Cov tshuaj rau kab mob pancreatitis - cov yam ntxwv ntawm lawv txoj kev tswj hwm

Kev mob hnyav rau ntawm lub hauv plab sab saud, ntuav nrog cov kua tsib, xeev siab tuaj yeem qhia tau tias mob pancreatitis - ua mob ntawm cov txiav. Hauv cov kab mob no, cov enzymes zom zaub mov uas ua los ntawm lub cev, tsis txhob tawm ntawm duodenum, nyob hauv lub caj pas thiab pib zom nws. Qhov no ua rau kev tso tawm cov co toxins uas tso rau hauv cov ntshav, mus txog rau lub raum, lub plawv, lub ntsws, lub hlwb thiab rhuav tshem lawv cov ntaub so ntswg. Kev noj tshuaj rau lub sij hawm kho tus mob pancreatitis yuav zam kev rau lub txim zoo li no, ua kom txoj leeg zoo li txiav

Cov tsos mob ntawm Pancreatitis

Qhov txiav ua tiav cov enzymes hauv plab thiab cov tshuaj hormones uas tswj cov protein, rog, metabolism metabolism - insulin, glucagon, somatostatin. Cov kabmob muaj lub cev cov duab thiab muaj nyob rau hauv lub plab mog sab saud, tom qab lub plab, nyob ze rau ntawm duodenum. Hlau hnyav txog 70 g, ntev nws txawv ntawm 14 txog 22 cm, qhov dav - ntawm 3 txog 9 cm, tuab - 2-3 cm.

Pancreatic o tuaj yeem tshwm sim nyob rau hauv cov mob huam thiab mob ntev, cov chaw kuaj mob uas txawv. Mob vwm ua rau tuag taus, uas yog cov taug ua tau tuaj yeem ua rau tsis muaj dab tsis ntawm cov nqaij ntawm lub caj pas thiab lwm yam plab hnyuv siab raum, kev kis mob, kev ua kom huv. Txawm hais tias muaj kev kho mob nrog lub sij hawm niaj hnub no, kev tuag yog 15%.

Tsis muaj tseeb duab hauv chaw kuaj mob hauv tus kab mob tiag tiag, yog li ntawd, yuav tsum tau kuaj ntshav ntxiv rau qhov kuaj mob kom raug. Hauv cov mob hnyav ntawm tus kab mob, cov hlwv cuav feem ntau tsim nyob rau hauv cov txiav, uas ua rau mob rau lwm qhov plab hnyuv siab, cuam tshuam kev txav ntawm cov zaub mov los ntawm lub plab thiab cov hnyuv. Tsis tas li ntawd, lub pathology manifests nws tus kheej hauv cov tsos mob li nram no:

mob mob hauv plab sab saud, txuas rau sab lauj, rov qab,
xeev siab
ntuav nrog cov kua tsib, uas tsis coj kev nyem,
tsam plab
lub cev qhuav dej
daj ntseg yuav pib, nrog los ntawm daim tawv nqaij daj, tso zis dub, tso quav tso quav,
Hauv qee kis, duab ntxooj ntsej muag tshwm ze ze rau ntawm txoj hlab ntaws lossis sab laug ntawm lub plab, qee zaum muaj lub caj dab daj.

Nyob rau hauv mob mob hauv cov txiav, tsis hloov rov qab tshwm sim. Nws shrinks, ducts nqaim, lub hlwb raug hloov los ntawm cov ntaub so ntswg sib txuas, vim tias lub cev ua haujlwm tsis ua tiav nws cov haujlwm, thiab cov synthesis ntawm cov enzymes digestive thiab cov tshuaj hormones poob qis. Mob txha cajqaum yog pom los ntawm qhov tsis pom tseeb, cov tsos mob tau yooj yim tuaj yeem tsis meej nrog rau lwm yam kabmob ntawm lub plab zom mov.

Tus kab mob loj hlob zuj zus thiab tsis ua rau nws tus kheej tau ntev. Pathology tshwm sim nws tus kheej li qhov tsis tu ncua los yog ntu mob hauv plab, ze rau sab laug hypochondrium, tuaj yeem muab rau sab nraub qaum. Tus kab mob no yog nrog los ntawm xeev ntuav, ntuav, ntuav, kub siab, tsis hnov tsw qaub saj hauv lub qhov ncauj. Zawv plab tuaj yeem hloov nrog quav tawv, nrog rau quav quav ntawm cov zaub mov tsis zoo tawm los. Ntse poob phaus, qhov tshwm sim ntawm vascular chaw me me yog ua tau. Txij li thaum tus txiav ua tiav cov tshuaj insulin, mob ntsig txog leeg ntau zaus nrog ntshav qab zib mellitus.

Cov tshuaj noj rau cov neeg laus ua pob

Txo pom cov tsos mob tshwm sim ntawm kev mob ua paug, koj yuav tsum tau sab laj nrog tus kws kho mob thiab tshawb nrhiav sai sai. Tom qab ntawv, raws li cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob yuav tshaj tawm ib txoj kev kho mob. Nws muab rau kev ua kom pom tseeb rau:

nyem ntawm kev mob tshwm sim,
kev tshem tawm ntawm cov kab mob ua rau ntawm tus txiav thiab ze cov kabmob,
tshem tawm cov tsos mob nrog enzyme tsis txaus ntawm tus txiav,
kev tiv thaiv ntawm cov teeb meem.

Thaum koj pib kho pib sai dua, koj muaj txoj kev cia siab ntau dua. Txhua yam tshuaj kho mob rau pancreatitis rau cov neeg laus yuav tsum noj raws li kws kho mob tau qhia. Rau kev kho mob ntawm lub txiav, antispasmodics, antacids, antienzyme npaj, thiab N-2 blockers yog tau kho. Zoo muaj cov neeg sawv cev uas muaj lub aprotinin polypeptide. Hauv kev sib txuam nrog kev noj tshuaj, cov txheej txheem tau sau tseg los ntxuav lub cev ntawm pancreatic enzymes, zaub mov noj.

Antispasmodics rau mob pancreatitis

Txhawm rau tshem tawm qhov mob hauv cov txheej txheem mob, tshuaj antispasmodics yog siv. Lawv muaj qhov ua kom ib ce so ntawm cov leeg du, uas pabcuam qhov kev tshem tawm ntawm cov enzymes raws cov leeg ntawm qhov txiav. Antispasmodics yog ib qho kev ntsuas ib ntus: sai li sai tau lawv qhov kev txiav txim dhau lawm, qhov mob yuav rov qab los, yog li kev kho lub ntsiab yuav tsum tsom rau kev ua haujlwm ntawm lub cev. Thaum lub sij hawm exacerbation, tus kws kho mob sau ntawv txhaj tshuaj rau cov leeg nqaij los yog tso ntshav, tsawg dua subcutaneous. Hauv kev mob nyhav, cov tshuaj siv tau.

Txhawm rau tshem tawm qhov mob, Tsis muaj-Shpa (Hungary) los yog nws cov tshuaj analogue Drotaverin feem ntau tau kho. Cov tshuaj qaug tshuaj ntawm cov tshuaj no yog drotaverine hydrochloride. Cov cuab yeej daws cov leeg nqaij txoj hnyuv plab zom mov, lub plab, tso kua tsib lub plab, lub zais zis, lub raum. Cov nyhuv ntawm cov tshuaj tom qab kev tswj hwm qhov ncauj tshwm sim hauv ib lub hlis twg ntawm ib teev, tom qab txhaj tshuaj - hauv ob feeb. Hauv kev mob hnyav ntawm lub qog, nws yog tshuaj:

rau kev txhaj tshuaj intramuscular: 2 ml ntawm kev daws teeb meem ib zaug,
nrog kev txhaj tshuaj ntawm 2 ml, cov khoom yog diluted nrog 8-10 ml ntawm kev kho lub cev ntawm sodium chloride, txhaj maj mam dhau li tsib feeb,
ntsiav tshuaj: qhov nruab nrab ib koob txhua hnub yog 80 mg, qhov siab tshaj ib hnub yog 240 mg.

Ua kom zoo tshem tawm kev mob Papaverine, cov tshuaj nquag ntawm uas zoo sib xws rau lub npe tshuaj. Cov tshuaj kho cov nqaij pob txha du ntawm cov plab hnyuv siab ntawm lub plab urogenital thiab lub tshuab ua pa, tshem tawm valve spasm, uas yog lub luag haujlwm rau cov dej ntws tawm ntawm cov kua txiv los ntawm tus txiav. Cov tuam txhab tsim tawm ntau cov tshuaj tawm hauv cov qauv ntawm cov ntsiav tshuaj, tshuaj ntxiv, txhaj tshuaj. Noj tshuaj rau cov neeg laus:

ntsiav tshuaj: 40-60 mg 3-4 zaug hauv ib hnub, qhov siab tshaj plaws txhua hnub noj yog 0.6 g,
subcutaneous thiab intramuscular txhaj rau pancreatitis: 0.5-2 ml ntawm ob feem pua tov, qhov siab tshaj plaws ib koob yog 5 ml, koob tshuaj txhua hnub yog 15 ml.

Platifillin txo qis spasms ntawm cov leeg plab, txo qis suab nrov ntawm cov leeg du ntawm cov kua tsib lub plab thiab lub zais zis. Ntau lub chaw tsim khoom tsim cov tshuaj antispasmodic nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis kev txhaj tshuaj. Txhawm rau tshem tawm ntawm cov mob hnyav, cov kev txhaj tshuaj yog cov tshuaj: cov tshuaj yog muab rau subcutaneously 1-2 ml ob rau peb zaug hauv ib hnub, qhov siab tshaj plaws txhua hnub yog 15 ml, koob tshuaj ib zaug tsis ntau tshaj 5 ml.

Atropine relaxes cov leeg du ntawm cov hnyuv, thaiv rhiab heev rau acetylcholine, ua kom cov neurotransmitter ua cov neuromuscular ua pa. Cov tuam txhab tsim khoom tsim cov ntsiav tshuaj thiab hno. Txhawm rau kom txo qis mob sai, 1 ml ntawm 0.1% daws ntawm atropine sulfate yog txhaj tshuaj subcutaneously ob rau peb zaug ib hnub. Cov tshuaj muaj qhov ntxim siab rau lub paj hlwb, lub siab, yog li ntawd, nws yuav tsum siv kom zoo zoo hauv kev saib xyuas mob.

Enzymes thiab anti-enzyme npaj rau pancreatitis

Yuav kom lub cev acidity tawm ntawm lub plab ua kua, tus kws kho mob sau cov tshuaj uas muaj cov tshuaj uas hloov plab zom mov tsim tawm los ntawm cov txiav ua kua. Qhov no yog amylase, uas ua rau muaj kev txuam nrog cov hmoov txhuv nplej rau hauv suab thaj, nrog rau cov protease thiab lipase (thawj zom cov sib txuas ntawm cov amino acids nyob rau hauv cov protein, qhov thib ob - cov rog). Kev npaj enzyme rau pancreatitis txhawb kev ua haujlwm ntawm tus txiav, pab kom nws tsis txhob ua kom tiav, kom zom zaub mov kom zoo, kom tshem tawm ntawm raws plab, xeev siab, tsam plab, thiab mob plab.

Txog kev kho mob pancreatic, kev noj tshuaj enzyme uas muaj pancreatin yog tshuaj. Nws zom cov rog, cov protein thiab carbohydrates, hloov amylase, lipase, protease:

Lub Festal. Ntxiv nrog rau pancreatin nyob rau hauv muaj pes tsawg leeg - hemicellulose, bovine bile extract. Cov tshuaj txhawb nqa tsis tsuas yog lub plab zom mov thiab nqus cov khoom noj, tab sis kuj tseem tawg ntawm fiber ntau, kev txhim kho ntawm cov kua tsib tso pa, thiab ua kom lipase. Koob tshuaj: 1 ntsiav tshuaj ib hnub tom qab lossis thaum noj mov.
Creon. Daim ntawv tso tawm - tsiav tshuaj 150, 300, 400 mg ntawm pancreatin. Qhov ntau npaum li cas yog nyob ntawm kev saib xyuas daim duab ntawm tus kab mob, npaum li cas thaum noj mov lossis tom qab noj mov tas.
Panzinorm 10000 thiab 20000. Ua hauv tshuaj ntsiav, haus 1 ntsiav tshuaj nrog zaub mov peb zaug hauv ib hnub.
Kev zom plab. Daim ntawv tso tawm - dragees. Tom qab los yog thaum noj mov 1-2 pcs. peb zaug ib hnub.
Mezim 10000 thiab 20000. Ua hauv cov ntsiav tshuaj, tshuaj ntsiav, dragees. Noj ua ntej lossis tom qab noj mov ntawm 1-2 pcs. ib mus rau peb zaug ib hnub.

Nrog rau pancreatic edema, nws cov haujlwm yuav tsum tau muab siv pov hwm. Ua raws li qhov no, tus kws kho mob tau sau ntawv muab tshuaj rau cov tshuaj antienzyme npaj. Ntawm lawv, Ua Yeeb Yam lossis nws qhov analog Aprotinin yuav tsum paub qhov txawv. Lawv inactivate proteinase, inhibit kallikrein-kinin system - ib pawg ntawm cov protein uas koom nrog kev txhim kho hauv cov txheej txheem mob, ntshav coagulation, thiab mob mob.

Qhov uas mob hlab ntsws ua rau lub plab txhawm rau muab ntau ntawm hydrochloric acid. Nce acidity corrodes ib puag ncig cov ntaub so ntswg, ua rau mob hnyav, nruab nrab ua kom cov plab zom mov zom plab. Txhawm rau txhim kho cov nyhuv ntawm enzyme npaj thiab tiv thaiv kev puas tsuaj rau phab ntsa ntawm lub plab, cov kws kho mob tau sau tshuaj antacids, uas nws txoj haujlwm yog ua kom tsis txhob muaj cov hydrochloric acid. Cov tshuaj ntawm cov pab pawg no yog tus cwj pwm ua kom muaj txiaj ntsig, tiv thaiv cov txiaj ntsig zoo, txhim kho cov tshuaj tua kab ntawm bicarbonates, thiab tiv thaiv flatulence.

Cov khoom siv tseem ceeb ntawm cov tshuaj tiv thaiv kab mob uas tau siv rau hauv kev kho mob ntawm daim tawv nqaij ua paug yog cov sib xyaw magnesium thiab aluminium. Cov tshuaj no txo cov qib ntawm hydrochloric acid, muaj choleretic, ua kom loog hauv zos, muaj qhov ua kom laxative, txhim kho cov kua tsib tso pa, thiab tshem tawm cov roj tsim. Cov tshuaj noj hauv daim ntawv ntawm cov ntsiav tshuaj ua ntej siv yuav tsum yog nyem lossis zom kom huv. Txhawm rau ruaj khov cov kua qaub-paus tshuav nyiaj li cas, cov kab mob hauv qab no tau sau tseg:

Gel Almagel. Cov neeg laus yog teem kom noj 1-2 tsp. ib hnub ib nrab ib teev ua ntej noj mov thiab thaum mus pw. Qhov siab tshaj plaws niaj hnub noj yog 16 tsp. Lub chav kawm ntawm kev kho mob yog 2-3 lub lis piam.
Kev Raug Ncua thiab cov ntsiav tshuaj Maalox. Nws muaj cov nyhuv ua kom loog, kom txhob mob rau sab hauv lub plab huam. Tsuas noj - 2-3 ntsiav tshuaj lossis 15 ml ntawm kev ncua ib teev tom qab noj mov thiab ua ntej yuav mus pw. Lub chav kawm ntawm kev kho mob yog 2-3 lub hlis.
Cov ntsiav tshuaj plab. Tsuas tshuaj: 1-2 ntsiav tshuaj 4 zaug ib hnub tom qab noj mov thiab ua ntej yuav mus pw. Lub chav kawm ntawm kev kho mob tsis pub ntev tshaj peb lub lis piam.
Alumag ntsiav tshuaj. Haus 1.5 teev tom qab noj mov. Lub chav kawm ntawm kev kho mob yog ib hlis.
Gel thiab ntsiav tshuaj Palmagel. Tsuas tshuaj: 2-3 ntsiav tshuaj lossis 5-10 ml ntawm kev ncua ib thiab ib nrab teev tom qab noj mov. Lub chav kawm ntawm kev kho mob yog 2-3 lub hlis.

H2 blockers

Hauv kev kho mob ntawm pancreatitis ib txhij nrog antacids, zais cia inhibitors, blockers ntawm H2-histamine receptors, yuav tsum yog cov tshuaj. Cov tshuaj no ua rau cov tshuaj histamine ua rau lub plab zom zaub mov tsis zoo uas tsim cov kua roj hydrochloric. Qhov no txo nws cov synthesis thiab nkag mus rau lumen ntawm lub plab, uas pab txhawb kev kho mob ntawm pancreatitis. Qhov no ua haujlwm ntawm blockers ntawm lub cev tsis txwv rau: tso cov tshuaj tiv thaiv ua kom lub plab zom mov ntau dua tiv thaiv kev ua kom ntxhov siab, pab txhawb nws kom zoo.

H2-blockers yuav tsum ua tib zoo saib, ntawm kev siv tshuaj tso cai los ntawm kws kho mob, vim tias lawv tuaj yeem ua rau ntau yam phiv. Feem ntau ntawm cov teeb meem yog tshuaj los ntawm 1 tiam. Txog kev kho mob ntawm tus mob hnoos qeev, cov tshuaj hauv qab no yog siv:

Cimetidine. Cov tshuaj yog noj ua ntej lossis thaum noj mov. Qhov siab tshaj plaws hauv cov ntshav yog pom tom qab 2 teev. Qhov no yog thawj zaug tshuaj tiam, yog li ntawd, nws tuaj yeem ua rau ntau yam kev phiv los ntawm cov kabmob sib txawv. Ntawm lawv - raws plab, pom pob, mob taub hau, mob txhab ntawm lub hauv paus ntawm lub paj hlwb, hloov hauv cov lus sib xyaw ntawm cov ntshav, txo kev tiv thaiv. Tom qab ib hnub, 48% ntawm cov tshuaj nquag tawm hauv lub cev.
Ranitidine. Cov tshuaj yuav zwm rau tiam thib ob. Nws cov haujlwm yog 60 npaug ntawm cimetidine. Cov tshuaj yog noj tsis hais cov zaub mov. Cov cuab yeej muab cov teeb meem tsawg dua, ua rau lub sijhawm ua haujlwm ntev dua. Sai sai nqus mus rau hauv cov ntshav, qhov siab tshaj plaws pom tau pom tom qab 2 teev. Plaub caug feem pua ntawm cov tshuaj nquag tawm hauv lub cev tom qab ib hnub.
Famotidine ntsiav tshuaj. Qhov tshuaj thib peb-loj, yog li ntawd ntau yam ua tau zoo tshaj Ranitidine, muaj cov kev mob tshwm sim tsawg tsawg thiab muaj kev tiv thaiv zoo. Lub cuab yeej tuaj yeem nqa tawm tsis hais tus noj mov. Qhov siab tshaj plaws yog pom tom qab ib teev, qhov ib nrab-lub neej yog 3.5 teev, qhov kev ua hauj lwm zoo tas li 12 teev.

Cov kev tshawb fawb tsis ntev los no tau pom tias H2-histamine receptor blockers muaj ntau yam tsis zoo. Lawv tsis muaj peev xwm ua kom muaj qhov xav tau ntawm acidity rau ntau dua 18 teev, tom qab kev kho mob muaj ntau yam mob huam tuaj, lub cev tau sai sai rau kev siv tshuaj yaj yeeb thiab muaj peev xwm tiv thaiv nws, thiab tau siv tshuaj. Qhov ua tsis tau zoo tshaj plaws ntawm cov blockers yog tias lawv qhov kev siv tuaj yeem cuam tshuam kev txhim kho ntawm pancreatitis lossis nws qhov kev ua phem ntxiv.

Proton twj tso kua mis inhibitors

Tsis ntev los no, H2-histamine receptor blockers tau pib xa cov tshuaj muaj txiaj ntsig zoo dua thiab muaj kev nyab xeeb dua - cov twj tso kua mis proton twj tso kua mis (PPIs). Lawv qhov kev txiav txim siab yog txhawm rau txhawm rau txhawm rau kev ua haujlwm ntawm cov enzymes, hu ua "proton twj tso kua mis", uas cuam tshuam ncaj qha rau cov hluavtaws hydrochloric acid. Qhov kom zoo ntawm IPP yog tias lawv tsis quav tshuaj ntxiv tom qab tshem tawm, lawv tsis tuaj yeem ua rau kev loj hlob ntawm kev txiav, ua rau muaj qee qhov tshwm sim tsis zoo.

Txhua yam tshuaj tiv thaiv proton twj tso kua mis yog benzimidazole derivatives, yog li ntawd, lawv tsiag ntawv los ntawm tib txoj haujlwm ntawm kev ua. Cov tshuaj ua kom nquag plias ntawm cov tshuaj xaiv tau ntau ntau nyob hauv cov tub ceev xwm tub ceev xwm, qhov twg, nyob rau hauv kev cuam tshuam ntawm siab acidity, nws hloov pauv thiab ua haujlwm, thaiv qhov ua haujlwm ntawm qhov enzyme. IPP muaj peev xwm tswj tau cov synthesis ntawm hydrochloric acid thoob plaws ib hnub, tsis hais qhov dab tsi ua rau nws tso tawm.

Tus neeg sawv cev uas tau kawm tshaj plaws ntawm cov pab pawg no yog Omeprozole, ib koob tshuaj uas muaj kev txwv sai sai ntawm hydrochloric acid synthesis. Hauv kev mob hnyav rau ntawm tus txiav, cov tshuaj tau sau rau hauv cov tshuaj ntawm 20 mg ib hnub ib zaug, nrog rau rov huam mob - 40 mg / hnub, mob ntev - 60 mg / hnub. Tom qab siv omeprozole, hydrochloric acid ntau lawm yog txo los ntawm 50%. Txo hauv cov khoom acidity pib tom qab 2 teev, cov nyhuv siab tshaj yog pom nyob rau hnub plaub.

Ib qho tshuaj zoo rau mob pancreatitis yog Pantoprazole, uas yog muag hauv cov npe Nolpaza, Sanpraz, Ulsepan. Tsov dub. Cov tshuaj tseem siv tau zoo tsis hais txog kev noj mov, tab sis nws zoo dua kom noj 10 feeb ua ntej noj mov. Qhov siab tshaj plaws ntawm cov tshuaj hauv cov ntshav yog pom tom qab 2, 5 teev, cov nyhuv kav ib hnub. Lub sijhawm tiv thaiv yog txiav txim los ntawm tus kws kho mob.

Txog kev kho kab mob pancreatitis, Rabeprazole (analogues - Pariet, Razo, Khairabesol) yog siv los ua kev kho mob. PPI pib inhibit zus tau tej cov hydrochloric acid tsis pub dhau ib teev tom qab siv tshuaj. Qhov siab tshaj plaws nyob rau hauv acidity hauv lub plab yog kaw rau ob mus rau plaub teev tom qab thawj koob tshuaj, qhov kev txiav txim siab ruaj khov tom qab 3 hnub ntawm kev kho mob. Nyob rau thawj hnub, cov kua qaub acidity txo qis los ntawm 61%, nyob rau hnub thib yim ntawm kev kho mob - los ntawm 88% ntawm thawj cov lej pib.

Lwm yam tshuaj rau qhov mob ua paug tsis muaj qab hau

Qee qhov xwm txheej, nrog mob o ntawm tus txiav, tus kws kho mob tau sau tshuaj sedatives, uas muaj qhov ua kom zoo rau lub paj hlwb thiab txo kev ntxhov siab. Cov tshuaj no tsis tsuas yog txo qis kev nyuaj siab xwb, tab sis kuj txhim kho cov nyhuv ntawm qhov mob kho rau mob pancreatitis. Ntawm cov tshuaj no tuaj yeem txheeb xyuas:

Nrog rau mob ntawm tus txiav, tus kws kho mob tuaj yeem sau tshuaj kho hormone. Txhawm rau txhawm rau tsim cov kua quav thiab cov kua txiv ua kua plab, Octreotide yog siv - ib qho tshuaj ntawm cov tshuaj hormones somatostatin, uas yog siv los kho cov qog. Corticosteroids (e.g. prednisone) yog tus kws kho mob yog tias mob o tau tshwm sim los ntawm tus kab mob autoimmune. Kev kho tshuaj hormones rau qee lub sijhawm, txij li kev kho lub sijhawm ntev tuaj yeem ua rau ntau qhov kev phiv.

Hauv kev mob caj dab ntev, kev kem plab feem ntau pom, nrog mob raws plab. Enzyme deficiency ua rau lub plab zom mov zom zaub mov qeeb, vim tias cov khoom noj ua rau lub plab zom mov qeeb, thiab cov kab mob uas ua rau cov txheej txheem lwj ua kom haum xeeb hauv nws, ua rau mob plab zom mov thiab lub plab. Cov neeg nyob sab hauv tuaj yeem daws cov teeb meem no. Smecta nrog pancreatitis neutralizes cov txheej txheem no, tshem tawm kev tsis xis nyob thiab ruaj khov ntawm cov quav. Cov tshuaj tsim cov tiv thaiv daim nyias nyias ntawm cov hnoos qeev, npog lub co toxins thiab cov kab mob thiab qhia lawv tawm nrog cov quav.

Cov tshuaj tua kab mob yog siv los tua cov kab mob pathogenic uas ua rau muaj teeb meem sib kis: txhawm rau txhawm rau txhawm rau txhawm rau kabmob, tso tseg cov kua tsib, mob cov kua tsib, ua rau pom cov hlwv, thiab cov kab mob sib kis. Tshuaj rau mob ua paug rau leeg txhaws yog muab tshuaj los ntawm txhaj tshuaj, vim tias muaj qhov tsis zoo yuav tsum ua sai sai. Cov tshuaj tua kab mob yuav tsum noj raws li kws kho mob hais, vim lawv ib leeg tuaj yeem ua rau puas hlwb puas thiab ua rau mob o. Ntawm cov tshuaj yuav tsum tau tseem ceeb:

Ceftriaxone, cefotaxime los ntawm pab pawg ntawm cephalosporins,
Amoxiclav los ntawm pawg penicillin,
Thienam los ntawm pab pawg thienamycin,
Ampioks - cov tshuaj sib txuam ua ke los ntawm cov tshuaj tua kab mob Ampicillin thiab Oxacillin,
Vancomycin los ntawm pawg ntawm tricyclic glycopeptides.

Txhawm rau tiv thaiv pancreatic edema, tshem tawm cov enzymes ntau ntau thiab cov tshuaj lom tawm hauv lub cev, cov kws kho mob muab tshuaj diuretics - tshuaj tua kab mob. Nrog rau pancreatitis, Furosemide thiab Diacarb tau muab sau ua ke nrog cov tshuaj potassium npaj. Haus tshuaj diuretics yuav tsum nruj me ntsis raws li kws kho mob tau hais, txij li siv tsis raug tuaj yeem rhuav tshem cov hlwb pancreatic, ua rau muaj kev cuam tshuam ntawm creatinine thiab urea hauv cov ntshav, txo qis ntshav siab thiab lwm yam kev cuam tshuam.

Cov yam ntxwv ntawm kev noj tshuaj rau pancreatitis

Tus kws kho mob yuav tsum sau daim ntawv qhia kev kho mob thiab piav qhia txog yam tshuaj twg thiaj li raug mob tom qab, twg yog thaum noj mov. Piv txwv li, cov tshuaj enzymatic rau mob pancreatitis yog haus cawv tib lub sijhawm noj mov, thaum siv tshuaj tua kab mob tom qab, proton twj tso kua mis inhibitors ib hnub ib zaug. Cov tshuaj kho mob tuaj yeem nqa yog tias yuav tsum tau nyob rau ib lub sijhawm twg, nruj saib xyuas qhov ntau npaum li qhia hauv cov lus qhia.

Txhua cov ntsiav tshuaj nrog rau mob pancreatitis yuav tsum tau ntxuav kom huv nrog dej haus kom ntau. Thaum lub caij tus kab mob, cawv yog nruj me ntsis txwv, cov co toxins uas ua rau tag nrho cov kab mob hauv lub cev, nrog rau cov txiav tsis ua rog. Kev sib xyaw ua ke ntawm cov tshuaj nrog ethanol yuav ua rau nce ntawm lub siab, lub raum, thiab lwm yam hauv lub plab zom mov, ua rau muaj teeb meem loj.

Ib qho yeeb tshuaj twg tuaj yeem ua rau muaj kev mob tshwm sim thiab muaj qhov tsis sib xws, yog li ua ntej siv, koj yuav tsum nyeem cov lus qhia thiab qhia tus kws kho mob txog tej kab mob ntev. Yog tias cov tshuaj ua rau pancreatitis ua rau muaj kev phom sij thiab muaj kev phiv loj, yuav tsum tau muab tshem tawm tam sim ntawd, hloov cov tshuaj nrog lwm cov tshuaj ntxiv.

Lub sijhawm tiv thaiv ntawm kev kho rau txhua yam tshuaj tshwj xeeb yog kws kho mob sau tseg. Piv txwv li, tshuaj tua kab mob tsis tuaj yeem haus cawv ntau dua li ob lub lis piam, vim tias cov kab mob ua quav tshuaj thiab tshuaj tsis cuam tshuam. Nws yog tsis yooj yim sua kom cuam tshuam cov kev kho mob kws kho, vim qhov no tsis tsuas tuaj yeem txo qhov kev ua tau zoo ntawm kev kho mob, tab sis kuj tseem ua rau rov qab ua kom rov muaj mob.

Txhawm rau kom kho cov kab mob kom ua tiav, koj yuav tsum ua raws nraim li kev noj zaub mov noj. Nyob rau hauv daim ntawv mob hnyav ntawm tus kab mob, kev tawm tsam kev tshaib plab yog qhia nyob hauv thawj ob hnub, tom qab ntawd koj tuaj yeem pib noj cov zaub mov tsis muaj calorie ntau. Cov rog, ntsim, qab ntsev, kua txob, zaub mov uas tau haus luam yeeb, lwm cov tais diav uas ua kom lub plab zom plab, ua kom muaj roj nyob rau hauv cov hnyuv txwv tsis pub. Hauv daim ntawv ntev ntawm tus kabmob, lawv qhov kev siv kuj raug txwv. Cov tais diav yuav tsum tau muab rhaub, koj tuaj yeem ci, ua noj, ci. Noj zaub mov me me 5-6 zaug ib hnub.

Cov lus qhia rau kev siv tshuaj

Creazim yog qhia rau kev kho mob ntawm exocrine pancreatic tsis txaus, ua rau tus mob ua kom tsis muaj qab hau, cystic fibrosis, kev tshem tawm ntawm cov khoom noj uas tsis haum, thiab kev loj hlob ntawm cov kab mob microflora hauv txoj hnyuv me. Cov tshuaj no yog noj rau kev tiv thaiv ntawm cov kua tsib uas feem ntau, thiab mob hlab ntsha hauv lub plab, rau cov tsos mob ntawm kev kho mob ntawm lub plab zom mov tom qab tau mob plab, txhaws txhaws, prigastrosis, cholecystectomy, kab mob siab, kab mob hauv lub plab me.

Cov tshuaj ntsiav yuav tsum tau nqos tag nrho, ntxuav nrog lub ntim txaus ua kua. Qhov ntau npaum no yog xaiv tau ntawm tus kheej, noj mus rau hauv tus account qhov hnyav ntawm pancreatic tsis txaus, tus neeg mob noj zaub mov.

Feem ntau nws tau hais tias noj thib peb lossis ib nrab ntawm ib koob tshuaj ua ntej noj mov, qhov seem yog noj nrog zaub mov. Qhov pib txhaj tshuaj yog 10000-20000 PIECES ntawm lipase. Thaum muaj qhov xav tau los txo qis tus mob plab, txhawb kev noj qab haus huv ib txwm ntawm ib tug neeg, tus kws kho mob txiav txim siab nce nyiaj ntau. Hauv qhov no, nrog rau kev noj zaub mov tseem ceeb, koj yuav tsum haus 20000-70000ED lipase, thaum khoom noj txom ncauj - 50,000-20000 units.

Kev kho mob cystic fibrosis nyob ntawm qhov ntsuas:

lub hnub nyoog thiab hnyav ntawm tus neeg mob
cov tsos mob
tswj soj ntsuam.

Tso cai ntau kawg nkaus yog 10,000 units yog ib hnub.

Yog tias tus neeg muaj teeb meem nqos, nws pom zoo kom qhib lub tsiav tshuaj, ntxiv cov ntsiab lus rau cov tais diav uas tsis tas yuav zom. Qhov tshwm sim sib tov yog coj tawm tam sim, nws tsis yog yuav cia.

Lub caij nyoog ntawm cov chav kawm ntawm kev kho mob pib txij li ob peb hnub mus rau ntau lub hlis, thaum kev ua txhaum yog los ntawm kev noj zaub mov tsis zoo. Yog tias koj xav tau kev hloov kho tsis tu ncua, noj cov tshuaj Creazim yuav siv ob peb xyoos.

Yog tias tus neeg mob tau siv tshuaj ntau dhau, kev txhim kho hyperuricuria (kev nce siab ntawm cov tshuaj uric acid) thiab hyperuricemia (lactic acid diathesis) tsis raug tswj hwm.

Qhov kev mob tshwm sim no yog qhov tseem ceeb, nws qhia txog kev ua tsis noj tshuaj ntxiv, kws kho mob lub luag haujlwm kom hloov cov kev kho mob, qhia txog cov tshuaj zoo sib xws.

Txhais tau tias yuav kho tus mob pancreatitis, nyob ntawm tus qauv mob

Mob ncauj mob taub hau feem ntau tshwm sim vim kev haus dej cawv-zaub mov noj, thaum haus dej cawv ntau dhau thiab cov zaub mov muaj roj hnyav ua rau kom cov kua txob ua haujlwm nyob rau hauv kev ua kom zoo dua - ntau heev kom nws pib zom nws cov ntaub so ntswg. Cov feem ntawm cov xwm txheej zoo li no hauv hom lus ntawm kev txheeb cais tau hais txog Quav Cawv Sawv Daws Noj, kev suav txog 55% ntawm txhua tus neeg mob. Thib ob hauv zaus ua tau mob biliary pancreatitisprovoked los ntawm cov teeb meem hauv txoj kev faib ua ke thiab lub zais zis, uas cuam tshuam nrog cov pob txha txuas ntawm lub bile thiab pancreatic ducts. Qhov tseeb yog tias cov kua tsib lub plab ua ntej qhib rau hauv duodenum kev sib txuas nrog cov duct los ntawm cov txiav. Kev kis tus kab mob pancreatitis yog li ntawm 26% mus rau 60% ntawm tag nrho cov mob ntawm tus mob txiav ua ntej, tus neeg mob ntev txog li 43% ntawm tus neeg mob. Qhov ua rau kom mob biliary pancreatitis yog lub ntsej muag ntawm tus bile duct hauv tus kab mob pancreatic duct nrog kev nce siab ntawm kev mob siab thiab qhov cuam tshuam ntawm cov ntshav enzymes los ntawm tus txiav, uas ua rau nws txoj kev zom zaub mov rau nws tus kheej. Los yog, yog tias lub pob zeb txhaws lub bile ducts, bile hauv qab lub siab pib nkag rau hauv lub qhov nqus tsev. Qhov no tshwm sim hauv 35% ntawm tus neeg mob pancreatitis. Cov xwm txheej ntxiv tseem yog kev raug mob, kis mob, pib lub cev thiab cov xwm txheej tsis tshua muaj sib luag.

Tab sis txawm li cas los xij ua rau mob hnyav ua rau tua kab mob, tus mob no yog qhov tuag taus. Yog li, feem ntau, cov neeg mob yws yws ntawm qhov uas ua rau mob heev, tsis cuam tshuam dab tsi, mob caj dab mob sab sauv, nrog rau qhov ntuav uas tsis ua kom zoo siab, tau pw hauv tsev kho mob hauv tsev kho mob, uas lawv tau kho. Qhov teeb meem yog hais tias nyob hauv kwv yees li ntawm tsib ntawm cov neeg mob, tus mob ua kom muaj tus mob voos yooj yim nkag mus pancreatic necrosisCov. Vim tias mob, qhov tawm mus li cas ntawm cov enzymes zom yog cuam tshuam, thiab hloov ntawm lub plab hnyuv lumen, qhov uas lawv yuav tsum tau, cov enzymes nkag mus rau cov ntaub so ntswg ntawm lub caj pas nws tus kheej thiab cia nws zom nws. Muaj cov chaw ntawm necrosis - necrosis, uas yuav tsum tau muab tshem tawm sai li sai tau. Tsis tas li ntawd, cov ntaub so ntswg rhuav tshem cov khoom nkag mus rau cov ntshav thiab ua kom lub cev tsis huv.

Mob me me ntawm pancreatitis yog ib txwm kho raws li cov qauv mis "txias, kev tshaib plab thiab kev thaj yeeb":

dej khov zis yog siv rau lub plab
cov ntsiab lus raug tshem tawm ntawm lub plab nrog kev sojntsuam thiab tom qab ntawd nws raug txwv tsis pub noj kom txog thaum tus mob hnoos qis (koj tuaj yeem haus dej),
teem caij pw kom txaus.

Tsis tas li ntawd, nyob hauv tsev kho mob nrog cov mob me me ua kom muaj tus mob ua kom muaj kabmob, ua kom loog, tshuaj antispasmodics thiab Txoj kev lis ntshav yog kho, kho raws tus mob, tso dej kom tshem cov nqaij ua rau lub cev tawm ntawm cov ntshav.

Yog hais tias tom qab lub sijhawm noj mov muaj hnub nyoog muaj qhov sib zog, tsis tuaj yeem tsis hnov mob, ntuav, thiab lub plab hauv nruab nrab sab saud ua nyuaj thiab mob heev - tsis txhob sim kho koj tus kheej, tam sim ntawd sab laj nrog kws kho mob!

Qhov mob kuj tseem yog cov xeeb ceem ntawm exacerbation ntawm mob txha cajqab, tab sis nws qhov kev siv tsis siab npaum li muaj mob hauv kev mob huam. Hauv cov theem thaum pib ntawm kev loj hlob ntawm tus kab mob, lub sijhawm mob mob tshwm sim txhua rau lub hlis mus rau ib xyoos lossis txawm tias tsawg dua thiab ntau mus txog kaum hnub. Nrog cov txheej txheem khiav, mob tshwm sim txhua ib lossis ob hlis.

Mob txha cajqaum yuav tshwm sim tsis tsuas yog tiv thaiv lub keeb kwm yav dhau los ntawm kev haus cawv tsis tu ncua, txawm tias qhov tseeb tias qhov no yog ib qho tseem ceeb vim li cas. Nws tuaj yeem tshwm sim los ntawm autoimmune cov txheej txheem, mob ntev ntawm cov kab mob sib txawv ntawm txoj kev sib tsoo, ua rau nqaim ntawm lub pancreatic duct thiab kev cuam tshuam ntawm kev tawm mus li qub ntawm cov enzymes, mob raum tsis ua haujlwm thiab lwm yam kev mob ntsig txog mob ntev, mob caj dab.

Nrog exacerbation ntawm kev mob caj dab ntev, mob khaub thuas, tshaib plab thiab so kuj tuaj yeem pom zoo, tab sis cia rau ib hnub lossis ob hnub. Txhawm rau kom txo qis mob ib nrab, siv tshuaj pleev xim, uas yog xaiv los ntawm kws kho mob. Hauv kev tawm tsam hnyav, opioid narcotic analgesics yuav tau sau tseg.

Txhawm rau, ntawm ib sab tes, muab kev thaj yeeb rau cov kws kho mob txiav, thiab ntawm lwm qhov, los them rau kev ua haujlwm tsis zoo, pancreatic enzyme npaj tau tshuaj, tab sis nyiam dua hauv daim ntawv ntawm microforms. Cov yeeb tshuaj zoo li no pab txo qhov mob.

Cov zaub mov yuav tsum nquag thiab fractional, nrog cov protein ntau. Nws yog qhov tsim nyog los txwv cov rog tsuas yog tias tus neeg mob tau tso quav ntau zaus vim qhov kev ua txhaum ntawm lawv cov kev zom, txawm hais tias qhov kev kho enzyme kho tau. Txwv tsis pub haus cawv ib qho twg. Nws pom zoo kom tsis txhob haus luam yeeb.

Kev siv tshuaj kho kab mob pancreatitis: pawg ntawm cov tshuaj

Raws li tau hais los saum toj no, kev mob taub hau siab yuav tsum kho los ntawm kws kho mob hauv tsev kho mob phais. Nws tuaj yeem sau tshuaj rau pawg tshuaj ntawd:

Kev tso tshuaj ntsuab (tshuaj pleev xim): nyob ntawm kev siv ntawm qhov mob, nws tuaj yeem yog ob qho tshuaj yeeb tshuaj pleev ib ce thiab muaj zog hluavtaws tsis siv cov tshuaj pleev xim uas muaj nyob hauv tsev kho mob.
Antispasmodics: nthuav cov ducts thiab txhim kho cov kev nqus ntawm pancreatic secretion. Tsis tas li ntawd, lawv muaj qhov ua kom analgesic, txij li lawv daws spasm ntawm cov leeg ntawm cov plab hnyuv siab raum.
Pancreatic secretion inhibitorskom nws cov enzymes nres rhuav tshem lawv tus kheej cov ntaub so ntswg. Rau qhov no, ntau pawg tshuaj tau siv:
- hluavtaws somatostatin analogues - cov tshuaj hormones uas ntxiv rau cov haujlwm tseem ceeb (kev tswj ntawm kev coj ua ntawm kev loj hlob hormone), ua rau cov kev ua haujlwm ntawm tag nrho txoj hnyuv plab, suav nrog kev tsim cov enzymes,
- cytostatics - tseem inhibit kev ua haujlwm ntawm lub plab zom mov thiab cov qog,
- tshuaj mus rau lub plab zom mov tsis pub tawm: H2 blockers thiab proton twj tso kua mis inhibitors.
Muaj dej ntau ntawm cov tshuaj mos kom txo qis intoxication thiab rov microcirculation.
Npaj rau khoom noj rau niam txiv: Vim tias nws tsis tuaj yeem noj, thiab lub zog noj lub cev rau tus mob pancreatitis yuav tsum muaj tsawg kawg yog 3,500 kcal ib hnub, koj yuav tsum "pub" rau tus neeg mob nrog cov amino acids nrog cov zaub mov thiab vitamins nyob rau hauv daim ntawv ntawm infusions (tee).
Nyob ntawm qhov mob ntawm tus neeg mob, tus kws kho mob tuaj yeem sau tshuaj uas txo cov ntshav coagulation, cov tshuaj txhawm rau tswj cov kev ua haujlwm ntawm cov hlab plawv, lub ntsws, lwm yam khoom hauv nruab nrog cev, tshuaj tua kab mob thaum muaj teeb meem purulent, thiab lwm yam.

Hauv kev kho mob ntawm kev mob caj dab ntev, cov tshuaj tau tawm hauv cov kev kawm ntev, ob qho tib si hauv exacerbation theem thiab sab nraud nws. Ua ntej tshaj plaws, cov tshuaj tau raug xaj uas tshem tawm cov laj thawj uas ua rau cov txheej txheem: regulators ntawm outflow ntawm bileyog hais tias tus kab mob yog provoked los ntawm ntev pathology ntawm biliary ib ntsuj av, cov tshuaj hormonesuas txo qis kev ua haujlwm ntawm cov txheej txheem tiv thaiv kab mob hauv lub cev ua rau kab mob leeg hlwb, thiab lwm yam. Xav kom ua tiav qhov haus dej haus cawv thiab haus luam yeeb.

Ib qho ntxiv, tus kws kho mob tuaj yeem sau ntawv muab tshuaj rau hauv xws li:

Cov tshuaj kho mob (analgesics)Cov. Nws tuaj yeem yog pob nyiaj siv rau qhov kev yuav tshuaj uas yuav tsum tau, lossis cov tshuaj tiv thaiv kev tsis haum. Lub chav kawm ntawm lawv txoj kev siv tau tuaj yeem ntev txog peb lub hlis.
Tshuaj tiv thaiv kev mob ntsws thiab mob ntsws qhuavCov. Nrog kev mob pancreatitis, lawv raug xaj kom tsis txhob kho lub xeev kev xav, tab sis txhim kho cov nyhuv ntawm cov tshuaj pleev xim. Lawv txo qhov mob siab ntxiv rau qhov mob uas tshwm sim thaum qee yam mob hnyav thiab ntev heev (hauv cov lus kho mob, cov tshuaj tiv thaiv kab mob rov ua haujlwm ntawm lub cev tiv thaiv kab mob ntawm lub cev), uas tseem txo qhov tshuaj ntawm analgesics.
Cov tshuaj AntispasmodicCov. Nthuav tawm ntawm kev nqus ntawm pancreatic secretion, txo qhov siab hauv cov ducts thiab yog li ua rau kom txo qis hauv qhov mob.
Pancreatic Enzymes hauv Microbeads - lawv xav tau tsis ntau heev los kho qhov ua kom tsis zoo ntawm hloov khoom nruab nrog (ib qho uas tsis muaj enzymes tshwm sim tsuas yog thaum ntau tshaj 90% ntawm cov txiav ua kom pov tseg), tab sis kom muab nws so. Txij li thaum, los ntawm kev tawm tswv yim mechanism, enzymes qhia los ntawm sab nraud inhibit zus tau tej cov ntawm lawv tus kheej cov enzymes, uas yog vim li cas lub siab nyob rau hauv ducts ntawm caj pas txo, uas txhais tau tias mob.
Cov tshuaj uas txo cov acidity ntawm plab kua txiv, mas proton twj tso kua mis inhibitors. Tso quav rau qhov tus txheeb ze tshaj nyob hauv cov kua zaub. Hauv thaj chaw alkaline, cov kab mob zoo tshaj plaws yog tsim rau qhov kev txiav txim ntawm pancreatic thiab plab hnyuv enzymes.Txawm li cas los xij, nyob rau hauv kev mob caj dab ntev, kev ua kom tsis muaj kua ntau yog tsim nyob rau hauv kev txiav Thiab cov pais plab tuaj hloov pH ntawm qhov nruab nrab hauv cov hnyuv los ntawm cov alkaline (siab tshaj 7 pH) mus rau sab acidic (hauv qab 7 pH), uas tuaj yeem ua rau muaj teeb meem loj ntawm lub plab zom mov. Tib lub sijhawm, cov kua tsib tsis tuaj yeem ua kom cov roj (ua rau cov rog me me) rog, uas cuam tshuam nws txoj kev zom. Cov kev ua ntawm lub plab enzymes lawv tus kheej kuj tau txo. Los ntawm kev tsim cov khoom noj ntawm lub plab zom zaub mov, tshuaj rov ua kom lub chaw alkaline nyob rau hauv cov hnyuv.

Pancreatic enzymes tau raug sau ua ntu zus mus, yog tias txoj haujlwm ua haujlwm ntawm lub cev ua rau lub cev tsis ua haujlwm uas lub plab tsis ua haujlwm lawm. Ib tug neeg pib poob ceeb thawj, tom qab noj mov nws muaj lub siab xav tso quav, txij li cov rog tsis muaj rog ua rau txoj hnyuv phab ntsa, cov quav yuav ua tsis txaus, tus me nyuam hauv plab, kis tau lub ntsej muag roj.

Rau cov ntaub ntawv

Thaum xaiv qhov kev npaj enzyme, ib qho yuav tsum tau them sai sai rau cov tshuaj uas cov enzymes hauv granules txog li 2 hli hauv qhov loj me - tsuas yog tom qab ntawd tuaj yeem muab cov tshuaj tawm hauv lub plab tib lub sijhawm cov zaub mov.

Nrog kev tsam plab thiab qhov mob me me, cov tshuaj tau hais tias txo cov roj tsim: sorbents, dimethicone.

Yog tias cov insulin ntau lawm poob vim tias mob ntev thiab tuag ntawm cov qog hlwb, yuav tsum tau txhaj tshuaj ntawm cov tshuaj no.

Yog li, ob leeg mob thiab muaj tus mob ua kom tus mob ua tus tuaj yeem yog tus mob hnyav uas ua tsis taus pa nrog rau kev mob hnyav thiab yuav tsum tau kho mob ntev thiab kho kom zoo. Yog li, tsis txhob saib rau cov kev kho mob hauv Is Taws Nem, nws tsuas yog txaus ntshai. Nws yog ib qho tsim nyog yuav tsum sab laj tus kws kho mob kom ncav sijhawm thiab ua raws li nws cov lus pom zoo.

Pancreatic Enzyme Npaj

Ntawm cov tshuaj uas muaj niaj hnub muaj tej yam ntuj tso pancreatic enzymes, Mikrasim® yuav tsum tau sau tseg. Nws muaj nyob rau hauv tsiav tshuaj nrog ntau npaum ntawm 10,000 thiab 25,000 units.

Hauv kev npaj Mikrasim® cov enzymes muaj nyob hauv microbeads tsawg dua 2 hli hauv qhov loj me, coated nrog cov txheej ntxeem tau. Microgranules, nyeg, tau muab ntim hauv gelatin capsules. Ib zaug hauv cov ntsiab lus acidic ntawm lub plab, cov tshuaj ntsiav yaj, thiab microgranules sib xyaw nrog zaub mov, tom qab ntawd lawv tawm hauv lub plab nrog nws. Ib zaug nyob hauv thaj chaw alkaline ntawm txoj hnyuv, microspheres tso tawm cov enzymes. Yog li, lub plab enzymes ntawm lub txiav ntawm lub tshuaj Mikrasim® ua raws nraim qhov chaw nws tau txiav txim siab physiologically - hauv lumen ntawm txoj hnyuv me. Kev ua haujlwm siab tshaj plaws ntawm cov tshuaj tau tiav hauv ib nrab ib teev tom qab kev tswj hwm.

Cov tshuaj ua kom sib haum nrog kev ua haujlwm ntawm cov hnyuv hauv lub cev: proteases, amylases thiab lipases, uas tsim nyog rau kev tawg ntawm cov protein, carbohydrates thiab cov rog. Raws li nws cuam tshuam nrog cov khoom noj hauv lub plab hnyuv plab hnyuv, qhov kev ua si ntawm enzymes maj mam poob qis, tom qab ntawd cov seem raug tshem tawm ntawm lub cev yam tsis tau nqus mus rau hauv cov ntshav.

Nws raug nquahu kom coj Mikrasim® rau mob txhawm rau mob leeg txhaws, zais zais tsis muaj qab hau ua rau lub siab tsis txaus ua rau muaj ntau yam. Cov tshuaj tuaj yeem pom zoo rau cov tib neeg tsis muaj kev kuaj mob hauv plab, tus neeg mob ua tsis ua hauj lwm, ua rau raws plab, tsis muaj teeb meem nrog kev noj zaub mov tsis zoo, xws li kev noj ntau dhau, noj zaub mov sai, ua txhaum kev noj zaub mov.

Cov tshuaj yog contraindicated nyob rau hauv mob hnyav ntawm pancreatitis thiab thaum lub sij hawm exacerbation ntawm mob ntev, zoo li nrog ib tug neeg intolerance rau ib tug neeg Cheebtsam.

Cov tshuaj Mikrazim® tau teev nyob hauv cov npe tseem ceeb thiab Cov Tshuaj Tseem Ceeb. Tus lej sau npe ntawm cov tshuaj hauv Xeev Lub Npe Tso Npe ntawm Cov Tshuaj Kho Mob yog LS-000995, Lub Kaum Hlis 18, 2011, txuas hnub nyoog kawg tsis pub dhau Lub Ib Hlis 16, 2018.

Hnyav daim ntawv

Ua ntej pib kho cov kab mob pathology, tus kws kho mob yuav kos ib daim ntawv kho mob, nyob ntawm qhov mob hnyav ntawm pancreatitis thiab tus neeg mob txoj kev noj qab haus huv. Nws yuav tsum nkag siab tias kev ntsuas ua ntej, thaum muaj mob ntawm cov txiav, tsis muaj nyob. Cov tshuaj rau kab mob pancreatitis raug xaiv ib tus zuj zus.

Ua ntej tshaj plaws, nyob rau lub sij hawm mob hnyav ntawm kev mob pancreatitis, lub txaj so yog qhov tsim nyog. Yog li ntawd, yog tias pom muaj mob hnyav ntawm kev mob hnyav, ces kev kho mob ntawm txiav quav ua rau hauv tsev kho mob xwb. Qhov no yog qhov yuav tsum tau ua, vim tias qhov hloov pauv hauv caj pas tuaj yeem ua rau muaj kev cuam tshuam ntawm cov haujlwm tseem ceeb uas tsim nyog rau lub neej.

Hauv 3 hnub koj tsuas yog yuav tsum haus cov kua dej kom tsis txhob ua kom lub cev qhuav dej, nrog rau tshem cov tshuaj lom tawm hauv lub cev.

Txhawm rau txo tus mob nrog kev mob siab tsis nco qab, kev noj tshuaj yog kho. Cov tshuaj twg yog qhov zoo dua rau kev noj tshuaj kom tshem tawm cov teeb meem yuav tau sau tseg los ntawm tus kws kho mob uas koom nrog. Txhua yam yuav yog nyob ntawm kev nyob zoo ntawm tus neeg mob, tus yam ntxwv ntawm lub cev thiab qhov kev puas tsuaj ntawm lub nruab nrog cev.

Kev kho ntawm pancreatitis yog qhov tsim nyog tham. Ib qho tshuaj yuav tsis tshem tawm qhov mob o lossis rov qab zoo li tus kab mob pancreatic.

Ntawm cov tshuaj rau cov mob ua rau muaj tus kab mob siab, antienzymes tso tawm, tshuaj pleev xim thiab txo mob plab, tshuaj tua kab mob. Thiab cov tshuaj noj enzyme, ntsiav tshuaj thiab hno tshuaj uas pab txo qis txhawm rau, tshuaj los tiv thaiv kev kis mob yuav pab kho tus mob pancreatitis. Ib qho ntxiv, nws yog qhov yuav tsum tau siv cov neeg sawv cev uas muaj choleretic, ua kom lub cev tiav, thiab kev kho vitamin kuj tseem yuav tsum tau ua.

Siv yeeb tshuaj

Thaum cov tsos mob ntawm tus kab mob no tshwm sim, kev kho mob rau cov neeg laus yog pib los ntawm tus kws kho mob nrog ntau tus sim. Ua ntej siv cov tshuaj rau pancreatitis, mus ntsib tus kws kho mob plab uas yuav kho ib qho kev kho kom haum rau tus neeg mob hauv txhua qhov chaw. Kev siv tshuaj kho mob nrog cov tshuaj yuav pab txhawm rau txhim kho kev zoo, tab sis nws yuav tsis ua haujlwm kom tshem tawm cov txhais tau tias. Ua tsaug rau tus kws qhia noj zaub mov, zaub mov yuav txiav txim siab thiab zaub mov noj.

Cov tshuaj hauv qab no yog siv los kho tus mob pancreatitis:

Cov tshuaj noj hauv cov ntsiav tshuaj, txhaj tshuaj, uas txo cov mob spasms thiab muaj qhov ua kom loog rov rau lwm tus.
Tshuaj Antacids.
Cov neeg ua hauj lwm enzymatic thiab anti-enzymatic.
H2-blockers ntawm histamine receptors.
Pawg ntawm cov tshuaj sedative.

Cov tshuaj tshwj xeeb, qhov ntau thiab cov tshuaj yog tswj los ntawm tus kws kho mob. Qhov no yog vim qhov tseeb hais tias nrog kev kho mob ntawm kev mob ntsig ua kab mob txhawm rau txhawm rau txwv tsis pub noj ntau yam tshuaj.

Yog tias cov hlwb lub luag haujlwm rau kev tsim cov tshuaj hormone insulin tau txuam nrog kev puas tsuaj rau lub qog, cov tshuaj insulin npaj muaj nyob hauv pob txheej txheem. Cov tshuaj zoo tshaj plaws yog xaiv los ntawm cov kws kho keeb (endocrinologist).

Cov kev kho mob zoo li no yuav yog qhov ua rau tsis muaj kev cia siab. Thaum lub caj pas ua mob tuaj, nws kho tsis tau los ntawm qee cov tshuaj ib leeg. Kev noj zaub mov kom noj qab haus huv yuav tsum muaj, ua raws li kev ua neej kom raug.

Nco ntsoov ua raws li kws kho mob cov lus pom zoo, vim tias yog tias nws tsis raug los kho tus mob huam mob leeg qhuav, nws yuav nkag mus rau qhov muaj mob ntev.

Nws yog ib qho tseem ceeb, thaum noj tshuaj los ua raws li cov tshuaj uas tau sau tseg hauv cov lus qhia rau kev siv.

Txhawm rau hloov cov acidity hauv plab thiab txhim kho kev ua haujlwm ntawm lub caj pas, koj tuaj yeem siv enzyme thiab antienzyme kev npaj. Cov tshuaj, lawv qhov ntau npaum li cas yog xaiv los ntawm kws kho mob.

Hauv qhov no, kev txais tos lwm txoj kev ntawm cov teebmeem sib txawv yog qhov tseem ceeb.

Kev kho enzyme cuam tshuam rau lub cev raws li hauv qab no:

pab zom cov protein, cov rog thiab carbohydrates,
flatulence, tsam plab thiab mob hauv plab yog txo,
stimulates qhov nqus thiab assimilation ntawm cov txiaj ntsig los ntawm cov khoom lag luam siv,
frees lub caj pas, txhim kho tus neeg mob lub mob.

Enzymes muaj txiaj ntsig yog tias kev kho mob ntawm pancreatitis tau ntev. Tus kws kho mob soj qab xyuas qhov ua tau zoo ntawm cov tshuaj npaum li cas, tawm rau nws siv tom qab lossis hloov nws nrog ib qho zoo sib xws.

Nws yog ib qho tseem ceeb uas yuav tau noj tshuaj enzyme rau kev tiv thaiv kab mob pancreatic nrog zaub mov, lossis tam sim ntawd. Yog hais tias koj khob tawm ntsiav tshuaj ntawm lub plab khoob, qhov ntau dua ntawm lub cev ua haujlwm tuaj yeem ua tau.

Kev ua haujlwm zoo, ua kom zoo enzyme muaj ib qho kev rho tawm los ntawm cov qog ntawm cov nyuj, uas zoo tib yam rau cov tshuaj uas ua los ntawm tib neeg lub qog - pancreatin. Nws pab zom cov zaub mov pov tseg rau hauv cov molecules uas txoj hnyuv thiab lub plab nqus thiab metabolize.

Yog tias koj tau txais pancreatin txaus, lub cev yuav them rau qhov tsis muaj qhov ua tsis taus neeg ntawm kab mob siab. Tag nrho cov ntsiab lus tuaj nrog cov zaub mov muaj cov zaub mov zoo, thiab tus neeg mob tsis ntsib lub teeb meem ntawm kev qias thiab vitamin tsis muaj peev xwm.

Hauv kev kho mob ntawm pancreatitis, cov ntsiav tshuaj zoo li no tau sau tseg:

Lub Festal.
Mezim.
Creon.
Pancreatin
Panzinorm.
Kev zom plab.

Cov tshuaj no yog enzymatic. Lawv muaj cov txheej txheem sib txawv ntawm cov cawv thiab muaj pes tsawg leeg, yog li tus kws tshaj lij yuav taw qhia qhov twg yog qhov zoo dua rau kev kho mob ntawm pancreatitis nyob rau hauv qee qhov xwm txheej:

degree ntawm o ntawm lub qog,
cov kev hloov hauv kev ua si ntawm lwm qhov hauv nruab nrog cev - lub zais zis lub plab, hnyuv, mob siab.

Thaum siv cov tshuaj antienzyme, rau kev kho mob ntawm:

lub cev intoxication txo
qhov mob ua kom tsawg zuj zus
Kev noj qab haus huv zoo rau tus neeg mob
txoj kev pheej hmoo ntawm txoj kev tuag txo,
kev txhim kho ntawm edema thiab nqaij necrosis yog thaiv.

Cov tshuaj hauv qab ntawm cov pab pawg no yog qhov txawv:

Kev npaj antenzyme raug tswj hwm hauv tsev kho mob hauv sab hauv cov leeg nqaij los yog rau txoj hlab ntshav hauv thawj hnub tom qab tawm tsam tus kab mob. Cov tshuaj zoo li no tsim nyog yuav tsum txwv tsis pub ua mob rau ntau dua cov nqaij o vim qhov kev tso tawm ntawm pancreatic secretion.

Feem ntau cov neeg mob siv txoj kev kho mob rau pej xeem los kho cov kab mob, vim tias lawv yog ntuj thiab tsis muaj kev phiv thiab daws qhov teeb meem. Txawm li cas los xij, kev txais tos kuj tseem ua tsis tau yog tias tsis pom zoo los ntawm kws kho mob.

Ib tug ntawm cov pej xeem tshuaj yog chaga. Nws raug tso cai siv rau hauv kev kho mob ntawm cov kab mob ntawm txoj hnyuv, mob caj dab tsuas yog tom qab kuaj mob thiab ua raws li cov lus pom zoo los ntawm kws kho mob.

Kev kho kab mob panga tuaj yeem kho tau thaum cov theem mob sai sai, txij li ib lub tso tsis zoo tuaj yeem nce qhov tso quav ntawm lub qog.

Chaga rau lub caj pas feem ntau yog tshuaj yej. Ua tsaug rau qhov cuab yeej no koj tuaj yeem:

tshem tawm cov cim ntawm tus kabmob - xeev xeev, kiv taub hau,
rov cov ntaub so ntswg mob,
tshem tawm cov co toxins tawm ntawm lub cev,
nce hemoglobin,
tiv thaiv kev loj hlob ntawm cov kab mob pathogenic.

Cov tshuaj noj hauv cov nceb hauv cov tshuaj noj los yog cov tshuaj muaj zog concentrated muag hauv khw muag tshuaj. Chaga pom nyob rau hauv kev npaj cais rau kev kho mob ntawm tus kab mob pancreatitis ntawm homeopathic spectrum, Badakh. Txawm li cas los xij, ntuj tsim infusion muaj txiaj ntsig ntau dua.

Txhawm rau ua kom Txoj kev lis ntshav, chaga yog ntxuav thiab xa mus rau dej npau npau. Yog li tus nceb yog ob peb teev. Tom qab ntawd nws yog crushed, thiab lub nceb yog ncuav dua nrog dej sov. Khaws qhov cuab yeej ntawd rau tsis pub tshaj 4 hnub. Kev kho mob nrog haus cawv yog nqa tawm hauv 3 faib koob tshuaj 200 grams tauj ib hnub.

Yog tias koj noj tshuaj thaum lub sijhawm ua tsis zoo, muaj teeb meem tshwm sim. Chaga tsis pub tso cai rau cov kab mob pancreatitis yog tias muaj mob rwj hauv plab hnyuv lossis lub plab.

Innovation hauv kev lag luam tshuaj

Nrog kev tshem tawm ntawm pancreatitis, nws yog ib qhov tsim nyog yuav tau ua rau kev txwv tsis pub ib ntus ntawm kev tsim cov kua txiv ua kua. Qhov txheej txheem no tsuas yog ib ntus, tom qab ntawd nws yuav tsim nyog los txhawb nws, rau kev ua haujlwm tsis tu ncua ntawm lub plab.

Cov tshuaj rau exacerbation ntawm pancreatitis:

Ib pawg ntawm cov tshuaj tiv thaiv yog yuav tsum nyob rau hauv rooj plaub ntawm mob huam. Tab sis noj cov tshuaj zoo li no rau pancreatitis yog qhov tsis tsim nyog, vim nws muaj peev xwm plam qhov tseem ceeb ntawm tus kab mob.

Ntxiv rau qhov no, cov tshuaj muaj cov kev mob tshwm sim thiab tsis yog kws kho mob ntau dua 10 hnub:

Txhawm rau nqus thiab tshem tawm cov khoom tsis zoo hauv lub cev, hauv kev tawm tsam kev tiv thaiv kab mob plab hnyuv microflora, cov tshuaj muaj ntau ntawm cov teebmeem ntawm Polyphepan yog cov tshuaj. Cov tshuaj yog los ntawm lub hauv paus. Enterosgel yog nws txoj kev tso tawm. Nws feem ntau siv los kho tus mob pancreatitis. Cov tshuaj yog qaug cawv nrog rau lwm txoj hauv kev hauv kev kho mob rau cov mob uas cuam tshuam nrog kev lom.

Nrog kev mob plab hnyuv, dysbiosis, ua kom muaj xua Acipol yuav pab tau. Nws yuav muab cov hnyuv rov qab ua haujlwm.

Txhim kho kev zom mov tau txiav txim Iberogast. Cov tshuaj tseem ua suab nrov thiab muaj cov teebmeem choleretic.

Ib qho ntawm cov tshuaj ntsuab hauv kev kho mob uas kho cov kua qaub hauv plab yog Flamin. Cov tshuaj no yog cholekinetic, nws txo cov mob spasms thiab mob, pab txhim kho qhov tsim nyog ntim ntawm cov kua tsib. Los ntawm cov tshuaj zoo sib xws, muaj:

Ua ntej pib kev kho mob, koj yuav tsum nkag siab qhov tshuaj dab tsi los haus rau pancreatitis, vim li cas lawv pab, kom paub txog cov kev mob tshwm sim tsis zoo, contraindications. Yog li, nws yog ib qho tseem ceeb kom sab laj tus kws kho mob txog qhov no.

Tseem ceeb decoction

Txhawm rau pab txhawb kev ua haujlwm ntawm lub qog hauv kev txhim kho ntawm kev ua tiav ntawm kab mob pancreatitis, kev kho mob ntawm pej xeem tau siv, nrog rau hauv cov ntaub ntawv no tshuaj ntsuab thiab decoctions ntawm lawv. Haus ib concoction ntawm immortelle, ntsim wormwood. Muaj txiaj ntsig zoo rau kev ua haujlwm ntawm kev zais ntawm cov kua txiv pais plab - parsley, nws lub hauv paus ib feem.

Kev dai kom zoo nkauj yog qhov nyuaj, suav nrog ntau hom tshuaj ntsuab. Qhov loj tshaj plaws hauv kev kho mob yog kev ua raws li cov koob tshuaj thiab cov qauv.

Thaum lub sij hawm kev rov qab los, ib qho decoction ntawm ntsuab dos nrog zaub txhwb qaib, St. John lub wort thiab mint tau npaj. Hauv kev mob hnyav, peppermint nrog yarrow thiab cinnamon siv.

Cholagogue nrog pancreatitis yog hloov los ntawm cov tshuaj ntsuab uas muaj cov nyhuv me. Tshuaj ntsuab tau xaiv ib tus zuj zus.

Burdock hauv paus, chicory.
Lub duav duav.
Kov Txwv
Pob kws stigmas.
Aloe

Siv tshuaj ntsuab los yog nqi them ua rau muaj kev tsis haum tshuaj rau lawv.

Nrog mob hnyav

Thaum lub caj pas ua mob, tus neeg mob yuav ua rau mob hnyav los ntawm sab lauj hauv qab ntawm tus tav, nyob rau hauv lub plab mog sab sauv. Qhov tsis xis nyob yog tsis tau yooj yim yog qhov nws tsis yooj yim sua kom sawv ntsug, zaum, tham, ua pa. Nws tshwm sim uas qhov mob cuam tshuam rau nraub qaum, nruab nrab ntawm lub xub pwg hniav, qis rov qab. Cov kab mob no qhia tau hais tias feem twg ntawm hloov khoom nruab nrog cuam tshuam.

Txhawm rau kom tshem tawm cov kev mob tshwm sim, cov tshuaj no yog siv rau pancreatitis:

tsis-pab pawg pawg - Paracetamol, Ibuprofen,
muaj zog-ua yeeb yam analgesics - Baralgin, Analgin.

Txo qhov mob nrog qhov tshwm sim uas tsis nco qab, cia li sau tshuaj analgesics, uas tau txais tshuaj intramuscularly:

Cov tshuaj pleev xim txwv tsis pub siv tsis tu ncua, txawm tias tsis muaj cov tshuaj yeeb dej caw thiab lawv tsis ua kom muaj tus cwj pwm.

Kev siv tshuaj loog ua kom loog thaum siv tsim nyog los txhawm rau txhawm rau txhawm rau txhawm rau thiab tso kev tso tshuaj tawm:

Drotaverinum.
Spazmalgon.
Tsis-shpa.
Spasmol.
Tshoob.

Cov tshuaj rau tus kab mob no muaj cov teebmeem nram qab no:

nplij tus neeg mob tus mob los ntawm kev tshem tawm qhov mob,
txo lub nra ntawm lub cev, pab txhawm rau txhim kho cov khoom noj ntawm lub plab zom mov.

Pab kom kov yeej cov kab mob txhais tau tias tiv thaiv lossis ua rau cov nyhuv ntawm acetylcholine, cholinomimetic tus neeg sawv cev.

Cov tshuaj noj cuam tshuam nrog cov kev mob ntawm txoj hlab ntshav ntawm txoj hlab ntshav thiab paj hlwb.

Ua haujlwm chav ua haujlwm ntawm lub plab zom mov rov qab los rau lub sijhawm:

Cov tshuaj tiv thaiv cell

Pancreatitis ntsiav tshuaj xws li Essential Forte yog siv los kho lub siab ua haujlwm. Cov tshuaj yog siv thaum uas tig mus nrog lub sijhawm teem ntawm cov tshuaj tua kab mob.

Siv tshuaj rau 1 lub tshuaj ntsuab 3 zaug ib hnub twg nrog rau kev noj mov. Cov tshuaj kho yog siv rau hauv cov chav kawm uas kws kho mob tau sau tseg. Phospholipids, uas yog nyob rau hauv qhov muaj pes tsawg leeg, tau qhia kom rov qab thiab tiv thaiv hlwb. Nws muaj cov txiaj ntsig zoo ntawm kev ua haujlwm ntawm metabolism, muaj ob peb phiv.Kev noj ntau dhau tsis ua teeb meem rau kev noj qab haus huv.

Cov tshuaj rau kab mob pancreatitis rau cov neeg laus muaj cov duab hauv qab no:

Thaum siv tshuaj tua kab mob

Txog kev kho kab mob pancreatitis, tshuaj tua kab mob tau sau tseg tsis tshua muaj txiaj ntsig thiab tsuas yog tom qab kev soj ntsuam tag nrho.

Hauv cov tsev kho mob, kev siv tshuaj tua kab mob yog siv hom kev txhaj tshuaj yog tias tus kws kho mob pom tias qhov xwm txheej tseem ceeb thiab tus neeg mob xav tau kev kho mob sai. Cov tshuaj tua kab mob rau mob tua kab mob txhawm rau kho tus mob kom zoo, txhawm rau txo lub cev kom ntau li ntau tau:

Kev kho mob ntawm tus mob mus ntev ntawm tus mob, tej zaum siv cov tshuaj tiv thaiv kab mob hauv qhov ncauj:

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj tsuas yog noj tom qab kev teem caij ntawm tus kws kho mob.

Yuav ua li cas noj nrog pancreatitis

Cob rau txhim kho kev zom zaub mov, tshem tawm cov kev mob tshwm sim, ib txwm ua haujlwm ntawm pancreatic. Lub cev tsis kam tsim cov enzymes uas tsim nyog rau kev ua tiav ntawm cov zaub mov tiav. Pancreatin ua rau kev tsis txaus siab ntawm cov enzymes, ua haujlwm li qub ntawm lub plab zom mov. Cov ntsiav tshuaj noj rau ntau yam kabmob ntawm lub plab zom mov, nrog rau kev tiv thaiv kom tsis txhob muaj kabmob ntau ntxiv, kev txhim kho kabmob hauv cov neeg muaj kev noj qab haus huv nyob hauv qab ntawm ntsim, muaj roj, qab ntsev.

Yog lawm, koj tuaj yeem noj cov tshuaj nrog pancreatitis, tab sis koj yuav tsum ua qhov no kom raug. Nws yog txwv tsis pub nqa tawm txoj kev kho nyob rau hauv ib qho kev mob siab, thaum lub sij hawm exacerbation. Pancreatin yog txoj kev kho mob rau kev kho daim ntawv uas muaj mob hauv kev tshem tawm. Feem ntau cov kev kho mob tau hais kom ua kom lub plab zom mov zoo tom qab muaj kev tawm tsam lossis tiv thaiv lawv.

Cov tshuaj phiv txav tsis raug nqus los ntawm txoj hnyuv, muaj feem nrog tsis hloov pauv nrog quav. Lawv pib ua yeeb yam hauv ob peb feeb, qhov siab tshaj plaws tau pom tom qab 45 feeb. Cov enzymes zom cov rog, cov hmoov txhuv nplej siab, cov nqaijrog, ua kom sai ntawm kev zom zaub mov. Ua tsaug rau txoj haujlwm ua haujlwm ntawm lub plab zom mov, hnyav, tsam plab, xeev siab, kub siab, hlwv, zoo li ploj.

Hauv kev mob loj ntxiv rau txiav kab mob, cov tshuaj no yuav noj txhua zaus tom qab noj mov, vim tias tus txiav tsis tuaj yeem tsim cov enzymes tsim nyog. Nrog cov duab hauv xov xwm hauv nruab nrab, rau kev tiv thaiv ntawm exacerbations, lawv haus cov tshuaj 1-2 zaug hauv ib hnub. Cov txiaj ntsig kho tshwm sim yuav luag tam sim ntawd, tab sis txhawm rau kom ua tiav kev so kom ruaj khov, kho kom rov ua haujlwm ntawm pancreatic. Yuav tsum kawm tsawg kawg 2 asthiv.

Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tsiav tshuaj, dragees. Cov tshuaj nquag - lipase, amylase, protease. Txhua feem ua nws cov haujlwm, vim li ntawd, cov ntsiav tshuaj zom cov rog, cov protein, hmoov txhuv nplej siab lossis carbohydrates. Ib lub plhaub tshwj xeeb tiv thaiv cov nquag ua haujlwm los ntawm cov kua qaub acid, ib puag ncig ntawm kua txiv.

Tshuaj rau qhov tsis txaus ntseeg zais zis muaj nuj nqi ntawm lub txiav. Tus mob tshwm sim nrog ntau yam kab mob ntawm lub plab zom mov, nrog kev ua txhaum ib txwm nrog kev coj tus kheej, noj cov zaub mov rog, lom, mob plab hnyuv.

Kev qhia dav dav:

Mob txha cajqaum
Inflammatory kab mob ntawm lub plab zom mov,
Cystic fibrosis - kev mob caj dab nrog kev cuam tshuam ntawm cov hlab ntsha,
Ciav tav,
Mob txoj kev mob nrog kev zom tsis zoo,
Sedentary lub neej.

Haus ntsiav tshuaj pib yog tias:

Ua rau lub plab
Kev tawg
Zawv plab lossis quav tawv,
O o
Xeev siab
Flatulence
Kev mob siab

Feem ntau nyob rau hauv daim ntawv ntev lawv coj los tiv thaiv exacerbation tom qab noj hmo hearty, noj mov hearty, thiab siv cov kib, ntsim, qab ntsev, roj tais diav.

Cov Yuav Tsum Tau Ua

Nws yog txwv tsis pub noj nyob rau hauv lub xub ntiag ntawm ib tug neeg intolerance mus rau lub Cheebtsam. Nws yog pom los ntawm kev nce hauv cov tsos mob tsis zoo, ua pob rau ntawm daim tawv nqaij. Nws yog contraindicated rau nqa tawm kev kho mob nyob rau hauv cov mob huam ntawm pancreatitis los yog thaum lub sij hawm exacerbation ntawm mob. Tsis txhob muab tshuaj rau cov menyuam yaus hnub nyoog qis dua 2 xyoos. Siv nrog ceev faj thaum cev xeeb tub, pub mis. Kho yog qhov kev lees paub yog tias qhov txiaj ntsig xav tau ntau dua li qhov xav tias yuav raug. Tsis muaj lwm yam kev txwv hlo li.

Teeb meem

Cov tshuaj zoo zoo tsis ua rau muaj kev phiv yog tias siv raug. Cov xwm txheej tsis zoo tshwm sim nrog kev tswj tsis siv tshuaj, kev haus ib qho dhau. Thawj qhov cim qhia tias yuav tsum tau kho mob yog mob raws plab, ua kom tus tsos mob ntawm tus mob tsis muaj qab hau. Ib qho ntxiv, kev siv tshuaj siv sijhawm ntev tuaj yeem ua rau:

Daim tawv nqaij ua pob,
Nce uric acid nyob rau hauv cov zis,
Txoj kev nqaim hnyuv me,
Txheej txheem
Cov tsos ntawm cov mob rwj, yaig,
Mob plab hnyuv.

Feem ntau, qhov xwm txheej normalizes maj mam tom qab tsis haus yeeb tshuaj, qee zaum yuav tsum tau kho tshwj xeeb, txawm tias yog kev phais mob. Pancreatin ib leeg tsis ua mob rau lub cev. Nws cov khoom noj khoom haus sai sai tawm ntawm lub cev, tsis tas yuav cuam tshuam lub luag haujlwm ntawm cov kab ke, kabmob. Siv cov tshuaj tsis yog yuav ua rau muaj kev phom sij.

Nrog tus tsis kam nrog pancreatic tsis txaus, txhua hnub xav tau rau lipase yog 400,000 units. Qhov xwm txheej tshwm sim tsis tshua muaj, yog li cov tshuaj kho qhov yog raug xaiv ntawm tus kheej. Pib nrog qhov noj tsawg kawg - 1 ntsiav tshuaj rau txhua pluas noj. Ib hnub, ib tus neeg laus raug tso cai kom nqa 18 daim. Tsis tas tham nrog tus kws tshaj lij, tsis pub tshaj 4 ntsiav tshuaj hauv ib hnub. Lub sijhawm kho yog nyob ntawm tus mob hnyav, tus yam tsawg kawg nkaus yog 7 hnub, qhov nruab nrab yog ib hlis.

Cov lus qhia phau ntawv

Cov ntsiav tshuaj yuav tsum haus kom tawg yam tsis muaj ntxo. Nws yog txwv tsis pub faib, tawg. Txwv tsis pub, qhov ua haujlwm poob qis dua. Cov kev ua tau zoo yuav raug cuam tshuam nrog los ntawm kev ua haujlwm nrog acidic. Haus dej kom ntau. Qhov zoo tshaj plaws tsis-carbonated ntxhia dej. Siv nrog khoom noj lossis tam sim ntawd tom qab noj mov. Pancreatin ua ke nrog lwm cov tshuaj rau kev kho mob ntawm kab mob pancreatitis, tshuaj ntsuab tshuaj ntsuab.

Mob ncauj qab zib

Cov kws kho mob tshwj xeeb tshaj tawm cov tshuaj thaum ua haujlwm plab tsis ua haujlwm. Raws li rau contraindications, nws yuav tsum tau borne nyob rau hauv lub siab hais tias lub chaw kuaj mob thaum lub sij hawm exacerbation lub sijhawm. Yog tias pom kev ntuav plab, raws plab muaj qhov tsis haum, koj yuav tsum hu rau tus kws kho mob tshwj xeeb. Hauv qhov no, cov neeg tawm ntawm lub tshuab sib txawv ntawm qhov kev txiav txim tau sau tseg, siv yeeb tshuaj kom txo tau acidity, ntau lwm yam tshuaj. Thawj hnub pom kev tshaib plab tiav, yog li tsis muaj qhov taw tes hauv kev noj Pancreatin.

Yog tias exacerbation zoo dua li kev zam ntawm ib qho kev mob tshwm sim - xeev siab tsis muaj qhov ntuav, tsam plab, flatulence, hnyav nyob rau hauv lub plab, kub siab, hlwv, Pancreatin raug tso cai rau haus, tab sis hauv kev siv tau - ntau dua 4 ntsiav tshuaj ib hnub. Hauv qhov no, lub sijhawm ua haujlwm ntawm kev kho yuav tsis pub dhau ib hlis. Nyob rau hauv parallel, koj yuav tsum ua raws li kev noj haus, kev ua neej zoo.

Lwm tus kws tshaj lij tsis tau qhia txog kev siv pancreatin nyob rau lub sijhawm exacerbation, vim hais tias ua ntej lub cev ua haujlwm ntev ntev ua rau ua rau muaj mob ntawm cov hnoos qeev, mob o, thiab lub cev tsis ua haujlwm. Hauv lub cev noj qab nyob zoo, cov txiav ua cov enzymes hauv ib lub xeev tsis muaj zog. Lawv calmly dhau lub plab, raug qhib hauv plab hnyuv, pib zom cov zaub mov. Hauv cov kab mob pancreatitis, cov enzymes nquag ua haujlwm hauv lub plab, pib zom cov zaub mov hauv lub cev. Li no tus mob o, exacerbation ntawm gastritis, teeb meem kev zom zaub mov.

Mob ntsws pancreatin

Cov ntsiav tshuaj tau siv los tiv thaiv exacerbations thaum raug cov teeb meem tsis zoo - poob siab ntawm lub cev, qaug zog, zaub mov hnyav, haus dej cawv, cuam tshuam, tshuaj tua kab mob. Thiab tseem yuav pib qhia nrog cov kev tshwm sim me ntawm tus kab mob - xeev siab, tsam plab, pom tus neeg mob plab, raws plab. Yog tias txhua yam ua tiav raws li txoj cai, antacids thiab proton twj tso kua mis inhibitors yuav tsum tau coj thaum lub sij hawm exacerbation kom normalize acidity thiab rov qab mucosa. Tom qab ploj ntawm cov tsos mob zoo, pancreatin noj. Tab sis tom qab ntawd lo lus nug tshwm sim, vim li cas thiaj haus nws, feem ntau, yog hais tias lub plab zom mov yog rov qab los.

Qhov zoo tshaj plaws, kev noj tshuaj yog kho rau kab mob pancreatic tsis txaus, thaum nws tsis tuaj yeem tsim cov enzymes tsim nyog. Qhov teeb meem yog hais tias tsis muaj kev kho kom zoo rau tus mob plab hnyuv. Tom qab thawj zaug tshem tawm, rov huam mob ntxiv, tom qab ntawd tus mob yuav mob ntev. Txoj kev kho, uas yog hu ua tsim nyog, xws li, qhov tseeb, tsis yog.

Nrog kev mob pancreatitis, cholecystitis

Kev mob ntawm lub tsib lub plab feem ntau tuaj yeem nrog mob pancreatitis, yog li kev kho yog nqa tawm ntawm tus yam ntxwv ntawm tus kab mob no. Cov tshuaj kho mob tshiab yog 4 ntsiav tshuaj ib hnub rau cov teeb meem plab zom mov uas twb muaj lawm. Ua ntej siv cov tshuaj, koj yuav tsum tau sab laj rau cov kws tshaj lij. Kev kho tus kheej ua rau cov kev mob tshwm sim.

Cov lus qhia tshwj xeeb:

Nrog lub sijhawm ntev kev kho mob, hlau npaj tau muab sau ua ke.
Siv tib lub sijhawm ua ke ntawm antacids txo cov txiaj ntsig ntawm pancreatin. Yog tias nws tsis tuaj yeem hloov qhov txheej txheem no, ib qho sijhawm ntawm kev noj tshuaj yog ua tsawg kawg 2 teev.
Hauv kev kho mob ntawm kev mob caj dab, Domrid, Omez feem ntau tau hais tseg. Koj tuaj yeem coj lawv ua ke nrog Pancreatin. Thawj cov tshuaj yog qaug cawv 20 feeb ua ntej noj mov, muaj enzymes - thaum noj mov.
Tom qab hle lub zais zis, nws raug nquahu kom koj haus Pancreatin txhawm rau txhim kho kev zom zaub mov.

Yuav kom ua tiav cov txiaj ntsig kho tus mob sai dua, koj yuav tsum ua raws li kev noj haus, ua kom muaj kev noj qab nyob zoo. Tej zaum tom qab ntawd koj tsis tas yuav noj cov enzymes hauv kev kawm ntev.

Pancreatin yog tsim los ntawm cov tuam ntxhab sib txawv, thiab qhov tseem ceeb rau nws tus nqi. Koj tuaj yeem yuav cov tshuaj ntawm txhua lub tsev muag tshuaj lossis hauv online. Tus nqi ntawm ntim yog los ntawm 40 rubles. Txog li 120 rub. Cia kom deb ntawm kev tshav ntuj. Txee lub neej 3 xyoos.

Lub tsev muag tshuaj tuaj yeem muab ntau yam ntawm cov qauv tshuaj tiv thaiv nrog cov kev ua haujlwm zoo ib yam los yog kev coj ua zoo sib xws.

Enteric-soluble tablets nrog cov tshuaj nquag ntawm pancreatin. Tau txais thaum lub sijhawm, tom qab, ua ntej noj mov, 2 pcs. Cov koob tshuaj txhua hnub nce mus txog 18 pieces, raug xaiv ib tus zuj zus. Ntawm lub ntsiab contraindications, tuam ntxhab qhia cov neeg tsis kam, mob ua rau mob pancreatitis.

Nws yog tsim nyob rau hauv daim ntawv ntawm tsiav tshuaj nrog txawv tshuaj ntawm lub active tshuaj. Lub plhaub sab qaum tiv thaiv cov enzymes los ntawm kev ua haujlwm acidic. Nws tsis yog nqus los ntawm txoj hnyuv, nyob hauv cov quav. Nws yog raws li pancreatin hydrochloride. Cov lus qhia, contraindications zoo sib xws.

Cov tshuaj yeeb dej caw nquag ntawm tshuaj enzyme yog protease, amylase, lipase. Txhawm rau hauv cov rog, carbohydrates, cov protein, pab cov zom cov zaub mov. Lawv haus thaum noj mov lossis tom qab nws. Cov koob tshuaj yog xaiv tau ib tus zuj zus. Ceev faj yog teev rau cov poj niam cev xeeb tub thiab lactating. Ib qho ncaj qha contraindication yog ib tug neeg intolerance mus rau lub Cheebtsam.

Feem ntau, tag nrho cov analogues muaj qhov zoo sib xws ntawm cov kev txiav txim, lawv muaj tib cov tshuaj nquag.

Lwm cov analogues:

Tus nqi ntawm analogues yog los ntawm 50 rubles. Txog 1000 rub. Lawv tau faib yam tsis tas yuav tshuaj, tab sis cov lus qhia tshwj xeeb yog kev pom zoo.

Nyob zoo cov neeg nyeem, koj lub tswv yim tseem ceeb heev rau peb - yog li ntawd, peb yuav zoo siab los saib xyuas kev puas hlwb hauv pancreatic pancreatitis hauv cov lus, qhov no tseem yuav muaj txiaj ntsig zoo rau lwm tus siv ntawm lub xaib.

Alina:

“Kuv tus tub thiab kuv tau raug pw tsev kho mob rau qhov muaj mob hnyuv. Qhov raws plab tsis tso tseg, thawj hnub ntuav ntuav. Thaum ntawd nws muaj 5 xyoos. Cov tshuaj sib txawv raug muab, tshuaj tua kab mob tau muab tshuaj, Domrid, Colicid, Atoxil, Regidron, Nifuroxazide, Lactiale, Pancreatin tau raug tshuaj. Vim li cas tom kawg tau sau tseg, rau kuv tam sim no yog kev paub tsis meej. Nws yog qhov tseeb tias los txhim kho kev zom zaub mov, tab sis tom qab lom, lub cev nws tus kheej tau rov qab los. "

Svetlana:

“Dhau li ntawm tus kab mob pancreatitis, Kuv kuj muaj mob caj dab. Tus kws tshaj lij tom qab soj ntsuam tau hais tias kom tsis txhob haus Pancreatin, hloov nws nrog Mezim. Nws piav qhia qhov no los ntawm qhov tseeb tias tom kawg lub Cheebtsam muaj kev lim hiam ntau dua, muaj kev phiv tshuaj tsawg dua, tsis txhob ua rau lub plab zom mov, ua rau lawv lub luag haujlwm. Mezim sawv kev nyob siab dua, tshaj tawm rau txhua qhov chaw. Nyob rau tib lub sijhawm, kuv tus phooj ywg uas yog kws kho mob kws kho mob plab, nws tau piav qhia tias hauv Pancreatin, daim nyias nyias yog qhov kev tiv thaiv zoo, yog li nws ua haujlwm zoo dua. Mezim yog tshem tawm, NW nyuam qhuav tau mus rau hauv lub plab, yog li tsis muaj kev siv. Thiab leej twg yuav ntseeg. Ntxiv mus, nws muaj qhov ua xyem xyav puas xav hais tias cov enzymes no ua txhua yam los yog nws tsuas yog qhov ua haujlwm ntawm placebo. Feem ntau, cov kws kho mob muab tshuaj nrog rau lwm cov tshuaj uas ua ntau dua. "