Pancreatic o tshuaj noj

Pancreatitis yog ib qho muaj feem ntau ntawm cov kab mob ntawm tib neeg lub plab zom mov. Lub hauv paus rau qhov tshwm sim ntawm cov cwj pwm ntawm cov yam ntxwv ua kom txawv txav (mob girdle, raws plab, nce hauv qhov kub ntawm lub cev) yog qhov kev ua txhaum ntawm kev ua haujlwm tsis ua haujlwm nrog qhov dhau ntawm nws tus kheej cov enzymes. Feem ntau daim duab no tshwm sim tom qab ib qho nrov nrog nrog kev haus cawv ntau. Txij li thaum qee zaum nws nyuaj rau tsis kam lees koj tus kheej ntawm kev lom zem hauv ntiaj teb, nws tsim nyog paub yuav ua li cas kho qhov mob ntawm lub txiav.

Cov hauv paus ntsiab lus

Ua ntej, koj yuav tsum nkag siab tias tus mob tuaj yeem tshwm sim hauv daim ntawv mob thiab mob ntev, uas txhais tau hais tias kev kho mob yuav txawv. Qhov thib ib yog tus cwj pwm los ntawm kev ua haujlwm siab ntawm cov txheej txheem thiab yuav tsum tau mus pw hauv tsev kho mob sai. Feem ntau, kev tawm tsam ntawm tus mob paj hlwb tuaj yeem ua rau kev phais mob. Lub sij hawm ntev kev puas tsuaj rau txiav yog yooj yim dua nrog lub sij hawm ntawm exacerbation thiab remission, uas tau kho nrog cov tshuaj kho mob.

Qhov thib ob, muaj cov ntsiab lus yooj yim hauv kev kho mob ntawm qhov mob uas zoo ib yam hauv ob qho tib si thiab suav nrog cov ntsiab lus zoo li no:

• Nyem qhov mob
• tshem tawm ntawm dyspeptic cuam tshuam,
• sib ntaus tawm tsam tus txheej txheem inflammatory,
• kev tiv thaiv ntawm cov teeb meem,
• kev rov tsim kho
• txhim kho lub neej zoo.

Nyob ntawm seb tus kab mob no tau nyaij, qhov nyuaj ntawm kev kho tuaj yeem sib txawv.

Txoj kev kho tus mob puas tseeb ua ke

Raws li tau hais los saum toj no, daim duab ntawm kev mob sai sai ntawm tus txiav ua kab mob feem ntau tshwm sim tom qab siv cov khoom noj muaj roj ntau ntau thiab dej cawv. Hauv qhov no, koj yuav tsum hu rau lub tsheb thauj neeg mob thiab pw hauv tsev kho mob tus neeg mob. Rau kev kho kom zoo thaum thawj theem siv:

1. Mob khaub thuas rau ntawm lub plab hauv qhov kev tsom tawm ntawm lub cev. Qhov no pab kom txo cov hlab ntsha thiab txo cov txheej txheem o,
2. Muaj nuj nqi so ntawm lub txiav. Hauv txoj kev yooj yim - koj xav tau tshaib plab tsawg kawg 24-48 teev. Vim tias qhov mob ntshav qab zib tsis txaus ua kom tsis haum plab, tus kab mob hloov zuj zus, yog li ntawd nws yuav tsum tau txwv qee yam kev ua phem ntau li ntau tau hauv thawj theem, hauv qhov no, noj zaub mov,
3. Noj tshuaj antispasmodic. Ua tau zoo thaum muaj kev mob nrawm ntawm kev mob ntawm tus mob hu ua pancreatic yog No-shpa 2 ntsiav tshuaj (0.08 g), Papaverine 2-3 ntsiav tshuaj (0.08-0.12 g) lossis Platifillin 3 daim (15 mg) ib zaug. Thaum tsis muaj kev ua kom loog, kev siv tshuaj ntxiv rau cov tshuaj tsis pom zoo vim qhov ua rau muaj qhov tshwm sim tsis zoo,

Cov kev kho mob tom qab yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob hauv tsev kho mob thiab nqa tawm hauv kev coj ua kom zoo li kev tiv thaiv cov hlab ntaws ntev.

Cov tshuaj noj rau mob ntsig ua leeg txhaws ntswg

Nws yog tam sim ntawd tsim nyog sau cia tias cov chav kawm ntawm kev kho mob rau qhov teeb meem zoo li no yuav tsum yog tus kheej thiab muaj kev xav dav. Tsis muaj kev sib kis sib npaug ntawm tib tus neeg ib yam li tsis muaj tib neeg. Cov txheej txheem los kho txhua tus neeg mob yuav tsum ua tib zoo suav txhua yam thiab cov yam ntxwv ntawm yam muaj sia. Txawm li cas los xij, muaj ntau tus lej ntawm cov tshuaj uas siv yuav luag txhua lub sijhawm.

Thawj kauj ruam yog los daws qhov mob

Txog kev kho qhov mob, thov:

1. Antispasmodics. Qhov saum toj no Tsis muaj-spa, Papaverine thiab lwm tus neeg sawv cev ntawm pab pawg ntawm cov tshuaj no zoo rau kev txo mob tsis muaj zog thiab mob nrab. Tsuas tshuaj: 1 ntsiav tshuaj 3-4 zaug ib hnub ua ntej noj mov,
2. Cov tshuaj nonsteroidal anti-inflammatory. Qhov kev xaiv zoo tshaj plaws hauv kev kho kab mob yuav yog Paracetamol, Analgin lossis Baralgin. Nws yog qhov yooj yim kom nco qab txoj kev thov, vim nws zoo ib yam rau txhua yam tshuaj - 2 ntsiav tshuaj 3 zaug hauv ib hnub tom qab noj mov. Lawv kuj muaj cov cuab yeej los tiv thaiv kev tiv thaiv, uas yog qhov tsim nyog heev yog tias muaj tus mob pancreatitis,
3. Nrog exacerbations ntawm tus txheej txheem ntev nrog mob plab heev, koj tuaj yeem siv Promedol 25-50 mg (1-2 ntsiav tshuaj) nrog qhov siab tshaj plaws txhua hnub 200 mg lossis Tramadol 1 ntsiav tshuaj 50 mg ib zaug txhawm rau txo kev tawm tsam. Cov tshuaj no yuav tsum tau ua nrog ceevfaj heev thiab nco ntsoov qhia tus kws khomob saib xyuas txog lawv kev siv.

Qhov thib ob theem yog normalization.

Cov kauj ruam tom ntej hauv kev kho mob ntawm kev mob ua paug ntawm pancreatic yog qhov ib txwm ua ntawm excretory muaj nuj nqi. Ua li no, siv:

1. Cov tshuaj Enzymatic. Cov tshuaj no tau tsim los pab cov khoom ua kom puas tsuaj kom zoo kom zom cov khoom lag luam uas tuaj sab nraud. Ntawm qhov muaj koob meej ntawm cov kws kho mob plab:
   • Creon 25,000. Muaj nyob rau hauv 300 mg tsiav tshuaj. Koj yuav tsum noj 1 qho thaum ib pluas noj 3 zaug nyob rau ib hnub,
   • Pancreatin 25 000. Hauv daim ntawv ntawm dragees, koj yuav tsum haus 2 lub tshuaj nrog zaub mov peb zaug hauv ib hnub,
   • Pancytrate 10,000 lossis 25,000.Qhov tshuaj rau txhua hnub yog 75,000 units ntawm kev nqis tes ua (UNITS). Nws yog ib qho tsim nyog siv 1 (25 tys. UNITS) lossis 2-3 (10 tys. UNITS) capsules nrog txhua pluas noj.

Cov neeg mob uas tau kho rau tus mob ua kom tsis muaj tus mob ua kom tsis haum tus kab mob pancreatitis yuav tsum tau npaj rau kev siv tshuaj pab pawg ntev li no, txij li thaum lawv txhim kho tsis muaj txiaj ntsig ntawm txoj kev ua kom zoo dua li ntawm qhov ua tsis taus ntxiv.

1. Antenzyme npaj. Lawv tsuas yog siv rau cov lus tshaj tawm zoo nrog kev tso tawm ntau tus nquag enzymes, thiab kev kho mob yog nqa tawm hauv tsev kho mob hauv qab dej poob. Txhawm rau txhawm rau tiv thaiv kev puas tsuaj ntawm cov tshuaj proteolytic, Contrical tau txais kev tso ntshav ntawm 200,000 units thiab Gordox 500,000 units maj mam. Cov koob tshuaj rau txhua hnub yog 400,000 thiab 1,000,000 units, ua ntu zus.

Qhov thib peb theem yog kev tiv thaiv thiab kev tiv thaiv

Txij li thaum tus txiav ua tiav los ntawm lub tso pa tsis haum ntawm nws tus kheej zais cia, nws yog qhov tsim nyog los tiv thaiv lub plab zom mov thiab tiv thaiv kom tsis txhob muaj teeb meem. Rau lub hom phiaj no, siv:

1. Tshuaj Antacids. Cov tshuaj pab pawg no txo ​​cov tshuaj acidity hauv plab thiab tiv thaiv qhov tsis zoo ntawm cov enzymes uas tau txais ntawm no vim muaj 12 lub plab zom mov duodenal. Ntxiv rau, lawv pab tiv thaiv daim nyias nyias ua haujlwm thiab tiv thaiv kev txhim kho peptic rwj. Omeprazole 2 tsiav tshuaj (0.02 g) ib zaug ua ntej noj tshais yuav nrov, Nolpaza 1 ntsiav tshuaj (0.02 g) thaum sawv ntxov thiab yav tsaus ntuj ua ntej noj mov thiab Fosfalugel hauv cov ntsiab lus ntawm 1 sachet 3 zaug ib hnub ua ntej noj mov,
2. H2 blockers. Cov no yog cov tshuaj uas tau siv cov tshuaj analgesic thiab antacid los. Lawv siv tsawg tsawg, vim tias lawv muaj cov lej ntawm kev phiv tshuaj. Nws tsis pom zoo rau kev khij lawv rau cov tub hluas vim tias qhov kev pheej hmoo siab ntawm impotence. Cov sawv cev tshaj plaws yog Ranitidine thiab Famotidine. Koomhaum, ntsig txog, 1 ntsiav tshuaj 2 zaug ib hnub ua ntej noj mov (nyiam dua thaum sawv ntxov thiab yav tsaus ntuj). Los ntawm thaiv cov histamine receptors, tshuaj txo acidity thiab txo qhov mob.

Qee cov cim ntawm kev kho mob ntawm pancreatitis

Tshuaj muaj cov kab mob loj heev rau ntau yam tshuaj, tab sis nws tseem nyuaj kho yam mob pancreatitis. Txhua tus neeg mob uas muaj tus kab mob no yuav tsum to taub tias yog nws tus kheej tsis mob siab tswj hwm nws txoj kev noj qab haus huv, yog li tsis muaj tshuaj yuav pab tau nws. Ntxiv nrog rau kev noj tshuaj, ntau lub sijhawm yuav tsum tau ua raws:

• kev noj zaub mov kom zoo - nws yog qhov tsim nyog yuav tau txwv ntau li ntau tau kib thiab haus zaub mov,
• txiav kev haus cawv thiab haus luam yeeb. Nov yog qhov tshwj xeeb tshaj yog thaum lub sij hawm exacerbation ntawm tus kab mob,
• ua kom tsis txhob muaj kev ntxhov siab. Yog lawm, hauv lub ntiaj teb niaj hnub no yuav luag tsis yooj yim, tab sis nws tsim nyog sim,
• qoj ib ce. Kev tawm dag zog lub teeb ntxiv lub cev ua kom zoo dua qub thiab ua kom lub cev muaj zog ntawm cov txheej txheem ntawm kev faib tawm txhua yam kua.

Kev txiav txim siab rau Pancreatitis yuav tsum tau kho kom nkag siab uas siv txhua txoj kev muaj.

Cov ntsiab cai dav dav ntawm kev kho mob

Hmoov tsis zoo, kab mob pancreatitis yog ib yam kab mob uas tsis tuaj yeem siv tshuaj kho. Yog li ntawd, nrog kev o ntawm cov txiav, cov tshuaj siv tau uas nws qhov kev ua yog tsom rau tshem tawm cov tsos mob thiab txo cov xwm txheej ntawm tus neeg mob.

Raws li txoj cai, nrog exacerbation ntawm mob mob mus ntev lossis kev loj hlob ntawm cov mob hnyav, antispasmodic thiab analgesic siv tshuaj uas pab ua rau mob mob thiab tshem tawm qhov mob ua paug ntawm qhov mob hauv plab. Tsis pub siv tshuaj ntau ntxiv kom txog thaum daws tau qhov teeb meem ntawd. Nyob rau tib lub sijhawm, kev noj zaub mov tshaib plab yog siv, uas ua kom qhov kev tshem tawm ntawm lub nra mus rau ntawm lub cev thiab txo qis ntawm kev tsim cov kua txiv ua kua. Yog tias qhov tshaib plab tsis pab txo kev tsim cov enzymes thiab kev tawm tsam ntxiv, siv cov tshuaj tiv thaiv kab mob enzyme siv.

Thaum cov tsos mob ntawm qhov mob hnyav tau tshem tawm, tus neeg mob tau pub noj "lub teeb" zaub mov, tab sis txhawm kom txo qis cov teeb meem ntawm lub plab zom mov, kev npaj cov enzyme yog cov tshuaj uas yuav tsum tau noj ntev.

Ua raws li qhov mob hnyav ntawm cov txheej txheem ua mob, tus kws kho mob kuj tseem tuaj yeem sau tshuaj rau lwm cov tshuaj, piv txwv li, tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob. Kev kho mob yuav tsum tau nqa tawm hauv tsev kho mob. Thiab tsuas yog tom qab tus neeg mob tus mob yuav ruaj khov, kev kho tuaj yeem nqa tawm tom tsev.

Yuav siv cov tshuaj dab tsi los kho tus mob pancreatitis?

Cov ntsiav tshuaj twg yuav tsum tau noj rau cov neeg muaj mob pancreatitis, tsuas yog tus kws kho mob txiav txim siab. Qhov kev xaiv ntawm kev siv yeeb tshuaj zoo yog nyob ntawm ntau yam:

• ua rau kev ua kom ntawm cov txheej txheem inflammatory,
• qhov loj heev ntawm kev txhim kho kabmob,
• muaj cov kab mob concomitant hauv tus neeg mob (xws li, mob ntshav qab zib mellitus, mob plab zom mov, cholecystitis, thiab lwm yam),
• kev mob ntawm tus neeg mob,
• tus neeg mob tau contraindications rau qee cov tshuaj,
• lub hnub nyoog ntawm tus neeg mob.

Yog vim li cas thiaj nrog mob o ntawm lub taub hau ntawm txiav, ua ntej kev kho mob rau tus neeg mob, ib qho kev tshuaj xyuas kom zoo yog ua tiav, uas suav nrog:

• ultrasound ntawm cov hnyuv,
• mob hnyuv
• kev tshuaj ntsuam biochemical ntawm cov ntshav thiab zis,
• suav tomography (yog tias muaj), thiab lwm yam.

Tshuaj tua kab mob

Nrog rau kev txhim kho ntawm tus mob ua kab xev, tshuaj tua kab mob tsis siv tas li, tsuas yog qhia. Raws li txoj cai, lawv tau siv rau hauv cov xwm txheej uas tus neeg mob tau hloov kho sai sai ntawm tus kab mob thiab kub taub hau, qhia txog kev txhim kho ntawm txoj kev muaj mob nyuab.

Yuav tsum tau siv tshuaj tua kab mob thaum tus neeg mob muaj cov cim ntawm tus keeb kwm yav dhau los ntawm tus kab mob:

• necrosis
• cyst
• rwj
• mob peritonitis
• septic muaj teeb meem.

Nrog rau kev txhim kho ntawm txoj kev mob ua rau muaj kabmob rau cov pojniam thiab tus txiv neej, tshuaj tua kab mob yog kho raws qee tus, nrog rau lawv qhov ntau npaum li cas. Raws li txoj cai, thaum qhov mob no tshwm sim, tshuaj tua kab mob siv, koom nrog pawg ntawm cephalosporins, phthopinolones thiab macrolides.

Nws yuav tsum raug sau tseg tias nrog rau mob hnyav thiab muaj kev pheej hmoo siab ntawm cov teeb meem, tus kws kho mob yuav txiav txim siab siv ntau cov tshuaj tua kab mob koom nrog cov pab pawg sib txawv ntawm cov kws kho mob hauv ib zaug, kom lawv tuaj yeem npog tag nrho cov kab mob pathogenic uas ua rau lub plab zom mov ntxiv.

Enzyme khoom

Cov tshuaj no yog siv los daws lub ntsaws rau ntawm cov ntoo thiav. Nyob rau hauv lawv muaj pes tsawg leeg lawv muaj enzyme tshuaj uas muab cov txheej txheem kev zom mov zoo. Thaum lawv cov ntshav theem nce mus txog qhov yuav tsum tau ua, tus txiav tawm nres synthesizing lawv thiab yog tas li ntawm so, uas yog qhov tseem ceeb heev hauv kev kho mob ntawm tus kab mob no.

Hauv kev txhim kho mob sai ntawm pancreatitis, enzyme kev npaj yuav tsum tau noj tsuas yog thaum thawj ob peb lub hlis tom qab kev zoo los ntawm qhov mob nres. Yog hais tias tus kab mob tau coj tus mob mus ntev, ces cov neeg sawv cev enzyme tau raug muab rau lub neej. Tsis tas li, lawv qhov kev nkag mus tas li yuav tsum muaj nyob rau hauv cov xwm txheej no thaum kev ua haujlwm tau ua rau ntawm lub txiav thaum lub sijhawm ua ntu lossis ua tiav ntawm cov khoom hauv lub cev.

Ntxiv mus, enzyme npaj muab kev txo qis ntawm cov tsos mob uas tuaj nrog cov txheej txheem mob hauv cov txiav ua ke. Cov no yog cov kev pheej hmoo ua rau muaj xeev siab, ntuav, thiab tso quav.

Niaj hnub no, ntawm kev npaj enzyme, qhov ua tau zoo tshaj plaws yog:

Txhua yam tshuaj no tuaj yeem muas tau hauv txhua lub tsev muag tshuaj. Lawv yuav tsum noj thaum lub caij noj mov lossis tom qab noj mov. Ua ntej noj zaub mov, nws tsis yooj yim sua kom haus cov enzyme npaj, txij li lawv pib ua yeeb yam tam sim ntawd tom qab lawv nkag mus rau hauv lub plab. Lawv lub plhaub zoo tiv thaiv ua kom yaj thiab cov enzymatic tshuaj ua rau kev zom cov zom zaub mov. Thiab vim tias lub plab khoob, nws lub hlwb pib zom zaub mov.

Antispasmodics

Hauv ib qho kab mob xws li mob pancreatitis, cov tshuaj antispasmodic yog siv los tshem tawm kev ua pob rau hauv lub pancreatic ducts uas tshwm sim tawm tsam keeb kwm ntawm mob thiab tiv thaiv qhov tsis ntws tawm ntawm cov kua txiv pancreatic rau hauv duodenum 12. Ntawm lawv, kev nyab xeeb tshaj plaws yog No-shpa thiab Papaverin.

Tseem Ceeb! Yog tias ib tus neeg cia li muaj mob sai sai ntawm kev mob txhawm rau txhawm rau txhawm rau, txhawm rau txo nws tus mob ua ntej tuaj txog ntawm pawg neeg kho mob, koj tuaj yeem tso ib qho kev txhaj tshuaj No-shpa. Nws yuav daws spasm, yog li txhim kho patency ntawm cov kua txiv hmab txiv ntoo thiab txo qhov hnyav ntawm qhov mob.

Anticholinergics

Cov tshuaj no tseem yuav ua rau muaj kev ntxhov siab rau txoj hlab ntsws thiab txoj leeg plab. Ntawm lawv, cov feem ntau yog:

Cov tshuaj no muab qhov nruab nrab ntawm hydrochloric acid, neutralizing nws thiab pab txhawb rau cov normalization ntawm acid plab. Thaum nws nce siab, nws dhau los ua qhov tseem ceeb ntawm kev tsim cov zom cov leeg ua ntshav ntawm cov kua txob, thiab qhov no yog ib qho ntxiv rau lub nruab nrog, uas tuaj yeem ua rau muaj kev cuam tshuam ntawm cov txheej txheem ua mob.

Ntxiv nrog rau qhov tseeb tias antacids pab ua kom cov acidity ntawm lub plab, lawv tseem muaj cov nyhuv adsorbing rau pepsin thiab bile acids, yog li tiv thaiv cov qog los ntawm lawv cov kev tsis zoo.

Feem ntau, cov kws kho mob sau ntawv rau cov tshuaj antacid hauv qab no rau lawv cov neeg mob:

H2 histamine receptor blockers

Cov tshuaj no yog siv rau qhov mob hnyav tsis ua haujlwm, thaum ib tus neeg tawm tsam cov keeb kwm yav dhau los ntawm kev hnoos qhuav ntawm lub qhov ncauj qhib ntuav thiab muaj kev hem thawj ntawm lub cev qhuav dej. Hauv qhov no, lawv raug siv los ua cov kab mob antiemetic, muab kev ua haujlwm tsis xwm yeem ntawm lub plab thiab duodenum. Ntawm H2 blockers ntawm histamine receptors, qhov ntau tshaj plaws hauv kev kho mob yog metoclopramide thiab cerucal.

Pob Taum Pleev

Kev hais txog yuav ua li cas kom tshem tawm cov kev mob tshwm sim nrog kev txhim kho ntawm tus mob huam ua kom zoo lossis txhawm rau mob nyhav, peb tsis tuaj yeem hais txog qhov ua tau zoo hauv qhov teeb meem no ntawm cov tshuaj pleev xim nrog kev ua kom loog thiab antispasmodic. Lawv muab kev pab kom yooj yim los ntawm kev zawm thiab txo qhov mob heev.

Ntawm cov tshuaj tua kab siv feem ntau yog:

Yog tias cov tshuaj no tsis tso cai rau ua rau mob me nyuam yaus lossis tus neeg laus, cov tshuaj yeeb tshuaj muaj yees, uas yog Promedol thiab Tramadol. Cov tshuaj no tsuas yog siv hauv tsev kho mob, vim tias lawv tuaj yeem ua rau muaj kev tsis haum xeeb hauv lub cev.

Neeg tsis nyiam

Yog hais tias exacerbation ntawm kev mob caj dab ntev los yog kev loj hlob ntawm cov mob tshwm sim tawm tsam ntawm keeb kwm ntawm kev ntxhov siab heev, ces txoj kev kho tseem ceeb yog ntxiv nrog cov tshuaj sedative. Lawv pab txhawb rau kev tshem tawm ntawm kev tsis txaus siab thiab ib txwm ua ntawm lub hauv nruab nrab cov hlab hlwb. Kev nyab xeeb tshaj yog suav tias yuav noj sedatives ntawm tsob ntoo keeb kwm, cov uas yog valerian extract (hauv cov ntsiav tshuaj) thiab Novopassit.

Kev kho tus mob Pancreatitis yog ib qho nyuaj thiab siv tau ntev. Nws yuav tsum nkag siab tias tus kab mob no muaj ntau yam keeb kwm, yog li ntawd, nws tau kho txawv. Yog li, tsis muaj ib qho yuav tsum yog koj tus kheej-tshuaj thiab ntau dua yog li sau ntawv rau koj tus kheej cov tshuaj. Tsuas yog tus kws kho mob tuaj yeem ua qhov no!