plab, yog li ntawd lawv tau zoo: Tsis muaj spa, analgin, baralgin thiab lwm yam tshuaj pleev xim. Nrog rau cov nyhuv ua kom mob zoo, nws pom zoo kom thov los ntawm txhaj tshuaj.
2. H2 blockers. Txo cov kua txiv kab mob ua kua txiv kab ntxwv thiab qog enzymes, Ranitidine thiab Famotidine yog siv.
3. Tshuaj Antacids. Yog tias daim duab kho mob ntawm tus kab mob ntawm lub caj pas qhia qhov tsis muaj peev xwm ua kom zais tsis pub lwm tus paub thiab enzymes, tus kws kho mob yuav tshaj tawm kev kho mob rau ntawm tus txiav, xws li ntsiav tshuaj lossis tshuaj: Almagel, Fosfalugel.
4. Cov neeg sawv cev Enzymatic. Cov kev npaj no muaj lipases, amylases, thiab trypsin. Ntawm cov tshuaj feem ntau, qhov kev thov tseem ceeb yog: Creon 8000, Mezim, Festal, Pancreatin.

Cov tshuaj kho mob thiab qee cov tshuaj rau cov txheej txheem ua mob ntawm tus txiav ua kab mob yuav tsum tau haus rau ntau dua ib xyoos, thiab cov nyhuv ntawm kev noj cov tshuaj pom tsuas yog pom tom qab 3-4 lub hlis ntawm kev siv tas li thiab muaj txheej txheem.

Antispasmodics

Cov kev mob tshwm sim tseem ceeb rau lub cev, nrog kev o ntawm tus txiav, mob yog mob. Yog li, hauv thawj qhov chaw, lawv tau sau tseg rau kev kho mob ceev nrawm thiab tshuaj - antispasmodics. Lawv yuav pab txhawm rau txo qhov mob ua kom tus mob thiab tsis xiam cov duab hauv chaw kuaj mob, uas yuav tsis tsim teeb meem thiab yuav tsis tiv thaiv qhov teeb meem kev kuaj mob kom raug.

Cov ua rau mob tshwm sim hauv cov txheej txheem inflammatory ntawm tus txiav, muaj tus nqi loj heev. Ntawm lawv, lub ntsiab thiab qhov mob tshaj plaws:

• o rau lub caj pas hloov ua haujlwm,
• mob ncab ntawm txoj hlab ntuag vim yog o
• Oddi valve mob thiab nres spasmodic,
• spasms ntawm lub gallbladder thiab ducts,
• spasms ntawm txoj hnyuv me.

Tag nrho cov kev ua tsis zoo no yog kev noj qab haus huv rau qhov kev tsim muaj adrenaline thiab cortisol (cov tshuaj hormones ntawm kev ntshai thiab kev ntxhov siab). Muaj cov txiaj ntsig ua rau cov leeg muaj zog, cov tshuaj hormones no ua rau mob thiab ua rau lub cev puas tsuaj.

Yog li, thaum nws tshwm, siv tshuaj antispasmodics, uas muaj cov txiaj ntsig so ntawm cov leeg mob no, uas tshem tag nrho lossis ib feem ntawm qhov mob. Cov tshuaj ua haujlwm li cas hauv kev txhim kho tus mob mus ntev thiab cov kev kho mob zoo li cas yuav tsum tau siv los daws qhov mob pancreatic?

Nws feem ntau muaj pov thawj tias qhov ua rau pancreatitis yog ib qho kev sib deev ntawm Oddi valve, dhau los ntawm cov kua thiab cov kua tsib lub cev nkag mus rau hauv duodenum 12. Yog li, peb kho cov txiav ua kab mob siab rau siv tshuaj Duspatalin. Nws pab tau zoo nyob rau hauv kev mob ntsws ntev ntawm kev mob ntsig txog kab mob pancreatitis, tab sis txij li cov tshuaj muaj cov qauv ntawm cov ntsiav tshuaj lossis hmoov, siv nyob rau hauv cov theem mob sai ntawm pancreatitis yog qhov tsis xav tau.

Hauv kev mob hnyav ua mob hlwb, tus mob huam hnov ​​mob hnyav, uas muaj qee qhov ua rau npau taws thiab tuag. Yog li, txhawm rau daws qhov kev mob no, siv cov tshuaj tshwj xeeb thiab txhaj tshuaj:

Cov tshuaj No-shpa yog ntawm tsob ntoo keeb kwm, uas tso cai rau koj siv nws hauv cov ntsiav tshuaj, tab sis tsuas yog thaum tsis ntuav ntawm cov quav ntuav. Yog li, tsis txhob laug sij hawm siv, vim tias qhov pib mob ntawm ib tus neeg muaj tus mob pancreatitis yuav ua rau muaj kev phom sij rau lub hlwb thiab ua rau mob tawv.

Raws li rau papaverine, cov tshuaj zoo ib yam li nws ua ntawm No-shpa, thiab nws txo qhov nro los ntawm cov leeg nqaij ntawm thaj tsam plab. Qhov tsis zoo yog lub sijhawm luv luv ntawm kev nqis tes ua, uas yuav tsum tau rov ua dua ntawm cov koob tshuaj tom qab 3-4 teev.

Cov tshuaj ntev ntev yog Platifillin. Kev siv txo cov mob tshwm sim rau 12-14 teev, thiab muab tshuaj intramuscularly. Muaj lub zog ua rau muaj kev tsom mus rau qhov mob pathological, nws txoj kev siv yog nqa los ntawm kev saib xyuas ntawm cov kws kho mob.

Antispasmodics ua tau zoo nrog cov kev mob tshwm sim ntawm cov txiav, cov tshuaj siv los tswj cov leeg nqaij hauv lub xeev so, uas txhim kho cov chav kawm ntawm tus kab mob.

Cov tshuaj siv nrog cov tshuaj tua kab mob

Cov tshuaj kho mob hauv kev kho mob ntawm tus mob ua paug nrog tus mob voos nres kom tsis txhob muaj qhov xwm txheej tsis zoo ntawm tus neeg mob thiab coj tus kab mob no mus rau hauv qhov chaw ruaj khov ntawm kev zam txim. Qhov txaus ntshai nthuav tawm ntawm pancreatitis nyob rau theem mob, pab txhawb rau lub yeej ntawm tsis tsuas yog lub cev xwb, tab sis kuj corroding phab ntsa ntawm lub caj pas thiab nws cov ducts nrog kua txiv pancreatic. Nyob rau hauv lem, qhov no yuav ua rau cov tsos ntawm cov neeg tuag lawm - ntaub so ntswg necrosis lossis peritonitis.

Lub hom phiaj hauv kev kho mob lub txiav ntshav nrog cov tshuaj tua kab mob:

• tshem tawm cov txheej txheem inflammatory,
• tiv thaiv kev txhim kho kev kis mob ntawm cov kabmob sib nyob sib luag uas cuam tshuam los ntawm cov enzymes thiab kua txiv qab zib,
• tshem tawm ntawm o los ntawm lub caj pas hloov nws tus kheej.

Thaum paub tseeb qhov kev tsom xam ntawm kev ua kom tawg ntawm lub bile ducts lossis stagnation hauv lub zais zis, cov tshuaj tua kab mob ntau yam tseem yog cov tshuaj tseem ceeb. Tus kws kho mob, nrog rau kev kuaj pom muaj, muab tshuaj rau, nyob ntawm kev loj hlob pathology, chav kawm tsim nyog ntawm kev siv tshuaj nrog tshuaj tua kab mob.

Dab tsi pab thiab dab tsi cov ntsiav tshuaj tua kab mob pab txhawb kev kho mob ntawm tus txiav, mob caj pas:

• nyob rau lub sijhawm ntawm kev kho mob hauv tsev thiab theem yooj yim ntawm tus kab mob, Oletetrin, Tetracycline pawg ntawm cov tshuaj, Sigmamycin yog tshuaj,
• kev tsim tawm ntawm kev mob hlwb, Tienam, Cefotaxim, Abaktal, Vancramycin yog siv hauv tsev kho mob,
• kev txhim kho ntawm microflora, muab Linex, Bifiform, Laktiale.

Hauv kev qhia ntau ntxiv, cov tshuaj twg los noj, thiab qhov twg yuav tsum hla dhau thaum kho cov neeg mob ntawm tus txiav, tus kws kho mob uas tuaj koom yuav qhia tom qab tag nrho ntawm cov kev kuaj mob.

Sau

Anti-inflammatory tshuaj siv los kho ntau pathologies ntawm inflammatory kab mob. Nonsteroidal NSAIDs yog suav tias yog ib txoj kev muaj zog tshaj plaws. Lawv tsis yooj yim tshem tawm cov txheej txheem pathogenic, tab sis kuj txo qis lub cev kub, nres qhov mob lub xeev ntawm lub cev. Cov tshuaj no tau sau tseg los ntawm kws kho mob plab nyhuv. Yog li, kev txiav txim siab ywj pheej thiab kev siv tsis raug yog hom tsis raug cai, vim nws yuav coj kev noj qab haus huv yog tias siv tsis raug. Yuav siv cov tshuaj dab tsi los kho tus kab mob pancreatic pathology?

Yeej, nyob rau hauv kev kho mob ntawm kev mob ntawm cov txiav, lawv siv nyob rau hauv tsev kho mob, cov tsev kho mob, cov tshuaj tiv thaiv, uas tau nkag mus rau hauv lub cev rau ntau dua, hla dhau lub plab zom mov, mob plab, intramuscularly. Ua tsaug rau tus qauv, cov tshuaj sai nkag mus rau hauv cov ntshav ntawm tus neeg, uas nrawm nrawm dua thiab tshem tawm cov tsos mob ntawm tus kab mob.

Cov tshuaj zoo rau kev kho mob ntawm tus txiav yog txiav ua ke ntawm Analgin thiab Baralgin, nyob ntawm cov tsos mob ntawm tus mob pancreatitis, qhov loj thiab ntau ntawm txhua cov tshuaj yog kws kho los ntawm tus kws kho mob tuaj koom.

Thiab tseem nyob hauv kev kho mob ntawm lub qog, Atropine nrog ntxiv ntawm Papaverine thiab Fenikaberan yog siv rau hauv kev kho mob. Muaj lub zog muaj peev xwm los txo tus mob thiab cov kab mob tshwm sim ntawm cov kab mob pancreatitis, qhov no muaj pes tsawg leeg ua rau muaj kev mob tshwm sim thiab ua kom nrawm dua.

Cov tshuaj kho neeg mob

Thaum kho cov txheej txheem inflammatory ntawm tus txiav, txiav txim siab ntawm pej xeem thiab kev noj zaub mov zoo miraculously pab. Cov hau kev no nres qhov mob tshwm sim, daws qhov mob, thiab txhim kho kev ua haujlwm ntawm tib neeg lub cev tsis muaj zog. Kev noj zaub mov, nyob rau ntawm tsis tooj, enriches tib neeg lub cev nrog cov zaub mov tsim nyog, pab daws cov mucosal voos los ntawm cov kab mob pancreatic. Ntau yam kev kho rau tus mob pancreatitis tsis muaj qhov contraindications thiab tsis muaj qhov tsis zoo tshwm sim hauv lub cev tag nrho.

Nws ntseeg tias qhov muaj zog tshaj plaws thiab muaj txiaj ntsig zoo tshaj plaws kho mob rau mob caj dab yog Krythea Amur. Nrog qhov siv thiab ua kom zoo ntawm cov tshuaj muaj pes tsawg leeg, nws muaj cov khoom hauv qab ntawm ib tug neeg thaum noj:

• txhim kho lub plab zom mov,
• ua rau xeev siab thiab ua rau kom ntuav,
• ua mob rau cov tsos mob mob.

Muaj tseeb, muaj ib pawg tib neeg - kev ua xua. Yog li, ua ntej siv cov tshuaj ntsuab, nws tsim nyog rau sab laj nrog koj tus kws kho mob.

Tshuaj rau qhov nyem ntawm exacerbation ntawm tus kab mob

Nrog kev tshem tawm ntawm tus mob pancreatitis, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd! Nws tsis muaj qab hau los ua qhov kev sim ywj pheej kom tsis txhob mob nrawm, vim tias qhov no yuav tsis muab cov txiaj ntsig zoo thiab yuav ua rau muaj ntau yam kev nyuaj, ntawm cov uas yog steatosis thiab necrosis.

Yog li, txhawm rau tiv thaiv qhov tshwm sim ntawm qhov tshwm sim tsis zoo, ntawm thawj cov cim ntawm kev ua kom tsis zoo ntawm tus kab mob, koj yuav tsum hu rau pab pawg kws kho mob. Hauv lub sijhawm, nws tau txais mus rau qhov chaw, tus neeg mob yuav tsum tau muab kev pabcuam ua ntej. Nws muaj nyob rau hauv cov hauv qab no:

• koj yuav tsum tau ua ib qho kev txhaj tshuaj intramuscular ntawm No-shpa (qhov no yuav pab daws cov mob spasms hauv cov hlab ntsws kom zoo, vim qhov ntawd yuav ua rau tus neeg mob pib zoo me dua),
• nws yog qhov tsim nyog los zaum tus neeg mob, nias nws ob txhais ceg mus rau nws lub plab, thiab qaij rau pem hauv ntej ntawm lub cev me ntsis rau pem hauv ntej (cov yeeb yam no yuav txo qis qhov mob ntawm qhov mob thiab txhaws ntswg los ntawm kev xeev siab),
• koj yuav tsum tau thov lub txias txias rau thaj chaw epigastric li 10-15 feeb (qhov no tseem yuav txo qhov mob).

Hauv tsev kho mob, tus neeg mob yuav tau txais txhua qhov tsim nyog pab, uas yuav ceev nrooj kom tsis txhob mob thiab txo tus mob hauv cov txiav. Rau qhov no, cov tshuaj antispasmodic thiab analgesic feem ntau siv, nrog rau cov tshuaj uas txo qis qhov zais pa ntawm cov enzymes digestive. Cov tshuaj no yog txhaj tshuaj kom ncaj los yog intramuscularly. Nyob rau hauv parallel nrog no, ib qho kev tshaib kev nqhis yog tau sau tseg.

Nco ntsoov tias kev tshem tawm ntawm tus mob pancreatitis tsis tuaj yeem tshwm sim yam tsis muaj lub laj thawj thiab kev txhim kho txoj kev noj qab nyob zoo ib ntus tom qab kev tawm tsam tsis yog yuav suav tias yog rov qab los nyob li qub. Yog tias koj tsis kam lees txais kev saib xyuas kev noj qab haus huv nyob rau lub sijhawm no, qhov no yuav ua rau muaj ntau yam kab mob sib kis uas tej zaum yuav tsis pom lawv tus kheej ntev ntev, maj mam ua rau ua tiav lub qog ua haujlwm.

Txawm li cas los xij, nrog kev kho mob exacerbation raws sij hawm, tseem muaj kev pheej hmoo ntawm lawv tshwm sim. Yog li ntawd, nyob rau hauv muaj ib tug kab mob xws li pancreatitis, cov neeg mob yuav tsum tau ua ultrasound thiab histology los ntawm lub sijhawm. Cov kev ntsuas kab mob no tsis tuaj yeem txheeb xyuas tsuas yog cov kev mob tshwm sim ntawm pancreatitis, tab sis tseem tuaj yeem soj ntsuam chav kawm ntawm tus kabmob, kom tus kws kho mob tuaj yeem kho qhov kev kho mob kom ncav sijhawm.

Npaj rau kev kho mob ntawm tus kab mob pancreatic pathologies

Tus mob ncua ntev ntawm tus mob ntxiv ua tus txiav tsis muaj kab mob txaus ntshai, vim nws tuaj yeem ua rau lub cev tsis ua haujlwm. Thiab vim li no, cov kws kho mob tau sau ntawv enzyme kev npaj uas pab txhawb rau tus txiav. Ntawm cov tshuaj no, cov tshuaj nrov tshaj plaws yog:

Kev kho mob nrog cov tshuaj yuav tsum tau nqa tawm mus ntev (tsawg kawg yog 6 lub hlis). Lawv muaj cov enzymes uas pab txhim kho kev zom zaub mov. Lawv pib ua tam sim ntawd tom qab lawv nkag rau hauv lub plab. Thiab kom tsis txhob exacerbation ntawm tus kab mob, nws raug nquahu kom coj lawv thaum lub sijhawm lossis tom qab noj mov.

Raws li kev kho ntxiv los kho lub zog ua haujlwm thiab kev ua haujlwm ntawm lub plab hnyuv microflora kuj tau sau tseg:

Kev faib tawm cov tshuaj rau kev kho mob ntawm txiav txiav

Cov tshuaj niaj hnub muaj ntau cov kev sib tw ntawm cov tshuaj uas pom zoo rau kev kho mob ntawm tus mob ua paug. Txhua tus ntawm lawv tus kheej muaj lub zog thiab, txog ib qib lossis lwm qhov, pab ua kom rov ua haujlwm pancreatic. Txawm li cas los xij, kev txiav txim siab zaum kawg los kho qog, tseem nyob nrog tus kws kho mob.

Kev tso tshuaj ntsuab (tshuaj pleev xim)

Cov tshuaj no tsis pab rov ua rau lub qog, tab sis lawv pab txo qhov mob, uas feem ntau tshwm sim nrog mob qog nqaij hlav thiab pancreatitis. Cov kab mob no tau dhau los ua qhov tshwm sim ntawm kev txhim kho ntawm cov txheej txheem hauv lub cev, uas nkag mus rau cov txheej txheem ductal. Raws li qhov txiaj ntsig ntawm qhov no, qhov txau ntawm cov kua txiv ntawm pancreatic yog cuam tshuam thiab kev zom zaub mov rau tus kheej tau qhib rau hauv plab caj dab (caj pas), uas ua rau mob hnyav. Thiab kom cheem lawv, cov kws kho mob siv cov tshuaj hauv qab no:

Yog tias cov tshuaj no tsis pab txo qhov mob thiab txhim kho tus neeg mob tus mob, siv tshuaj kho mob muaj zog tshaj plaws - Morphine, uas muaj cov nyhuv narcotic.

Kev npaj enzyme

Hais txog cov tshuaj twg yuav tsum kho tus txiav, peb tsis tuaj yeem hais txog kev npaj tshuaj enzyme. Lawv muab tsis tsuas yog tshem tawm ntawm cov txheej txheem mob, tab sis kuj txo qis lub nra rau cov kabmob muaj kabmob, uas tso cai rau koj kom sai sai nws txoj haujlwm.

Kev npaj muaj cov enzymes digestive nyob rau hauv lawv cov muaj pes tsawg leeg ua lub luag haujlwm tseem ceeb hauv kev kho mob ntawm cov txiav, raws li lawv muab cov kev zom plab zom mov thiab kev tswj kev noj haus carbohydrate, protein thiab rog metabolism.

Cov peev nyiaj zoo li no muaj pancreatin ntawm tsiaj keeb kwm, uas muaj nplua nuj nyob hauv lipase, amylase thiab protease, cov synthesis uas nyob hauv lub cev thaum txoj kev txhim kho ntawm pancreatitis yog qhov tsis taus. Thiab yog tias peb tham txog cov tshuaj twg txhawm rau txhim kho lub plab zom mov yuav tsum noj nyob rau hauv cov ntaub ntawv no, ces cov tshuaj hauv qab no yuav tsum pom qhov txawv:

Tshuaj Antacids

Qhov tshwm sim ntawm kev mob hnyav nyob rau hauv lub plab mog sab saud qhia qhov nce ntawm intraductal siab nyob rau hauv lub caj pas thiab ib qho kev nce ntawm qhov tsim tau ntawm cov kua txiv pancreatic. Raws li qhov tshwm sim ntawm no, qhov kev ua txhaum ntawm cov kua qaub-lub hauv paus kev tshuav nyiaj tshwm sim, cov txheej txheem tsis txaus ntseeg pib ua kom mob hauv plab, uas tsuas yog cov tshuaj tiv thaiv kab mob tuaj yeem nres. Raws li txoj cai, nws raug nquahu kom coj lawv tsuas yog ob peb hnub, kom txog thaum tus neeg mob tawm ntawm qhov mob nyav.

Ntawm cov tshuaj tiv thaiv kab mob, feem ntau yog:

Antenzyme npaj

Raws li tau hais dhau los, nrog exacerbation ntawm pancreatitis, pancreatic parenchyma swells, uas ua rau txoj kev nqaim ntawm cov roj ntsha ua haujlwm thiab lub cev tsis ua haujlwm ntawm cov kua txiv pancreatic. Thiab thaum lub sijhawm ua tus txiav tas li tseem ua ke nrog cov enzymes digestive, tus neeg mob tus mob yuav tsis zoo. Yog li ntawd, nyob rau hauv cov xwm txheej zoo li no, cov kws kho mob nyiam rau kev pab ntawm antienzyme kev npaj uas thaiv kev tsim cov zom cov enzymes. Ntawm lawv, feem ntau tsuas yog sau tseg:

Cov tshuaj hormones

Cov tshuaj hormones los kho tus txiav yog siv tsuas yog tias endocrine kev ua haujlwm ntawm lub caj pas ua tsis tau zoo los ntawm cov txheej txheem mob, tiv thaiv cov insulin deficiency (cov tshuaj hormones lub luag hauj lwm rau qhov tawg thiab nqus tau cov kua nplaum) yog sau tseg. Hauv qhov no, tus neeg mob tau nce ntshav cov ntshav qab zib kom siab, uas yog qhov txaus ntshai rau nws txoj kev noj qab haus huv.

Hauv qhov no, kev txhaj tshuaj tshwj xeeb ntawm insulin yog siv, uas muaj cov tshuaj tua kab mob pancreatic. Lawv sai sai ua rau cov ntshav qab zib ntau ntau, thiaj li txo qhov muaj teeb meem hyperglycemic thiab muaj kev hem thawj rau tus neeg mob lub neej. Cov txhais tau tias yog siv raws li qee txoj kev, uas tau xaiv nruj me ntsis ntawm tus kheej.

Koj yuav tsum nkag siab tias kev noj tshuaj tsis tsim nyog tuaj yeem ua rau muaj kev mob loj heev. Yog li no, thaum muaj cov kab mob pancreatic, txhua yam tshuaj yuav tsum noj tsuas yog tom qab sab laj nrog koj tus kws kho mob ua ntej.