Txoj hauv kev zoo tshaj los kho exacerbation ntawm lub txiav: Cov lus zais ntawm kev kho
Qhov txiav ua nrog lub cev nyhav (txog 60-80 g) ua lub luag haujlwm tseem ceeb hauv lub cev. Nws synthesizes digestive enzyme tshuaj, raws li zoo li insulin, glucagon - regulators ntawm carbohydrate metabolism. Yog hais tias lub caj pas raug mob los ntawm ntau qhov kev tsis sib haum xeeb, tom qab cov txheej txheem uas lub cev nrog lub luag haujlwm tau cuam tshuam.
Ib qho teeb meem feem ntau ntawm pancreatic yog mob o (pancreatitis). Nws yog tus yam ntxwv los ntawm kev hloov pauv qee ntu hauv cov theem ntawm kev rov ua dua tshiab thiab kev zam. Nyob rau hauv tus ntawm cov yam ntxwv zoo, exacerbations ntawm lub txheej txheem pathological tshwm sim, uas nrog cov tsos mob tsis kaj siab. Txhawm rau pab lawv thiab ua tiav kev so kom txaus, nws yog ib qho tsim nyog yuav tsum pib kho sai dua. Kev kho tus mob yuav tsum muaj kev qhia dav dav. Tsuas yog hauv qhov no tuaj yeem ua tiav txoj kev ua tau zoo tshwm sim tau.
Ua rau exacerbation ntawm hloov kab mob
Cov kab mob mus ntev ua rau hauv cov khoom hauv lub cev tuaj yeem ua kom tsis zoo raws li tus yam ntxwv:
- kab mob ntawm lub plab zom mov (mob rwj, yaig ntawm lub plab hnyuv, cholecystitis),
- kev noj haus tsis zoo (noj ntau dhau, tsis muaj cov khoom noj muaj txiaj ntsig nyob rau hauv kev noj zaub mov, ntau dhau ntawm cov khoom noj muaj roj thiab carbohydrates),
- quav cawv
- noj qee yam tshuaj uas cuam tshuam loj rau cov txiav (piv txwv li, tetracycline),
- muaj cov kis mob hauv lub cev, thiab kis kab mob,
- kev poob siab loj tsaj ceeb.
Cov kab mob ntawm lub plab zom mov, cholelithiasis, tuaj yeem yog qhov tshwm sim ntawm kev tsis kho qhov mob vwm sai sai. Tom qab, lawv kuj ua rau exacerbations hauv lub pancreas. Tab sis feem ntau, lub cev yuav ua phem dua thaum muaj kev ua txhaum ntawm kev noj haus thiab vim tias haus cawv.
Yuav ua li cas kom qis dua progesterone hauv cov poj niam nrog rau qhov nce siab? Nyeem qee cov ntaub ntawv muaj txiaj ntsig.
Ib daim ntawv teev cov zaub mov ntau nyob hauv iodine thiab muaj txiaj ntsig zoo rau cov thyroid caj pas tuaj yeem pom hauv tsab xov xwm no.
Soj ntsuam duab
Raws li txoj cai, thaum lub caij so nyob rau hauv kev kho mob hauv cov neeg mob tsis muaj qhov tsis xis nyob thiab hais tawm qhov tseeb ntawm tus mob.
Rau lub xeev exacerbation, qee cov tsos mob yog cov yam ntxwv:
- qhov mob ntawm lub ntsej muag hypochondrium, qhov xwm ntawm qhov mob tuaj yeem yog ob qho tib si ntse, npub, mob,
- mob hauv qab hniav thiab sab nraub qaum yog ua tau,
- iab hauv qhov ncauj
- dawb txheej ntawm tus nplaig,
- xeev siab thiab ntuav
- tsis qab los noj mov
- raws plab, muaj oily sheen nyob rau hauv cov quav thiab cov seem ntawm cov zaub mov tsis muaj kua,
- sai poob ceeb thawj
- tsaug zog
- hypotension.
Tag nrho cov cim ntawm kev ua rau exacerbation tuaj yeem tshwm sim ua ke los yog nyias muaj nyias. Kev mob siab rau hauv lub ntsej muag tuaj yeem tiv thaiv keeb kwm ntawm dyspeptic cuam tshuam, kev ploj zuj zus hauv dav dav.
Qee zaum kev tso tawm kom tsis txhob pom cov tsos mob tshwm sim. Tus neeg mob yuav yws yws txog kev mob siab npuaj, mob ib ce ib ce, ua rau tsis qab los noj mov, cem quav, los yog raws plab. Tus mob no yuav nyob ntev txog 1-2 lub hlis.
Yog tias qhov qab los noj mov muaj zog heev, qhov no tuaj yeem qhia txog kev muaj ntshav qab zib.
Thawj pab rau mob mob
Qhov ntsuas tau sai dua los daws qhov tshwm sim ntawm exacerbation, qhov yooj yim dua nws yuav tsum zam kom tsis muaj kev ua tsis zoo.
Thawj pab nrog:
- Tsis kam noj thawj 2-3 hnub rov qab pib mob.
- Txhawm rau kom tso ua ke ntawm cov zom plab zom mov ntxiv, haus 50 ml ntawm cov dej huv tsis muaj roj txhua ib nrab teev.
- Soj ntsuam lub txaj thiab so kom txaus.
- Txhaum kev hnav ris tsho kom nruj, tshwj xeeb tshaj yog nyem qhov thaj tsam mob plab.
- Ua tsis taus pa: nqus pa, tuav koj cov pa kom tsis tu ncua.
- Siv ib lub No-Shpa ntsiav tshuaj lossis hno 2 ml ntawm cov tshuaj intramuscularly. Tsis tas li ntawd, koj tuaj yeem ua koob tshuaj diphenhydramine lossis atropine.
Nyob hauv tsev, nws yog qhov txwv:
- thov txias kom tsis txhob ua rau vasospasm,
- haus tshuaj pleev xim zoo li Spazmalgon lossis Analgin,
- noj cov enzymes
- yaug lub plab (koj tsuas tuaj yeem ua rau ntuav).
Cov Tshuaj Kho Mob
Tom qab cov kev kuaj mob sib txawv yog nqa tawm thiab nws pom tias exacerbation tshwm sim ncaj qha rau hauv cov leeg, tus kws kho mob tuaj yeem sau tshuaj noj. Txoj kev kho yuav tsum tau nqa tawm hauv tsev kho mob los ntawm kev saib xyuas ntawm cov kws tshwj xeeb. Ib qho exacerbation tau nres nrog kev pab ntawm ntau pab pawg ntawm cov tshuaj.
Qhov kev tshem tawm ntawm qhov mob thaum pib ntawm exacerbation tau pom zoo nrog kev pab ntawm antispasmodics thiab NSAIDs:
Yog tias cov nyiaj txiag saum toj saud tsis ua haujlwm, nrog qhov mob ntawm lub caj pas, thiav leeg hlwb (Tramadol), thaiv los ntawm Lidocaine tuaj yeem kho tau. Tom qab daws qhov mob, qhov mob tshuaj yuav tsum raug muab tso tseg lossis lawv cov tshuaj txo tsawg.
Thaum pancreatic enzymes nkag rau hauv cov hlab ntshav, kev qaug cawv hnyav heev, nyob rau hauv rooj plaub uas detoxification txoj kev kho yog nqa tawm. Colloidal thiab crystalloid cov kev daws teeb meem yog muab tshuaj pleev ib leeg. Ib qho ntxiv, cov tshuaj diuretics raug muab tshuaj (Furosemide, Torasemide). Txhawm rau txhawm rau txhawm rau qaug dab peg, calcium chloride yog tswj hwm.
Yog tias muaj kev hem thawj ntawm kev tua kab mob nrog kev ua kom tsis zoo ntawm cov kab mob ntawm cov txiav, cov tshuaj tua kab mob (cephalosporins, fluoroquinolones) yog tus kws kho mob. Txawm hais tias qhov muaj cov kab mob hauv cov khoom nruab nrog tsis tau paub tseeb, kev kho kab mob, raws li txoj cai, tau ua los ntawm kev pib ntawm kev txhim kho ntawm exacerbation. Kev kuaj ntshav yuav siv sijhawm los kuaj xyuas tus mob, tab sis tsis muaj lub sijhawm los txhawm rau txhawm rau txiav ntawm lub txiav.
Kawm txog cov kev cai ntawm testosterone dawb rau cov txiv neej raws hnub nyoog, nrog rau cov laj thawj rau kev sib txawv ntawm cov qib hormone.
Cov lus qhia dav dav ntawm txoj kev kho thiab txoj hauv kev zoo ntawm kev kho tus mob gynecomastia hauv cov txiv neej tau sau hauv tsab xov xwm no.
Rau kev kho mob ntawm tus txiav ua ke nrog cov tshuaj thiab kev tsub ntxiv ntawm kev ua kom zais, proton pawg inhibitors tau sau tseg:
Txhawm rau rov ua cov enzymatic kev ua haujlwm ntawm lub cev, cov enzymes tau noj. Kev siv tshuaj zoo tshaj plaws nrog cov enzymes hauv tshuaj ntsiav acid-resistant. Lawv tsis decompose nyob rau hauv lub hwj ntawm pais plab kua txiv, sib tov nrog zaub mov, pab nws zom.
Nrov enzyme npaj rau kev kho tus txiav:
Kev Noj Kev Haus thiab Khoom Noj Muaj Nuj Nqis
Lub koom haum ntawm kev noj zaub mov kom zoo yog lub hauv paus rau kev tswj lub cev thaum lub sij hawm exacerbation ntawm cov teeb meem nrog cov txiav kab mob ntsws. Txhawm rau kom muab lub cev ua kom muaj kev thaj yeeb nyab xeeb, thawj 2-3 hnub kev rov huam mob yuav tsum xyuas kom tsuas muaj cov dej haus txaus (txog 2 litres ib hnub), tsis kam noj zaub mov.
Thaum pom cov tsos mob pib qeeb zuj zus, koj tuaj yeem hloov mus rau qhov khoom noj tsis haum. Koj yuav tsum noj fractionally, hauv feem me me (pib nrog 2-3 dia). Tshaj li 2 lub lis piam, feem tau maj mam nce mus rau 200-300 g. Cov tais diav yuav tsum tau grated, ua kua, hauv daim ntawv ntawm tshav kub, tsis muaj qab zib thiab ntsev.
Tus lej noj haus No. 5 yog qhov raug samfwm, uas tso cai siv qee yam tais diav:
- oatmeal tsis muaj roj,
- kua jelly
- steamed puddings
- non-acidic txiv hmab txiv ntoo
- mashed zaub
- cov rog rog muaj roj tsawg,
- zaub puree kua zaub,
- steamed protein omelette
- stewed txiv hmab txiv ntoo, broth ntawm qus sawv.
Maj mam, cov khoom noj muaj peev xwm nthuav tau. Nyob rau hauv qhov kev txwv txiav yog pickled, rog, kib, ntsim, ntsim zaub mov. Cov zaub mov yuav tsum tsis mob lub plab zom mov.
Tom qab nres ib qho kev ua tsis zoo ntawm tus txiav ntawm lub tsev nyob hauv tsev, kev noj zaub mov yuav tsum yoog kom tas li. Txwv tsis pub, ib qho kev rov qab mob ntawm tus kab mob yuav tshwm sim sai sai.
Kev tiv thaiv kev ntsuas
Qhov txiav yuav mob ntxiv vim lwm yam. Txhawm rau kom tsis txhob rov ua dua, koj yuav tsum tshem tawm ntawm cov xwm txheej ua rau nws.
Cov lus pom zoo:
- lo rau cov khoom noj kom yuag
- tso quav cawv
- tsim kom zoo cov tsoomfwv ntawm kev ua haujlwm thiab so,
- noj tshuaj uas koj tus kws kho mob sau tseg tsis tu ncua
- zam kev ntxhov siab thiab ua lub cev ntau dhau,
- hauj lwm ib ntus dhau los ntawm kev kuaj xyuas los ntawm tus kws kho cev nqaij daim tawv thiab kws kho mob.
Kawm paub ntau ntxiv txog cov cim ntawm kab mob pancreatic, cov ua rau exacerbation ntawm pathologies thiab cov yam ntxwv ntawm kev kho mob tom qab saib cov yeeb yaj kiab hauv qab no:
Kev kuaj mob
Vim tias qhov teeb meem twb muaj lawm, koj tsis tuaj yeem ncua sijhawm mus ntsib kws kho mob: txij li kev chua leeg cuam tshuam rau cov txheej txheem kev zom zaub mov, thiab co toxins lom lub cev tag nrho.
Ib qho kev kho mob rau exacerbation ntawm kev mob caj dab ntev pib nrog kev paub tseeb ntawm kev kuaj mob, vim tias cov tsos mob zoo sib xws no tshwm sim nrog lwm cov kab mob.
Tus neeg mob yuav tsum xeem kom dhau:
- kuaj ntshav: biochemical, rau qab zib cov ntsiab lus,
- kev tshawb xyuas quav
- urinalysis
- Xoo hluav taws xob, ultrasound ntawm peritoneum,
- mob hnyuv
- xam tomography.
Txuas ntxiv, ua ib daim ntawv ntsuam xyuas. Nrog nws cov kev pab, txiav txim siab ntev npaum li cas qhov kev tawm tsam tuaj yeem tiv thaiv, cov laj thawj ntawm pathology.
Nyeem ntxiv txog kev ntsuam xyuas ntawm tus kab mob ua paug thiab lwm tus kab mob pancreatic pathologies hauv tsab xov xwm no ...
Kev kho ntawm tus txiav ua kab mob nrog exacerbation ntawm pancreatitis:
- noj tshuaj
- kev noj haus
- kev tiv thaiv ntawm re-exacerbation.
Cov tshuaj thiab kev noj haus tsuas yog cov kws kho mob sau tseg tsuas yog tom qab kuaj xyuas thiab coj mus rau hauv tus kab mob pathology uas nyob hauv tus neeg mob. Yog tias cov tshuaj muab tshuaj analgesic thiab anti-inflammatory teebmeem, tshem tawm cov kev tsis txaus siab ntawm tus kab mob, tom qab ntawd cov zaub mov muab cov qog nrog so ua haujlwm.
Txhais tau los ntawm cov tshuaj ntsuab tuaj yeem noj tsuas yog tsis muaj exacerbation. Nyob rau lub sijhawm mob sai, lawv yog cov yuav ua rau muaj kev phom sij.
Tom qab txiav ib qho kev ua kom tshem tawm ntawm tus mob pancreatitis, cov kev ntsuas hauv qab no tuaj yeem pom zoo rau tus neeg mob:
- Kev tiv thaiv hauv spa cov chaw: Mineralnye Vody, Kislovodsk thiab Zheleznovodsk, Truskavets (Ukraine), Karlovy Vary (Czech Republic).
- Kev kho mob ntawm cov kab mob uas cuam tshuam rau lub xeev ntawm txiav (cholecystitis, gastroduodenitis, mob gallstone).
Tshuaj ntsuab kho mob
Me me mus rau mob hnyav txhawm rau tuaj yeem kho hauv tsev, tom qab dhau kev sim thiab kev sab laj nrog kws kho mob. Cov neeg mob uas mob hnyav heev yuav tsum nyob hauv tsev kho mob.
Tshuaj rau kev kho mob ntawm exacerbation ntawm kev mob caj dab ntev:
- analgesics thiab antispasmodics rau kev kho mob kom tsis txhob mob (Duspatalin, Tsis muaj-spa, Buscopan),
- prokinetics rau normalizing lub cev muaj zog muaj nuj nqi ntawm lub plab zom mov, kom tsis txhob xeev siab thiab ntuav (domperidone, Tserukal, Ondansetron),
- antisecretory tshuaj kom paub meej tias ua haujlwm so ntawm lub txiav, txo cov kua qaub ntawm kua txiv (Omeprazole, Rabeprazole, Ranitidine, Almagel A, T),
- tshuaj tua kab mob tsuas yog siv thaum muaj cov kab mob tshwm sim,
- proteolysis inhibitors (Gordox) thiab somatostatin analogues (Octreotide) muaj txiaj ntsig zoo tiv thaiv pancreatitis, raug kho rau kev kho mob hnyav.
Ib qho tshuaj twg yuav tsum yog kws kho mob sau ntawv tso cai, vim nws yuav tsum suav nrog tus neeg mob tsis tas li ntawd xwb, tabsis tseem muaj lwm yam mob uas nws muaj, yuav txiav txim siab txog sijhawm kho.
Nws yog ib qho tseem ceeb kom paub tias hluavtaws pancreatic enzymes (Creon, Pancreatin, Mikrasim) yog contraindicated nyob rau hauv kev mob caj dab ntev thiab exacerbation ntawm mob ntev.
Fais fab tuag hom
- 2-3-hnub yoo mov: txo cov kev ua ntawm enzyme ntau lawm, soothes lub caj pas. Tsuas yog haus dej yuav tsum nkag mus rau hauv lub plab: sov tseem muaj dej, tshuaj yej tsis muaj zog, rosehip decoction, thiab cov as-ham ntxiv rau kev tso dej ntxiv los yog los ntawm lub plab raj. Tso cai 1.5-2 litres haus ib hnub - 50 ml ib teev lossis 200 ml 6 zaug ib hnub. Pub siv dej alkaline (Narzan, Essentuki-17, Borjomi) - noj ntau lub sij hawm ib hnub. Dej tso tawm nrog kev tawm tsam ntuav, xeev siab.
- Khoom noj muaj feem - hauv qhov me me txog 7 lub sij hawm mashed, kua zaub mov nplua nuj nyob hauv cov carbohydrates, uas yog cov tsis muaj zog tshaj plaws txhawb nqa lub txiav. Kev qhia yog mis oat kua zaub thiab cereals yam uas tsis muaj butter, qab zib, txhuv nplej, zaub ntug hauv paus, cov qos yaj ywm ci, cov kua txiv qab qab uas tsis muaj kua, cov kua mis tsis muaj roj. Kev pabcuam rau qhov loj me yuav tsum yog 2-3 diav.
- Hauv 14 hnub tom ntej, cov kev pabcuam maj mam nce mus rau 200-300 grams zaub mov. Cov zaub mov yog npaj tsis muaj ntsev, qab zib, hauv cov kua, daim ntawv ci.
- Tus neeg mob pauv mus rau kev noj haus No. 5p. Nws muaj xws li hau, ncau, muab ci rau cov khoom noj.
Kev kho mob ntawm tus mob ua kab mob ua paug rau tus mob huam sai yuav tsum muaj nrog kev cais tawm ntawm cov khoom uas ua rau muaj kev zais plab ntau dhau: pickles, marinades, txuj lom, kub, kib thiab roj, nrog rau cov kua zaub muaj zog. Nqaij npuas, nqaij yaj, tshis thiab os, txhua qhov rog, tshwj tsis yog rau cov roj zaub ntsuab - pob kws thiab txiv ntseej raug cais tawm.
Pej xeem noj tshuaj
Qhov no tuaj yeem kho cov nroj tsuag thiab nqi, cawv tinctures, suav nrog sage, wormwood, immortelle, horsetail, oats, St. John lub wort thiab lwm yam tshuaj ntsuab.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj ib txwm tsis yog panacea: nws tuaj yeem pab txhim kho tus mob, tab sis tsis kho nws. Txhua kev siv tshuaj ntsuab yuav tsum pom zoo nrog kws kho mob thiab siv nrog kev kho mob thiab noj zaub mov kom zoo.
Kev Tiv Thaiv
Nws suav nrog:
- kev noj zaub mov kom zoo thiab tswj lub cev tsis muaj mob,
- muab mus rau qhov tsis zoo: haus luam yeeb thiab haus dej cawv,
- cov tshuaj uas koj tus kws kho mob tau sau tseg
- kev mus ntsib spas thiab kho dej kom raws li kws kho mob lus qhia.
Qhov kev ua no yuav pab kom tsis txhob muaj lwm qhov kev ua phem.
Thawj pab
Yog hais tias mob pancreatitis mob ntxiv, yog muab cov kev pab ua ntej yuav ua rau txoj kev txhim kho qeeb thiab txo qhov mob.
Pab yog:
- Tsis kam noj ib qho khoom noj twg. Txhua txhua ib nrab teev, koj yuav tsum haus dej haus 50 ml ntawm dej tseem txwv kom ua tiav cov enzymes.
- Ua kom tiav kev so, zoo dua rau txoj hauj lwm tav toj lossis zaum, khoov rau pem hauv ntej. Cov khaub ncaws kaw yuav tsum tau muab tshem tawm, tshwj xeeb yog tias nws tso siab rau ntawm lub plab.
- Saib xyuas kom ua pa kom zoo: ua pa nrog cov pa nqus tau ntxaws.
- Yog tias koj xav ntuav, hu nws ntawm kev nias ntawm tus nplaig.
- Noj 0.8 mg ntawm No-Shpa, Drotaverin lossis Papaverine, koj tuaj yeem yaj ib ntsiav tshuaj nitroglycerin hauv qab ntawm tus nplaig. Yog tias ua tau, nws tsim nyog hloov qhov kev nqus ntawm cov ntsiav tshuaj nrog kev txhaj tshuaj intramuscular: 2 ml ntawm No-Shpa, ob feem pua ntawm cov tshuaj Papaverine hydrochloride, lossis 0.2% ntawm Platifillin hydrotartrate. Ntxiv rau, koj tuaj yeem nkag mus rau 2 ml ntawm kev daws 1% ntawm Diphenhydramine lossis 1 ml ntawm 0.1% daws ntawm Atropine Sulfate. Cov koob txhaj tshuaj tau txais txiaj ntsig ntau dua: lawv tsis cuam tshuam rau lub plab, tab sis tam sim ntawd nkag mus rau hauv cov hlab ntshav.
Dab tsi yog txwv tsis pub ua nyob hauv tsev:
- Thov txias, vim qhov no yuav ua rau vasoconstriction thiab tu leeg.
- Txhawm rau muab cov tshuaj pleev xim (piv txwv li "Analgin", "Spazmalgon"), vim tias lawv cov nyhuv yuav ua rau qhov kev kuaj mob tsis txaus ntseeg.
- Muab cov enzymes (piv txwv li Mezim, Festal), vim tias lawv yuav tsuas qhov teeb meem ntxiv kom hnyav.
- Yaug koj lub plab koj tus kheej. Nws tsuas yog tso cai los ua kom ntuav yog tias tus neeg mob hnyav heev.
Kev tshem tawm ntawm tus kab mob pancreatitis yog qhov txaus ntshai tshaj plaws ntawm kev mob thiab lom lub cev los ntawm co toxins. Hauv cov xwm txheej zoo li no, nws yuav tsum tau sab laj nrog kws kho mob sai li sai tau thiab pib kho, thiab ua ntej ua ntej thov kev pab thawj zaug.
Cov yam ntxwv ntawm kev kho mob exacerbation
Ib qho kev rov ua mob ntawm pancreatitis yog suav tias yog mob hnyav, tab sis kev phais feem ntau tsis tas yuav tsum muaj. Txawm li cas los xij, tawm hauv tus kab mob yam tsis tau kho yog raug txwv tsis pub siv, vim tias muaj kev pheej hmoo ntawm lub plab zom mov tsis zoo.
Yuav kho cov kab mob li cas, tus kws kho mob uas tuaj koom yuav qhia. Feem ntau, kev kho mob txhawm rau txo qis kev zais pa, txwv tsis pub mob, tiv thaiv kev mob tshwm sim, thiab siv cov enzymes.
Txhawm rau kom txo qis cov kab mob pancreatic, txoj kev noj haus tshwj xeeb yog qhia. Nws cuam tshuam txog kev txo qis hauv kev nkag ntawm cov rog, cov zaub mov ntsim, dej cawv thiab cov khoom noj siv mis. Cov kws kho mob kuj sau ntawv noj qee yam tshuaj:
- txhais tau tias kom txo qis lub zais plab,
- tshuaj mus rau suppress lub enzymatic kev ua si ntawm lub txiav,
- tshuaj antispasmodic los txo cov siab hauv cov ducts.
Nrog kev rov ua mob ntawm pancreatitis, lub luag haujlwm tseem ceeb yog txo qis qhov mob ntawm cov txheej txheem inflammatory thiab siab tsis pub dhau lub ducts. Rau qhov no, zais cia yog qhia. Nws tau ua tiav los ntawm kev noj haus. Hauv thawj 2 hnub, kev yoo mov thov, tom qab ntawd tus neeg mob hloov mus rau kev noj haus No. 5 raws li Pevzner.
Txhawm rau tshem tawm qhov mob, analgesics, antispasmodics, enzymes, prokinetics siv. Nrog steatorrhea, nyob rau hauv uas muaj cov rog poob ntau dua 15 g hauv ib hnub, mob raws plab thiab yuag poob, ib qho kev ua haujlwm ntawm exocrine hloov.
Siv tshuaj kho
Kev tso ntshav tsis tuaj yeem yuav tsum siv cov tshuaj tiv thaiv kab mob. Rau lub hom phiaj no, siv H2 histamine blockers, xws li famotidine thiab ranitidine, ntxiv rau proton twj tso kua mis inhibitors - rabeprazole, omeprazole.
Txhawm rau tiv thaiv kev rov ua mob, feem ntau thiab feem ntau ntawm kev siv tshuaj tiv thaiv kab mob muaj nyob hauv kev kho mob rau tus mob ua tiav pancreatic nrog exacerbation. Koj tus kws kho mob tuaj yeem sau tshuaj maalox lossis alfogel. Hauv qee kis, kev tsuj ntawm kev zais ntawm ib qho khoom hauv nruab nrog lossis qhov haujlwm ntawm nws cov enzymes yog qhov yuav tsum tau ua. Txhawm rau ua qhov no, koj xav tau cov tshuaj tiv thaiv antienzyme - piv txwv li, gordoks lossis kontrikal.
Txhawm rau tiv thaiv kev mob, siv cov qeb ntawm cov nyiaj hauv qab no:
- anticholinergics - metacin, atropine,
- tsis-narcotic analgesics - analgin, ketorolac,
- antispasmodics - tsis-shpa, papaverine,
- tshuaj sib txuam - baralgin,
- opioid analgesics - meperidine, tramadol.
Txo kom txo cov tsos mob dyspeptic thiab cov ntaub ntawv pov thawj tsis txaus, kev npaj enzyme yog siv - creon lossis cancitrate. Txhawm rau tawm tsam qhov tsis taus, koj tuaj yeem siv prokinetics - cisapride lossis motilium.
Cov yam ntxwv noj haus zoo
Nyob rau thawj hnub nrog kev ua kom zoo ntawm cov txheej txheem inflammatory, khoom noj khoom haus tsis txaus ntseeg yuav tsum raug tshem tawm tag nrho lossis txwv. Tom qab nres cov txheej txheem mob, cov tais diav feem ntau tau qhia. Cov ntawv qhia zaub mov yuav muaj xws li cov khoom lag luam:
- neeg tsis noj nqaij kua zaub los ntawm grated zaub,
- cov rog rog muaj roj tsawg,
- mashed zaub
- ci zaub
- non-acidic txiv hmab txiv ntoo
- mousse, jelly, jelly,
- qaug tshuaj yej
- rosehip broth.
Tom qab, cov zaub mov tuaj yeem nthuav dav ntxiv, txawm li cas los xij, pickles, kib thiab ntsim tais diav, marinades, nqaij nqaij uas haus luam yeeb tau txwv tsis pub. Tag nrho cov zaub mov yuav tsum ua siab zoo li sai tau thiaj li ua kom tsis txhob khaus ntawm qhov hloov khoom nruab nrog.