Tshuaj Ntsiav Tshuaj Muaj Yees > Kev khomob thiab kev tiv thaiv

Peb muab koj los nyeem kab lus ntawm cov ncauj lus: "tshuaj rau kev kho mob ntawm lub txiav, xyuas tshuaj" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.

Kev kho mob ntawm tus neeg nqus nrog cov tshuaj: kev tshuaj xyuas cov cuab yeej thiab tshuaj xyuas

Video (nyem mus ua si).

Lub txiav ua ke yog suav tias yog ib qho loj tshaj plaws ntawm tib neeg cov kabmob. Nws yog nyob rau hauv nws tias cov enzymes tsim nyog rau kev ua tiav kev zom, ntxiv rau insulin, yog tsim tawm. Nrog rau kev txhim kho ntawm cov txheej txheem ua mob, nws yog ib qho tsim nyog yuav tsum pib kho cov kab mob nrog txiav nrog tshuaj. Peb yuav tham txog qhov no hnub no.

Peb yuav tham nrog tus kws paub tshwj xeeb

Raws li tau hais txog, tus txiav ua yeeb yam lub luag haujlwm loj hauv kev ua haujlwm ntawm tib neeg lub cev. Yog tias ua tsis tiav hauv kev ua haujlwm ntawm cov khoom no, tus neeg tuaj yeem txhim kho ntau yam pathologies, tshwj xeeb, mob ntshav qab zib mellitus.

Video (nyem mus ua si).

Kev txiav tawm ua cov kua dej hauv lub cev, thiab tseem muaj cov enzymes uas tsim nyog rau kev ua kom cov zaub mov tawg. Raws li kev siv tshuaj kho mob qhia tau hais tias, kab mob pancreatitis yog suav tias yog feem ntau ntawm pancreatic pathology. Tus kab mob no cuam tshuam ncaj qha rau chav kawm ntawm cov txheej txheem hauv lub caj pas.

Pancreatic dysfunction tuaj yeem tshwm sim los ntawm pathologies ntawm lub plab zom mov, cholelithiasis, lossis dyskinesia. Kev kho, raws li txoj cai, yog tshuaj ntshiab si ntawm tus kheej, nyob ntawm qhov ua rau muaj kev loj hlob ntawm tus kab mob.

Tsis txhob sim nrhiav cov khoom lag luam tsim nyog tshuaj koj tus kheej. Kev kho mob ntawm cov txiav ua ntej nrog cov tshuaj yog nqa tawm los ntawm kev saib xyuas nruj ntawm tus kws kho mob tshwj xeeb. Raws li kev coj ua, pom tias mob pancreatitis tau txais kev kho mob hauv tsev kho mob, thiab mob nyhav yuav tau kho hauv tsev.

Yog li, raws li twb tau hais txog, hauv kev kho mob, ib qho kab mob xws li mob quav hlav feem ntau pom. Nws txoj kev kho yog inextricably txuas nrog ua rau ntawm kev loj hlob ntawm pathology. Cov tshuaj noj rau ntawm lub txiav me me hauv kev kho mob ntawm txiav kab mob siab yog tsim los ua cov haujlwm hauv qab no:

tshem tawm qhov mob manifesting mob,

normalize kev ua haujlwm ntawm lub plab zom mov,

replenish txaus enzymes tsim nyog rau kev zom cov zaub mov,

rov qab plab hnyuv microflora,

tshem tawm cov endocrine hom deficiency.

Txog rau hnub tim, hmoov tsis, tsis muaj tus neeg sawv cev thoob ntiaj teb pharmacological, kev txais tos ntawm uas yuav muaj peev xwm ua tiav txhua txoj haujlwm saum toj no. Tias yog vim li cas chav kawm kev kho mob yuav tsum tau kho thiab sib npaug.

Kev kho mob zoo: kawm tus kws kho mob lub hwj tshuaj

Cov tshuaj kho mob uas tau sau tseg rau kev kho mob ntawm tus neeg mob nyas tuaj yeem faib ua ob peb pawg:

npaj rau kev daws qhov mob ntawm kev mob siab rau chav kawm ntawm analgesics thiab antispasmodics,

cov tshuaj kws kho mob uas them rau cov tshuaj enzymes,

tshuaj uas qhov kev txiav txim yog tsom rau kev rov qab qib ntawm lub plab acidity thiab normalizing digestive ua haujlwm,

Ua ntej tshaj plaws, cov kws kho mob tshwj xeeb coj los ntsuas qhov mob tshwm sim. Qhov xaiv ntawm tus neeg sawv cev kws tshuaj nyob ntawm qhov sib ntawm kev loj hlob ntawm tus mob pancreatitis, nrog rau kev siv tshuaj hnyav. Cov tshuaj yuav luag muaj ntau yog:

Yog tias tsis hnov mob qhov tsis hnov mob, tus neeg mob tuaj yeem sau cov tshuaj yeeb, piv txwv li, Tramal lossis Promedol.

Thaum lub sij hawm txhim kho ntawm cov txheej txheem nyob rau hauv lub txiav, nws tsis ua hauj lwm yog nquag tshwm sim, nyob rau hauv kev twb kev txuas nrog uas nws yog ib qhov tsim nyog los noj cov tshuaj pharmacological uas normalize cov concentration ntawm enzymes. Kho cov kws tshwj xeeb tuaj yeem muab tshuaj xws li:

Cov tshuaj no pab tsis tau tsuas yog rov qab ua haujlwm tag nrho ntawm kev txiav thiab txiav zom cov zaub mov kom tag nrho, tab sis kuj tseem tiv thaiv qhov kev txhim kho ntxiv ntawm pathology, suav nrog nws rov tshwm sim. Raws li lawv cov txiaj ntsig thiab cov khoom sib xyaw ua ke, kev lag luam tshuaj nyob hauv pawg no tseem muab faib ua ntau hom, tshwj xeeb:

cov tshuaj noj cov kua tsib, piv txwv li, “Enzyme”, “Ferestal”,

cov khoom lag luam muaj tshuaj tsuas yog cov enzymes, piv txwv li, Pancreatin, Mezim, thiab lwm yam.

Cov npe tshuaj tau ua haujlwm zoo heev nrog tus kab mob, tab sis lawv yuav tsum tsis txhob noj ntev. Kev nqus ntawm cov tshuaj yuav tsum tau nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm tus kws tshaj lij tshwj xeeb, txwv tsis pub nws tuaj yeem ua rau lub cev tsis ua haujlwm ntawm cov txiav thiab kev txhim kho ntawm cov teeb meem tsis yooj yim.

Raws li kev siv tshuaj kho mob qhia tau hais tias, feem ntau ua rau pancreatitis nyob rau hauv ntu mob huam tuaj lossis mob ntev tuaj yeem ua rau pom qhov tshwm ntawm cov tsos mob theem ob. Cov neeg mob muaj qhov kev ua txhaum ntawm cov ntsiab lus ntawm cov kua qaub hauv lub plab, dysbiosis, lub plab tsis zoo, thiab lwm yam.

Tus kws kho mob tsaj lij xav tau muab rau thiab sau daim ntawv yuav tshuaj ntawm pawg antacid. Kev npaj tshuaj rau hauv qab no tuaj yeem raug ntaus nqi rau chav kawm no:

Duspatalin, thiab lwm yam.

Peb xaiv cov tshuaj kom tshem tawm cov tsos mob tshwm sim

Raws li tau hais dhau los, cov txheej txheem mob uas tshwm sim hauv cov neeg ua haujlwm tuaj yeem ua rau mob tsis txaus ntseeg muaj qhov tsis zoo xws li khaus thiab ua txhaum txoj hnyuv, tshwj xeeb, raws plab. Hauv cov rooj plaub no, cov kws kho mob tshwj xeeb xaiv cov tshuaj los kho daim siab thiab tus txiav ua ke. Qhov kev txiav txim ntawm cov tshuaj pharmacological yuav tsum tau tsom rau kev ua haujlwm ntawm lub zais plab tso pa tawm thiab kho cov qog hlwb.

Raws li txoj cai, nrog kev txhim kho ntawm tus mob ua paug tom qab ntuav, tus neeg tsis hnov mob, thiab xeev siab nrog nws tas li. Qhov no yog vim qhov ua zaub mov tsis zoo. Sijhawm dhau sijhawm, cov kua tsib yuav raug tso tawm nrog ntuav. Hauv qhov no, ib tus neeg tau sau tshuaj kho mob uas ua kom nrawm nrawm ntawm bile thiab muffle qhov kev yaum kom ntuav. Cov no suav nrog "Metucal", "Cerucal", "Metoclopramide hydrochloride".

Feem ntau qhov kev txhim kho ntawm cov nqaij hlav hauv cov txiav ua ke nrog cov quav xoob xoob. Tus mob no tsis tuaj yeem tsis quav ntsej, vim tias ib tug ua txhaum ntawm txoj kev tso quav ib qho tuaj yeem ua rau lub cev qhuav dej lossis ua rau qaug dej siab. Hauv qhov xwm txheej no, tus kws kho mob profile tuaj yeem hais txog kev siv cov tshuaj uas ua kom qhov quav tso quav, tshwj xeeb, Polysorb, Regidron, thiab lwm yam.

Peb mloog lub tswvyim ntawm cov neeg muaj mob “paub txog”

Tus txiv neej niaj hnub nyob rau hauv ntau txoj kev pib pib vam khom cov ntaub ntawv uas nws kos rau ntawm lub ntiaj teb network. Yog lawm, koj tuaj yeem paub koj tus kheej zoo li cov yam ntxwv tshwm sim thiab qhov tseem ceeb ntawm kev kho tus mob hlaws nrog tshuaj nyob rau ntawm cov chaw tshwj xeeb. Koj tuaj yeem nyeem cov kev txheeb xyuas ntawm cov neeg mob uas tau kov yeej pancreatitis lossis lwm tus kab mob pathologies. Txawm li cas los xij, cov ntaub ntawv tau txais yuav tsis txaus los kho tus mob.

Nco ntsoov tias kev ua tsis zoo ntawm tus txiav yuav ua vim los ntawm ntau yam, thiab yog li ntawd txoj kev kho mob yuav qhia meej.

Hauv koj lub txee rau tshuaj tom tsev, koj tuaj yeem khaws cov tshuaj pharmacological uas muaj cov enzymes, ntxiv rau cov tshuaj uas muaj cov tshuaj ua kom tsis mob. Txawm li cas los xij, lawv qhov kev tswj hwm tsis tau tswj hwm tuaj yeem ua rau muaj kev rau txim rau cov nyom.

Raws li tus lej tshuaj xyuas, ntau tus neeg siv Papaverine lossis Baralgin rau kev kho kom tsis txhob muaj mob thaum muaj kev txhim kho ntawm pancreatitis. Hais txog cov tshuaj uas pab ua kom rov qab ua haujlwm hauv pancreatic, tib neeg hais tias yam tshuaj zoo tshaj plaws yog Pancretinol. Nws muaj tsuas yog cov khoom ntuj tsim ntawm tsob ntoo keeb kwm, yog li nws tsis muaj kev puas tsuaj rau tib neeg lub cev.

Cia peb lub ntsiab lus saum toj saud. Kev ua haujlwm tsis zoo ntawm tus txiav yog ib txwm nrog mob thiab ntxiv, thiab qee zaum muaj kev phom sij txog lub neej. Hauv qhov no, kev kho mob yuav tsum tau nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm tus kws kho mob. Noj qab nyob zoo!

Cov ntsiav tshuaj Pancreatic tuaj yeem siv tau yuav luag txhua lub tsev muag tshuaj. Tab sis yuav ua li cas xaiv qhov raug thiab txiav txim siab txoj cai tshuaj rau koj tus kheej? Cov lus teb rau cov lus nug no thiab lwm cov lus nug ntsig txog kev kho mob ntawm tus txiav thiab kab mob siab tuaj yeem nrhiav tau hauv qhov kev tshuaj xyuas no.

Qhov txiav ua rau kev ntxhov siab, noj zaub mov tsis zoo, haus dej cawv (tshwj xeeb yog cov dej haus tsis muaj zog), kev ua kom qaug zog. Nws tau dhau los ua mob, thaum lub sijhawm ntau zuj zus. Muab tso ze rau tib neeg lub cev ntawm lub txiav thiab mob siab, kev ua txhaum cuam tshuam rau kev ua haujlwm ntawm ob lub nruab nrog cev. Kev ua haujlwm ntawm lub ntsej muag ua haujlwm nyob rau ntawm daim siab, cuam tshuam rau cov txheej txheem kev zom zaub mov, suav nrog kev tso pa tawm.

Qhov loj me uas cov hlau hnoos yuav siv nws lub peev xwm los tsim cov enzymes uas tsim nyog rau kev ua cov khoom noj uas tau noj lawm thiab nws ntxiv mus rau hauv qhov kev zom zaub mov.

Raws li qhov no, nws yog qhov pom tseeb tias qhov tseem ceeb ntawm tus txiav yog nyob rau hauv tib neeg lub cev. Yog li, nws yuav tsum tau kho yam tsis ncua, thiab tsis cia siab tias tus mob yuav kis nws tus kheej. Ntawm qhov tsis tooj, tus kab mob no muaj peev xwm ua daim ntawv mob ntev, tuag taus rau tus neeg mob.

Ua ntej qhia yuav ua li cas rov qab kho tus txiav, peb xav txog cov tsos mob ntawm tus kab mob. Cov tsos mob hauv qab no yog qhov qhia tias nws yog lub sijhawm noj tshuaj:

tsis qab los noj mov
ntuav
zawv plab
feem ntau tsis muaj zog.

Qhov tseem ceeb kos npe tias kev mob siab rau yuav tsum tau pab hauv daim ntawv ntawm cov tshuaj yuav yog kev tawm tsam ntawm qhov mob ntawm sab laug hypochondrium. Lawv tau txhim kho los ntawm kev noj cov zaub mov rog, cov zaub mov kib, cov zaub mov ntsim, thiab haus cawv.

Qhov txiav ua rau dej cawv yog rhiab nrog cawv

Qhov mob yuav dov rau qaug dab peg los yog tas li (qhov mob hu ua dull duav). Nws yog nyob ntawm seb cov khoom noj uas ib tug neeg tau noj, thiab nws cov zaub mov ua kom tsis zoo ntau ntxiv vim qhov no.

Cov kws tshaj lij sau tseg tias nrog kev mob caj dab ntev, qhov mob tshwm sim los ntawm qhov mob ntawm cov nqaij mos tas li. Nws qhov tshwm sim yog tshwm sim los ntawm yuav luag txhua yam zaub mov, ntuav thiab raws plab pib ob peb teev tom qab noj mov.

Tus kab mob Gland yuav tsum tau kho tam sim ntawd, tiv thaiv tus kab mob ntawm kev txhim kho thiab kis mus rau theem ntev. Ua li no, tshem tawm qhov mob los ntawm kev noj tshuaj pab txoj kev. Peb yuav xav hauv qab no yam tshuaj twg yuav pab tswj hwm tus kab mob.

Cov tshuaj dab tsi raug pom zoo rau kev kho mob ntawm tus txiav

Nrog rau cov tsos mob saum toj no, ib tus neeg yuav tsum tam sim ntawd sab laj tus kws kho mob kom pab tswv yim. Tab sis muaj qee yam xwm txheej thaum tus kws kho mob tsis nyob ze, thiab cov tshuaj yuav tsum tau siv sai li sai tau. Txhawm rau ua qhov no, koj tuaj yeem hu rau lub tsev muag tshuaj ze tshaj plaws, qhov twg muag yuav luag txhua cov tshuaj tsim nyog.

Cov nyhuv tshuaj hauv kev kho kab mob ntawm cov txiav thiab mob siab yog faib ua 2 ntu:

relieving mob spasm
rov qab kho kom rov qab ua haujlwm ntawm lub cev.

Yog tias mob hnyav tshwm sim, qhia qhov pib ntawm kev tawm tsam ntawm tus kab mob, koj tuaj yeem nqa tshuaj antispasmodic, piv txwv li, tshuaj Drotaverin, Tsis-Shpa thiab Tsis muaj Shpa ForteCov. Lawv yuav so rau cov leeg nqaij thiab txo qhov kev tshem tawm sai sai.

Muab tau tso cai muaj raws li hauv qab no:

Drotaverin lossis Tsis-Shpa - 2 ntsiav tshuaj,
Tsis-Shpa Forte - 1 ntsiav tshuaj.

Tsis tas li, qee qhov kev ua kom loog, piv txwv, pab nyob rau hauv kev kho mob ntawm qhov mob hnyav ntawm tus mob ua ke nrog. Paracetamol lossis Tshuaj aspirinCov. Nws yuav txo qhov mob thiab muab txoj hauv kev rau koj ib txwm mus rau tom tsev kho mob lossis hauv tsev kho mob.

Hauv qhov no, siv yeeb siv tshuaj xws li Tylenol thiab sulfonamidesuas lom lub siab nrog co toxins. Cov tom kawg twb muaj qhov muag nruj, yog li koj yuav tsum tsis txhob thau nws ntxiv.

Ntxiv rau cov tshuaj no, cov tshuaj tua kab mob tau sau los ntawm tus kws kho mob uas tuaj koom raws li kev soj ntsuam thiab kev soj ntsuam ntawm kev sim. Lawv raug xaiv ib tus zuj zus rau txhua tus neeg, suav txog kev ua siab ntev ib leeg thiab muaj kev tsis haum.

Antibiotics xws li Ceftriaxone, xav tau los txhawm rau thaiv cov txheej txheem pib ntawm cov nqaij mob thiab nws txoj kev hloov mus rau theem ntawm kev rhuav tshem. Nws pib vim yog qhov txawv txav ntawm cov enzymes uas ua los ntawm cov txiav. Cov theem tom ntej yuav yog kev tuag (necrosis) ntawm cov ntaub so ntswg thiab kis kab mob ntawm lub cev los ntawm cov khoom lwj (sepsis).

Tab sis tshuaj tua kab mob, zoo li lwm txoj kev, yog kws kho mob sau tseg los ntawm tus kws kho mob, nws tsis pom zoo kom xaiv thiab coj lawv tus kheej.

Yuav ua li cas pab tau tus txiav tau? Tau tshem tawm qhov kev tawm tsam mob thiab soj ntsuam kev txwv kev noj zaub mov, tus neeg mob pib siv tshuaj uas pab txhawb kev tsim cov enzymes tshwj xeeb. Lawv xav tau los txhawb kev ua haujlwm ntawm kev zom zaub mov thiab assimilation ntawm nws cov khoom siv los ntawm lub cev.

Pancreatic kev kho kom rov qab tuaj yeem pib nrog FestalaCov. Cov tshuaj no muaj nyob rau yuav luag txhua txhua lub tsev muag tshuaj. Cov tshuaj muaj pes tsawg leeg suav nrog cov khoom sib xyaw uas pab txhawb kev zom ntawm cov zaub mov thiab daws cov load los ntawm caj pas thiab lwm yam hauv nruab nrog cev ua haujlwm hauv cov txheej txheem. Qhov ntau thiab tsawg ntawm cov tshuaj feem ntau yog muaj nyob hauv cov lus qhia nrog nrog.

Ib cov tshuaj ntau yog PancreatinCov. Cov tshuaj no yog ib qho enzyme, nws muaj cov txheej txheem uas pab cov plab hnyuv siab raum nqus cov protein, carbohydrates thiab cov rog tso tawm thaum kev zom zaub mov.

Tus naj npawb ntawm cov ntsiav tshuaj noj feem ntau nrog zaub mov noj yog nyob ntawm qhov mob hnyav ntawm cov kabmob thiab lub sijhawm ntawm cov kabmob. Lub chav kawm ntawm noj cov tshuaj kuj nyob ntawm no. Cov ntsiav tshuaj tau qaug cawv los ntawm 1 lub lis piam mus rau 1 hlis. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev noj Pancreatin yog txoj kev sib koom tes zoo tshaj plaws nrog koj tus kws kho mob.

Cov tshuaj muaj cov nyhuv zoo sib xws. Mezim thiab Creon, uas tseem pab txhawb kom nqus cov khoom noj thiab txo cov kev ntxhov siab los ntawm cov txiav. Lawv qhov ntau npaum no tuaj yeem pom nyob hauv cov lus qhia txuas nrog.

Tag nrho cov tshuaj nyob rau saum toj saud pab lub cev zom mov nws tus kheej. Thiab zoo li ib yam tshuaj twg, lawv tuaj yeem tsim kev mob tshwm sim. Lawv lub zog thiab lub sijhawm nyob ntawm seb tus kheej kam rau ua ntawm cov khoom siv ua cov tshuaj.

Cov kws tshaj lij pom tias cov nyiaj no muaj lub zog zoo rau lub cev, yog li koj yuav tsum tsis txhob ua phem rau lawv. Hauv kev kho kab mob ntawm pancreatic, nws yuav tsis muaj peev xwm tshem tawm tus kab mob sai sai nrog kev poob siab ntawm cov ntsiav tshuaj. Qhov no tuaj yeem cuam tshuam koj tus kheej nkaus xwb.

Yog li, nws raug nquahu kom koj mus ntsib kws kho mob thaum pom thawj tus mob thiab tau txais lus qhia los ntawm nws, suav nrog kev noj tshuaj.

Sib tham txog yuav ua li cas rov qab kho tus txiav nrog kev pab ntawm tshuaj, ob peb lo lus yuav tsum tau hais txog yuav ua li cas txhim kho cov nyhuv ntawm cov tshuaj.

Hauv kev mob hnyav, nws zoo dua rau qhov tsis kam noj zaub mov rau ib hnub

Hauv kev tawm tsam sai, nws yog qhov zoo uas tsis kam lees ib qho khoom noj rau ib hnub thiab haus tsuas yog tsis muaj dej-carbonated. Qhov no pab daws qhov o ntawm lub caj pas. Hauv 3-5 hnub tom ntej no, koj yuav tsum tau noj cov zaub mov uas yooj yim, zom tau yooj yim, piv txwv li oatmeal. Nws txoj kev zom zom tawm ntawm cov keeb kwm yav dhau los ntawm cov ntsiav tshuaj noj yuav dhau mus yooj yim, tsis muaj teeb meem nrog cov enzymes.

Txhawm rau tshem tawm qhov kev tawm tsam thiab txiav txim siab rau kev siv tshuaj nrog kev pab ntawm kws kho mob, koj yuav tsum txuas ntxiv cov khoom noj. Lub sijhawm no, haus dej cawv, cov rog rog thiab ntsim, zaub mov kib, durum nplej nplej zom, thiab cov ncuav tshiab yog txwv tsis pub ua. Feem ntau, txhua yam khoom uas yuav tsum muaj kev siv zog los ntawm tus neeg mob lub cev kom zom thiab kwv yees.

Cov zaub mov yuav tsum suav nrog cov zaub zaub lub teeb, cereals, me ntsis nqaij ntswj. Muaj qee kis, koj tuaj yeem siv mis muaj roj tsawg los ntawm kev txiav txim me me. Tsuas yog tuaj yeem noj tau nag hmo xwb, tshem tawm cov ncuav qab zib thiab khoom qab zib.

Ua ke nrog kev noj tshuaj, cov kws kho mob sau ntawv kom muaj kev thaj yeeb rau cov neeg mob. Qhov nyuaj ntawm cov kev ntsuas no yuav pab tsim kev tsim cov enzymes thiab normalizes kev ua ntawm lub txiav. Yog pib mob, koj yuav tsum tau mus tom tsev kho mob los kho tag nrho thiab rov qab los.

Koj yuav tsum paub tias thaum noj cov ntsiav tshuaj koj yuav tsum tsis txhob nce qhov ntau dua, ua txhaum cov kev pom zoo ntawm cov lus qhia. Thiab thawj thawj zaug, tus neeg mob yuav tsum mus rau lub tsev kho mob kom tau txais kev pab tswv yim los ntawm tus kws tshaj lij. Tus kws kho mob yuav muab tshuaj rau thiab xaiv cov tshuaj zoo tshaj, uas yuav pab ua kom rov zoo sai.

Kev kho ntawm tus txiav yog qhov mob hnyav thiab ntev uas yuav tsum tau siv cov tshuaj tshwj xeeb uas pab daws qhov mob, pab txo qhov mob thiab lwm cov tsos mob ntawm tus kab mob. Tam sim no peb yuav xav txog cov npe tshuaj uas feem ntau siv hauv cov xwm txheej zoo li no. Txawm li cas los xij, nws yuav tsum nco ntsoov tias txhua yam tshuaj rau kev kho mob ntawm lub txiav me me tuaj yeem noj tsuas yog raws li kws kho mob hais. Kev noj tshuaj rau tus kheej tuaj yeem ua rau qhov tshwm sim tsis tau tshwm sim.

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

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

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

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

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

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

Npaj rau kev kho mob ntawm tus kab mob pancreatic pathologies

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

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

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

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

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

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

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

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

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

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

Nrog rau kev txhim kho ntawm cov txheej txheem tshuaj tiv thaiv kab mob hauv lub cev ua pa kab ntsig, cov neeg mob feem ntau hnov xeev siab, uas feem ntau provokes qhib ntawm biliary ntuav. Thiab vim tias nws tsis tuaj yeem tswj hwm lub plab thaum mob nrawm, cov kws kho mob pom zoo kom noj cov tshuaj tshwj xeeb uas pab tshem tawm xeev siab thiab ntuav. Hauv qhov no, cov tshuaj hauv qab no feem ntau siv:

Cov tshuaj no tseem tuaj yeem tsis tuaj yeem tsim nyog rau cov tshuaj uas txhim kho cov txiav ua ke. Tab sis lawv tseem muaj peev xwm tshem tawm cov kev mob tshwm sim ntawm kev ua kab mob ntxiv rau pancreatitis - raws plab. Yog tias nws tsis nres sai sai, nws tuaj yeem ua rau lub cev qhuav dej thiab muaj teeb meem kev noj qab haus huv loj.

Yog li, thaum muaj mob raws plab, cov kws kho mob tau sau ntawv rau cov tshuaj no rau lawv cov neeg mob:

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

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

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

Nrog exacerbation ntawm pancreatitis, antispasmodics yog siv feem ntau, vim tias lawv pab txhawm rau txhawm rau txhawm rau qog ua kua thiab txhim kho cov kua tso kua txiv pancreatic. Rau lub hom phiaj no, siv cov tshuaj hauv qab no:

NSAIDs muaj ntau cov yeeb yam ib zaug - lawv lub cev kub kom zoo li qub, tso tseg kev mob, thiab kho mob. Tsis zoo li cov tshuaj glucocorticoid uas muaj tib qho kev cuam tshuam, cov tshuaj uas tsis yog tshuaj steroidal txo qhov kev pheej hmoo ntawm kev qaug tshuaj los ntawm ntau zaus, vim li no, cov kws kho mob muab qhov kev nyiam rau cov tshuaj no. Ntawm lawv, cov ua tau zoo tshaj plaws yog:

Cov tshuaj hormones rau kev kho mob ntawm tus txiav yog siv tsuas yog tias endocrine kev ua haujlwm ntawm lub caj pas ua rau muaj kev cuam tshuam ntawm cov txheej txheem mob, tawm tsam uas muaj qhov tsis txaus ntawm cov tshuaj insulin (cov tshuaj hormones lub luag haujlwm rau qhov rhuav tshem thiab nqus tau cov kua nplaum). Hauv qhov no, tus neeg mob tau nce ntshav cov ntshav qab zib kom siab, uas yog qhov txaus ntshai rau nws txoj kev noj qab haus huv.

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

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

Kev kho mob ntawm txiav quav yeeb nrog tshuaj: txhais tau tias zoo tshaj plaws

Digestive system kab mob yog thoob plaws niaj hnub no. Ntau ntawm lawv tsis pom ntawm tib neeg, thiab yog li ntawd nyob twj ywm yam tsis muaj kev kho mob. Nws tsis tsim nyog tsis saib xyuas cov kab mob pancreatic. Txhawm rau kom tsis txhob coj qhov teeb meem no mus rau qhov tseem ceeb, thaum koj yuav tsum hu rau lub tsheb tos neeg mob thiab mus rau hauv tsev kho mob, nws yog ib qho tseem ceeb kom mus txog kev kuaj mob raws sijhawm. Qhov tseeb tiag, ntau lub pathologies nyob rau theem thaum ntxov yog ua tiav zoo los ntawm cov tshuaj.

Ib qho tseem ceeb tshaj plaws cov plab hnyuv siab koom nrog txoj kev zom zaub mov yog tus txiav. Nws ua cov enzymes tshwj xeeb rau kev rhuav tshem cov carbohydrates, cov rog thiab cov protein, insulin, rau kev tawm ntawm cov piam thaj, thiab koom nrog lipid thiab protein metabolism. Cov tsos mob ntawm tus mob pancreatic tuaj yeem tshwm sim los ntawm cov kab mob sib txawv ntawm lub cev. Feem ntau lub cev no muaj mob los ntawm kev muaj mob thiab cuam tshuam, cov no suav nrog:

Cov tuam txhab kws kho mob muaj ntau yam tshuaj uas siv rau kev kho mob ntawm tus txiav. Cov tshuaj tuaj yeem tuaj yeem ua daim ntawv ntawm cov ntsiav tshuaj, tshuaj ntsiav, txhaj tshuaj, hmoov rau kev npaj daws. Tag nrho lawv tau muab faib ua pawg, nyob ntawm seb cov mechanism ntawm kev ua:

Kev xaiv ntawm txoj kev kho zoo tshaj plaws ib txwm nyob nrog tus kws kho mob. Nws ua rau kev txiav txim siab raws li daim duab ntawm txhua tus kabmob. Kev kho mob ntawm kev kho mob ntawm lub txiav yog nqa tawm tsuas yog tom qab dhau kev sim thiab ua kom muaj tseeb kev kuaj mob. Hauv cov kab mob pancreatitis, antispasmodics, cov tshuaj fermented, antacids yog cov muaj tshuaj. Cov mob uas zoo xws li mob qog noj ntshav, mob ua paug, mob txhaws ntswg, tsuas yog kho nyob hauv tsev kho mob xwb. Qhov ua tiav ntawm txoj kev kho yog nyob ntawm tus neeg mob ntau. Nws yuav tsum ua raws li cov lus pom zoo thiab kho nws txoj kev ua neej.

Kev tso pa tawm ntau dhau ntawm lub plab zom mov tuaj yeem ua rau lub plab zom mov, ua rau muaj mob plab, ua paug rau txoj hlab pas, mob plab. Antisecretory tshuaj inhibit zus tau tej cov hydrochloric acid los ntawm parietal hlwb ntawm lub plab. Nyob ntawm qhov muaj pes tsawg leeg, nrawm nrawm, qhov tshwm sim ntawm cov tshuaj, cov tshuaj ntawm pab pawg no tau muab faib ua ntau tiam:

thawj tiam - Losek, Omez, Gastrozole, Cimetidine, Omeprazole,
thib ob tiam - Nizatidine, Ranitidine,
lub cim thib peb - Famotidine, Esomeprazole, Pantoprazole.

Esomeprazole tau suav hais tias yog cov prodrug kawg thiab feem ntau siv rau hauv kev kho mob ntawm tus kab mob pancreatitis. Ib yam li lwm cov tshuaj tua kab mob, nws cuam tshuam rau cov khoom siv ua kua hydrochloric acid. Kev kho mob nyhuv yog tshwm sim ib teev tom qab qhov ncauj tswj hwm ntawm 20-40 mg ntawm cov tshuaj thiab kav ntev txog 24 teev. Cov tshuaj tsis muaj contraindications, tshwj tsis yog muaj kev txwv rau lub hnub nyoog txog 12 xyoos. Thaum noj cov tshuaj, cov kev mob tshwm sim tsis tseem ceeb, tsis tshua muaj tshwm sim:

raws plab lossis quav tawv
txo qis hauv hemoglobin qib,
mob taub hau
kev siv roj ntxiv hauv cov hnyuv,
xeev siab
khaus, tawm pob, urticaria thiab lwm yam kev tsis haum tshuaj.

Antispasmodics tsis pab rau kev kho tus mob lwm tus kabmob, tabsis tseem txhim kho tus neeg mob kom nyob zoo. Cov tshuaj kho mob ua kom mob sai sai ntawm cov leeg muag, sphincter ntawm Oddi thiab kua tsib duct, tshem tawm qhov mob. Cov tshuaj antispasmodics uas nrov tshaj plaws yog No-shpa thiab Papaverine. Yog tias qhov mob hnyav heev, siv cov tshuaj sib xyaw, xws li:

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

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

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

Kab mob pancreatitis yog dab tsi?

Pancreatitis yog ib qho mob los yog mob ua ntu zus thiab cov txheej txheem ua rau lub cev ua mob rau cov leeg nqaij (pancreatic), ua rau pom qhov tshwm sim ntawm txoj kev kho autolysis (kev zom plab zom mov) thiab kev txhim kho ntawm cov txheej txheem dystrophic.

Pancreatitis yuav tsum tau muab faib ua cov txheej txheem uas muaj mob heev (uas tau tshwm sim rau thawj zaug, thaum tsis muaj keeb kwm yav dhau los zoo li qhov tshwm sim) thiab mob ntev (tam sim no mus ntev thoob plaws lub neej). Mob caj dab kuj yog ib qho tseem ceeb kom paub qhov txawv ntawm qhov mob hnyav ntxiv ntawm qhov mob nyhav, vim tias txoj hauv kev los kho tus mob no tsis zoo li qub. Hauv qhov no, cov theem ntawm tus kabmob raug txawv: exacerbation, kev tshem tawm thiab rov ua dua ntawm exacerbation, lossis kev kho mob tsis ruaj khov.

Tsis tas li ntawd, nyob ntawm qhov laj thawj, thawj cov ntawv (feem ntau ntawm cov cawv keeb kwm) thiab theem nrab (cuam tshuam hauv kev ua haujlwm ntawm hepatobiliary system) tau txawv.

Yuav kho cov kab mob pancreatic: kev siv tshuaj ntawm cov pab pawg sib txawv

Pancreatitis yog ib yam kab mob polysymptomatic, thiab nws yog tus cwj pwm tsis zoo los ntawm kev ua haujlwm tsis tsuas yog ua rau lub txiav, tab sis kuj yog lwm yam kabmob thiab cov kab ke. Tshwj xeeb, nrog mob txhaws, ua haujlwm cuam tshuam tshwm sim hauv kev ua haujlwm ntawm lub siab thiab lub zais zis, lub plab, cov hlab plawv, kev ua haujlwm ntawm lub plab thiab txoj hnyuv cuam tshuam, thiab muaj kev cuam tshuam ntawm cov pa thiab txoj hlab zis feem ntau tshwm sim. Tias yog vim li cas thaum lub sijhawm no, cov zej zog kev phais mob ntawm cov teb chaws tsim tau pom zoo rau kev kho mob los ntawm kev kho mob ntawm cov kab mob ntawm cov txiav. Qhov no txhais tau hais tias ib lossis ob yam tshuaj tsis tuaj yeem sau tshuaj; etiotropic, pathogenetic thiab tsos mob kev kho mob yog qhov yuav tsum tau ua.

Pharmacological pawg ntawm cov tshuaj uas kho pancreatitis:

Detoxification tshuaj siv tsis tau.
Analgesics thiab qee qhov tsis-tshuaj steroidal anti-inflammatory tshuaj tiv thaiv (tsuas yog nyob rau hauv ntev ua tsis mob txoj kev ua mob ntawm pancreatitis.
Myotropic antispasmodics.
Cov khoom siv ntawm somatostatin thiab somatostatin ncaj qha.
Cov tshuaj enzyme.
Tshuaj tua kab mob kho.
Cov tshuaj Antisecretory.
Carminative siv yeeb siv tshuaj.
Cov Tshuaj Phom Fibrinolysis
Cholagogue thiab npaj ntawm bile.
Kev npaj cov vitamins A, B, D, E thiab K.

Raws li tuaj yeem pom los ntawm cov lus tau hais dhau los, ib qho kev sib koom ua ke yog kev siv ntawm ib lossis ob qhov tshuaj los ntawm ntau pawg kws kho mob, uas muaj kev cuam tshuam zoo rau kev kho mob ntawm pancreatitis thiab pab tiv thaiv kom tsis txhob muaj kev cuam tshuam.

Cov tshuaj noj rau pancreatitis: detoxification tshuaj

Vim tias qhov tseeb ntawm nrog pancreatitis muaj qhov kev ua txhaum ntawm lub cev homeostasis thiab muaj kev qhia tawm cov tsos mob ua rau muaj mob, nws raug nquahu kom siv cov detoxifiers. Ntawm lawv, cov tshuaj xws li Dextran 40 thiab cov teeb meem crystalloid tuaj yeem pom. Raws li txoj cai, dextran thiab colloidal daws tau siv ib txhij, thiab crystalloid tshem tawm yog qhia nyob rau hauv cov ntaub ntawv ntawm normalization ntawm dej-electrolyte tsis.

Dextran 40 - yog hais txog kev npaj ntshav ntshav thiab siv los ua lub detoxifier. Los ntawm kev lim nws hauv lub glomeruli, nws txhawb nqa kom ua kom diuresis thiab nrawm nrawm tshem tawm cov khoom ua kom muaj mob plab zom mov tawm hauv lub cev.

Cov ntau npaum li cas ntawm cov tshuaj tau teeb tsa los ntawm tus kws kho mob mus koom, yog li qhov tsim nyog cov naj npawb ntawm infusion infusions thiab lawv lub ntim nyob ntawm cov ntsuas xws li ntshav siab, qhov muaj kub cev, tachycardia, ntsuas ntawm qhov dav dav thiab biochemical kuaj ntshav. Hauv qhov muab tshuaj txheem - txog 1000 ml ntawm dextran rau 1-1.5 teev.

Crystalloid cov kev daws teeb meem yog lwm qhov tshuaj detoxification rau mob vwm, thiab ntxiv rau cov mob exacerbation. Ntawm lawv, cov tshuaj feem ntau siv isotonic thiab 5% kev daws dextrose.

Lawv qhov ntim thiab tus naj npawb ntawm infusions txiav txim siab kuj tau txiav txim siab los ntawm tus kws phais mob lossis rov kho dua. Lawv muab cov dej txau rau hauv av los yog dav hlau.

Tsis tas li, ntawm cov tshuaj detoxification rau pancreatitis, ib qho tuaj yeem paub qhov txawv ntawm "Hemodez", "Neocompensan", "Polydez", "Reoglyuman". Tag nrho cov ntawm lawv muaj lub zog ntawm khi rau co toxins, neutralizing cov khoom lom no thiab pab txhawb lawv kom nrawm tshem tawm ntawm lub cev. Ntawm lawv, Hemodez yog siv rau qhov tsawg dua vim muaj ntau yam kev txwv thiab phiv; Polydez thiab German Neocompensan feem ntau siv.

Yuav kho tus mob pancreatitis - tshuaj pab analgesic: hom thiab koob tshuaj ntawm cov tshuaj

Kev ua kom loog yog qhov qhia tau rau qhov mob hnyav, uas ua rau tsis tsuas yog ua rau cov neeg mob tsis zoo, tab sis tseem ua rau muaj kev cuam tshuam ntawm cov kab mob pathological hauv cov txiav ua ke.

Yuav tsum noj hom tshuaj twg rau exacerbation nrog tus mob ua tus ua mob ua tus coj ua? Qhov feem ntau yog: "Paracetamol", "Ketorolac" thiab "Dexalgin".

Paracetamol - raws li WHO, nws siv yog vim muaj zog analgesic thiab anti-inflammatory los. Txawm li cas los xij, nws tuaj yeem siv tsuas yog nyob rau hauv rooj plaub uas tsis muaj lub siab ua haujlwm, vim nws muaj cov kab mob siab hepatotoxic, uas tsis tshua muaj tus mob pancreatitis (90% ntawm kev hloov pauv hauv cov txiav ua ke nrog kev haus cawv thiab nws cov nyhuv ntxiv rau daim siab mob siab).

Nws noj qhov ncauj ntawm 1 ntsiav tshuaj (500 mg) 2 zaug hauv ib hnub - tus qauv koob tshuaj, uas tau muab kho los ntawm cov kws kho mob koom nrog.

Ketorolac, yog ib qho kev tso dag tshuaj ntawm ethanoic acid (NSAIDs), yog lwm yam tshuaj rau kab mob pancreatic. Nws muaj cov nyhuv ua kom mob analgesic, tshem tawm kev mob, febrile syndrome thiab txo qog o. Nws tuaj yeem siv tsuas yog thaum tsis muaj teeb meem siab mob ntshav siab-mob raum thiab mob rau hauv plab thiab duodenum. Cov tshuaj txhawb txoj kev loj hlob ntawm los ntshav los ntawm mob rau sab hauv, yog li nws txoj kev siv tsuas yog muaj kev pheej hmoo ntawm kev mob hnyav ntawm lub plab thiab txoj hnyuv, tshwj xeeb tshaj yog tiv thaiv keeb kwm ntawm keeb kwm ulcerative.

Ketorolac muab cov tshuaj intramuscularly ntawm kev noj ntau npaum li 30 mg txhua 7 teev. Nws cov koob tshuaj thiab sijhawm siv tau tuaj yeem hloov kho nyob ntawm tus neeg mob.

Dexalgin - ib qho tso tawm ntawm methylacetic acid (NSAIDs), cov tshuaj nquag ntawm dexketoprofen - yog kev kho mob rau kev mob caj dab ntev. Nws inhibits cyclooxygenase ntawm ob hom I thiab hom II, uas ua rau txo qis qhov kub thiab txias, mob thiab cov tsos mob ntawm edema. Nws cov txiaj ntsig yog qhov ua tau sai - tom qab 20 feeb, thiab siv sijhawm ntev - ntau dua 5 teev.

Contraindications yog exacerbations ntawm pais plab thiab duodenal mob rau sab hauv, gastroduodenal los ntshav, thiab muaj mob rau cov hlab ntsha lub siab-mob raum.

Lus Cim! Ib qho piv txwv ntawm "Dexalgin" yog "Flamadex" - raws li cov lus qhia ntawm cov tshuaj, siv thaum cev xeeb tub yog contraindicated.!

Kev tso tshuaj lossis tso ntshav txhaj tshuaj rau nws ntawm koob tshuaj 50 mg txhua 10-11 teev yog ib koob tshuaj. Rau qhov siv tau, qhov koob tshuaj thiab ntau zaus ntawm kev tswj hwm tuaj yeem hloov kho los ntawm cov kws kho mob ntawm chav phais neeg thiab chaw ua haujlwm rov qab.

Kev kho mob ntawm tus txiav ua kab mob nrog rau cov tshuaj rau mob hnyav thiab mob ntev.

Kev tso pob tshuaj kho rau qhov mob thiab mob leeg sai

Yuav ua li cas lwm tus tuaj yeem kho koj tus mob nrog tus mob ua tus txiav ua tiav pancreatic? Ntxiv rau cov tshuaj tsis muaj yeeb tshuaj, opioid analgesics yuav tau sau tseg: Tramadol yuav ua piv txwv.

"Tramadol" tuaj yeem tsuas yog ua rau tsis muaj kev ua haujlwm ntawm NSAIDs uas tau hais los saud thiab tsuas yog siv sijhawm ib ntus hauv kev sib txuas nrog kev quav yeeb tshuaj. Tsis tas li ntawd, yog tias qhov mob tsis nres, muaj zog opioids ntau, xws li Morphine, tuaj yeem kho tshuaj.

Qhov kev xaiv ntawm opioid yog txiav txim los ntawm tus kws kho mob thiab yuav tsum tau coj los ntawm kev saib xyuas ntawm cov neeg kho mob.

Cov koob tshuaj txheem thiab zaus ntawm kev tswj hwm rau "Tramadol" yog 0.05 g 2 zaug hauv ib hnub los ntawm qhov ncauj, muab ntxuav nrog dej rhaub. Nws tuaj yeem siv tsis tau rau kev haus dej cawv sai, hauv thawj peb lub hlis thaum cev xeeb tub, ntxiv rau hauv lub siab thiab lub raum tsis ua haujlwm.

Cov tshuaj kho dab tsi pancreatitis: myotropic antispasmodics

Myotropic antispasmodics yog cov tshuaj kho mob ntau tshaj plaws rau kev mob caj dab thiab mob ntev. Cov sawv cev tshwj xeeb tshaj plaws ntawm cov pab pawg no yog 3 cov tshuaj: Sparex, Ditsetel thiab Drotaverin. Antispasmodics yog cov tshuaj uas tsis tsuas yog rau mob pancreatitis, tab sis kuj rau cholecystitis, zoo li rau qee lwm yam kabmob ntawm lub plab zom mov.

"Sparex" yog qhov tsim nyog tshiab antispasmodic, lub ntsiab tseem ceeb ua ke ntawm uas yog mebeverin. Nrog rau pancreatitis, qhov no antispasmodic ua rau ntawm cov nqaij mos ntawm cov hnyuv, thiaj li ua rau tshem tawm spasm thiab tsis muaj cov nyhuv pathological rau peristalsis.

Nws yog thov sab hauv, ntxuav nrog ib txwm kua, 1 tshuaj ntsiav (0.2 g) 2 zaug hauv ib hnub. Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account qhov tseeb tias nws tau noj li ib nrab teev ua ntej noj mov, feem ntau ua ntej noj tshais thiab noj hmo.

"Dicetel" - cov khoom tseem ceeb yog pinaverium bromide, kuj muaj cov nyhuv antispasmodic. Nws relieves spasm ntawm cov leeg hlwb nyob rau hauv tag nrho cov plab hnyuv ntawm lub plab kab noj hniav, thiab tseem inhibits qhuav ntawm hydrochloric acid thiab txhim kho lub motility ntawm lub plab.

Nws kuj tseem siv rau qhov ncauj, ntxuav nrog dej ntawm 50 mg 3 zaug ib hnub. Nws tsis pom zoo kom haus Dietetel tam sim ntawd ua ntej yuav mus pw.

Drotaverin, lossis Tsis-Shpa, yog lwm yam tshuaj nyob rau hauv rooj plaub ntawm exacerbation. Ntxiv nrog rau kev daws mob spasm thiab relaxing cov leeg nqaij, Drotaverin dilates cov hlab ntsha thiab txhim kho pancreatic perfusion.

Nws yog noj intramuscularly / tso dej rau hauv 3 ml ntawm 2% kev daws, yog tias peb tab tom tham txog No-shpe, thiab tseem sab hauv, 1 ntsiav tshuaj 3 zaug hauv ib hnub. Contraindicated nyob rau hauv muaj mob rau daim siab tsis ua hauj lwm thiab mob raum tsis zoo, raws li tau zoo raws li cov me nyuam qis dua 5 xyoos.

Lwm yam tshuaj dabtsi uas yuav tsum noj nrog pancreatitis?

Ntxiv rau cov saum toj no, somatostatin derivatives yog cov tshuaj tshiab, yog li ob qho tshuaj uas zoo tshaj rau kab mob pancreatitis yuav tsum txawv: "Octreotide" thiab "Lanreotide".

"Octreotide" - yog pom feem ntau hauv kev xyaum ua thiab muaj somatostatin zoo li cov nyhuv, tab sis nws ua ob peb zaug ntev dua. Cov tshuaj tshem tawm tag nrho cov kev ua kom tsis muaj zog ntawm cov tshuaj insulin, glucagon thiab gastrin, uas tso cai rau cov txiav ua haujlwm tsis tuaj yeem thiab tiv thaiv kev ua haujlwm autolysis. Ib qho ntxiv, Octreotide yog ib hom tshuaj zoo rau kev tiv thaiv kev mob ntawm tus mob ntsig, tshwj xeeb tshaj yog nyob rau lub sijhawm postoperative: nws txo cov kev pheej hmoo ntawm kev tsim mob qog, pseudocysts thiab pancreatic fistulas. Nws tsuas yog drawback yog nws siv nyob rau hauv cov menyuam yaus - nws yog contraindicated txog thaum muaj hnub nyoog 18 xyoo, txawm hais tias nyob hauv qee qhov chaw kho mob nws tuaj yeem siv in view of nws cov hauj lwm zoo.

Yog tias muaj mob nrawm, 100 mcg 3 zaug hauv ib hnub yuav tsum tau ua tshuaj subcutaneously. Lub chav kawm ntawm kev kho mob yog 4-5 hnub. Raws li kev saib xyuas ntawm tus kws kho mob, cov koob tshuaj yuav tau nce siab, txawm li cas los xij, hauv qhov no, cov tshuaj tau muab tshuaj rau ib leeg.

"Lanreotide" kuj yog ib qho piv txwv ntawm somatostatin, uas yog siv los ua tshuaj "kho" pancreatitis. Nws qhov kev txiav txim yog ua raws cov txheej txheem ib yam li Octreotide, txawm li cas los xij, lub sijhawm lactation thiab kev xeeb tub yog contraindications.

Nws yog siv los subcutaneously lossis intravenously thiab STRICTLY raws li cov lus qhia, feem ntau tus kws kho mob uas tsim nyog heev yuav xav tau. Cov qauv koob tshuaj yog 15-30 mg, thiab qhov ntau zaus ntawm kev tswj hwm yog 1 zaug hauv 14 hnub.

Kev npaj enzyme - tshuaj kho mob cholecystitis thiab pancreatitis.

Lub npe nrov tshaj plaws ntawm pawg no yog Pancreatin. Nws yog siv rau kev mob caj dab ntev, nrog rau kev ua rau lub cev tsis ua haujlwm ntawm daim nyias nyias vim tias ua haujlwm rau hauv cov hlab ntsws rau hauv nws thiab cov subacute ntawm pancreatitis.

Qhov kev npaj nws tus kheej yog "kom pom tseeb" ntawm cov ntshav ntawm pancreatic enzymes xws li lipase, amylase thiab enzymes proteolytic.

TSEEM CEEB! "Pancreatin" tsis tuaj yeem coj nrog exacerbation ntawm tus mob leeg rau leeg thiab nrog mob txha cajqaum! Qhov no yog vim qhov kev ua haujlwm ntawm autolytic thiab cov txheej txheem ua haujlwm thaum lub sijhawm nws tswj hwm.

Thaum hais txog kev subacute thiab mob ntev, Pancreatin noj nrog zaub mov (tsis tau zom), 1 ntsiav tshuaj ntawm txhua pluas noj. Cov koob tshuaj tuaj yeem hloov pauv los ntawm tus kws kho mob nyob ntawm cov ntsiab lus biochemical.

Antibacterial txoj kev kho rau tus mob ua kom tsis haum tus mob ua paug: uas siv tshuaj los haus thiab lawv koob

Kev siv cov tshuaj tiv thaiv kab mob hauv kev mob hnyav thiab exacerbation ntawm tus mob mus ntev yog feem ntau cuam tshuam nrog kev tiv thaiv kev kis kab mob, xws li mob qog nqaij hlav, fistulas thiab hlwv, retroperitoneal cellulitis thiab kev txhim kho ntawm purulent pancreatitis nrog kev hloov pauv ntawm cov kab mob hepatobiliary. Txawm li cas los xij, raws li kev tshawb fawb xyoo 2013, nws tau muab tawm tias nyob rau thawj theem ntawm tus mob huam sai, kev siv tshuaj tua kab mob yog impractical nyob rau hauv qhov chaw uas tsis muaj teeb meem daim siab mob siab thiab paresis ntawm lub plab zom mov. Hauv kev so, tshuaj tua kab mob tau qhia rau ob txoj kev kho prophylactic thiab etiotropic.

Cov koob tshuaj ntawm cov tshuaj tiv thaiv kab mob thiab qhov ntau zaus ntawm kev tswj hwm nws tuaj yeem xaiv tsuas yog tus kws kho mob koom nrog thiab nws txoj kev siv ywj siab yog txwv tsis pub.

Yuav kho tus mob pancreatitis li cas thaum kis tus kab mob thiab muaj tshuaj kho mob li cas? Ntawm ntau pawg tshuaj tua kab mob, yog muaj tus mob pancreatitis nws yuav tsum tau cais 3 yam tshuaj tua kab mob los ntawm ntau pab pawg: Metronidazole, Ofloxacin thiab Azithromycin.

Metronidazole muaj ntau yam ntawm cov tshuaj pharmacological, lub ntsiab ntawm yog cov tshuaj tua kab mob thiab tiv thaiv cawv. Nws yog nyob rau pawg ntawm nitrofurans. Nrog kev ceeb toom zoo, cov tshuaj siv rau hauv lub sijhawm thib 2 thiab 3 ntawm lub cev xeeb tub vim hla los ntawm qhov tso placental, nyob rau lub hlis thib 1 nws yog kiag li contraindicated. Nws kuj tseem muaj kev txwv nrog cov kab mob siab ua lub siab.

Nws yog noj ntawm qhov ncauj, ntxuav nrog qhov txaus ntawm 1500 mg rau ib hnub. Lub sijhawm yog los ntawm 5 mus rau 10 hnub. Koob tshuaj yuav muab faib ua 3 koob tshuaj 500 mg ntawm Metronidazole.

"Ofloxacin" - cov tshuaj los ntawm pawg fluoroquinolones, muaj ntau qhov kev ua ntawm cov kab mob microbial thiab npog ntau hom kab mob. Contraindicated nyob rau hauv txhua qhov trimesters ntawm cev xeeb tub thiab thaum lactation.

Hauv cov mob huam me me, kev txhaj tshuaj ib zaug yog 800 mg rau ib hnub hauv 2 koob. Lub sijhawm ntawm xws li kev kho yog 10 hnub.

"Azithromycin" yog qhov muaj txiaj ntsig macroide ntau uas tiv thaiv kev loj hlob thiab rov ua dua ntawm cov kab mob me me (cov kab mob bacteriostatic), thiab hauv cov tshuaj loj nws tuaj yeem muaj cov kab mob bactericidal.

Cov kev kho mob rau kev kho cov mob ntshav thiav ntawm cov mob me me xws li: 1 hnub 1, tus neeg mob tau txhaj tshuaj 500 mg, rau hnub thib 2 - 5 - 250 mg.

Thaum muaj kev ntshai ntawm kev mob, qhov koob tshuaj "Azithromycin" tuaj yeem ncav cuag 1-2 g / hnub.

Antisecretory tshuaj nyob rau hauv kev kho mob ntawm pancreatitis

Ib qho kev sib koom ua ke tseem cuam tshuam kev teem sijhawm siv tshuaj tua kab mob. Peb pawg feem ntau muaj qhov sib txawv: cov tshuaj tiv thaiv proton twj tso kua mis inhibitors (Omeprazole), H2-histamine receptor inhibitors (Famotidine) thiab anticholinergics (Atropine sulfate). Cov tshuaj no yog qhov tseem ceeb ntawm kev kho mob ntawm tus mob paj hlwb, vim tias lawv inhibit zais cia ua haujlwm ntawm lub plab thiab tau siv ua ke nrog nasogastric suab thiab tshem tawm cov ntsiab lus ntawm lub plab.

Cov ntsiab lus tseem ceeb ntawm kev siv tshuaj tiv thaiv kab mob los ntawm kev txo qis ntawm kev ua haujlwm ntawm lub cev ua haujlwm ntawm lub txiav, txij li kev tsim cov kua txiv thaum lub sijhawm nws hla los ntawm duodenum 12 ua rau kev ua haujlwm ntawm exocrine pancreatic muaj nuj nqi thiab ua rau cov chav kawm ntawm pancreatitis.

Omeprazole muaj kev cuam tshuam rau lub hlwb parietal ntawm lub plab, uas ua rau tag nrho cov kev thaiv ntawm cov synthesis ntawm hydrochloric acid. Siv nrog ceev faj hauv cov poj niam cev xeeb tub thiab menyuam yaus.

Nws siv 1 zaug nyob rau ib hnub hauv 1 tshuaj ntsiav hauv qhov ntau npaum li 0.02 g thoob plaws hauv kev kho mob ntawm pancreatitis.

"Famotidine" tseem tshem tawm qhov zais cia ntawm hydrochloric acid los ntawm thaiv H2-histamine receptors, ua nyob rau hauv ib hnub tom qab ib daim ntawv thov.

Nws siv 2 zaug ib hnub rau 0.02 g. Lub sijhawm ntawm kev kho yog sib npaug rau lub sijhawm ntawm kev kho mob rau pancreatitis.

"Atropine sulfate" yog siv rau cov hom phiaj zoo sib xws thiab muab rau subcutaneously hauv 1 ml 2 zaug hauv ib hnub.

Fibrinolysis inhibitors - tshuaj uas kho tau tus kab mob pancreatitis

Pab pawg neeg pharmacological no muaj ntau tus neeg sawv cev, qhov ua tau zoo tshaj plaws uas raug pom zoo los ntawm "Contrical". Ntxiv rau qhov inhibition ntawm fibrinolysis, cov tshuaj no muaj cov nyhuv antiproteolytic, uas yog, nws nplov hluavtaws ntawm cov protein ntau hauv cov txiav ua kab mob. Qhov no ua rau muaj qhov tseeb tias autolytic cov txheej txheem thiab "kev zom yus tus kheej" ntawm cov ntaub so ntswg nres thiab cov kev rov ua dua tshiab pib. Yog li, Contrical inhibits qhov kev txiav txim ntawm trypsin, chymotrypsin, kallikrein thiab plasmin.

"Contrical" yog contraindicated rau hauv lactation lub sijhawm, zoo li nyob rau hauv cov poj niam cev xeeb tub hauv thawj peb lub hlis. Nws tuaj yeem siv ob qho tib si hauv kev mob hnyav thiab exacerbation ntawm kev mob txhawm rau mob txhawm rau txhawm rau, thiab tiv thaiv kev txhim kho ntawm kev mob txha cajqaum tomqab kev phais mob ntawm tus mob thiav thiab lub plab hauv plab (cholecystectomy, hlab plab, papillosphinctinctrotomy).

Nws tau siv parenterally (tso dej) rau 250,000 antitrypsin units, maj mam qeeb, thiab tom qab ntawd ib qho ntxiv 250,000 koob txhaj tshuaj pom tias maj mam dhau 24-teev. Txhawm rau tiv thaiv kev mob nrawm tom qab txiav tawm, 200,000 cov tshuaj tiv thaiv antitrypsin tau maj mam txhaj rau 24 teev.

Dab tsi ntxiv lwm yam tshuaj tuaj yeem raug kho rau exacerbations ntawm kev mob caj dab ntev?

Ntxiv nrog rau cov kev kho mob yooj yim uas tau hais los saum toj no, ib qho yuav tsum nco ntsoov kho cov tsos mob thiab tshem tawm cov tsos mob uas tshwm sim thaum lub sijhawm txhawm rau txhawm rau mob rau leeg lossis txhawm rau mob leeg. Qhov no yuav tsum muaj 3 pawg tseem ceeb ntawm cov tshuaj pab:

Cholagogue thiab npaj ntawm bile.

Kev npaj cov vitamins A, B, D, E thiab K.

Carminative siv yeeb siv tshuaj

Cov tshuaj Carminative yog cov tshuaj uas siv rau kev ua haujlwm ntawm lub plab zom mov ntsig txog kev tsim cov roj ntau hauv cov hnyuv thiab tsam plab. Xws li lub plab hnyuv muaj ib txwm tshwm sim nrog pancreatitis thiab pab txhawb rau qhov tshwm sim ntawm kev nce siab hauv duodenum 12 nrog kev ua haujlwm tsis zoo ntawm lub sphincter ntawm Oddi. Ntawm lawv, Simethicon thiab Espumisan feem ntau siv.

"Dimethicone" tshem tawm flatulence thiab tiv thaiv kev txhim kho ntawm cov mob hlwb tsis haum. Nws siv 1 ntsiav tshuaj 2 zaug hauv ib hnub tom qab noj mov m ua ntej mus pw, lub sijhawm siv nws yog txiav txim los ntawm tus kws kho mob mus koom, tab sis tsis pub dhau lub sijhawm teev tseg rau cov tsos mob ntawm flatulence.

Simethicone txo cov nro hauv cov theem ntawm thaj tsam ntawm cov kua hauv cov hnyuv thiab cov pa roj, uas yog, nws rhuav tshem cov pa npuas no. Cov menyuam yaus thiab cov neeg laus tau qhia txog 40-125 mg rau qhov ncauj tom qab noj mov thiab thaum yuav mus pw.

Cholagogue thiab npaj ntawm bile

Cholagogue thiab kua tsib npaj - siv los nce lub tso pa ntawm bile los ntawm hepatocytes. Tus muaj koob npe tshaj yog Allohol thiab Nicodin. Bile extracts ua raws li emulsifiers, txo qhov nro ntawm qhov chaw thiab crushing cov roj hauv cov rog ua kom me me. Txij li cov rog-soluble vitamins (A, D, E thiab K) tsuas yog nqus tau nrog rau cov rog, cov kua tsib yog qhov tsim nyog rau lawv qhov nqus thiab tiv thaiv cov vitamins tsis txaus. Nrog rau mob pancreatitis, edema ntawm tus mob hlab ntsha hlwb tshwm sim, uas ua rau kom txo qis ntawm cov muaj kab mob siab hepatic los yog kua tsib lub plab. Nyob rau hauv lem, qhov no yog nrog los ntawm ib tug txo nyob rau hauv tus nqi ntawm bile nyob rau hauv duodenum. Nws yog nyob rau hauv rooj plaub no uas bile npaj thiab tshuaj choleretic yog siv ua ke nrog antispasmodics.

Kev phiv los ntawm cov tshuaj choleretic tshwm sim thaum noj ntau dua: mob raws plab thiab lub siab ua haujlwm tsis zoo. Tsis tas li ntawd, cov kua tsib ua rau rhiab heev ntawm lub plab zom zaub mov mus rau hydrochloric acid, uas tuaj yeem ua rau mob plab (rau qhov no, cov tshuaj tiv thaiv antisecretory siv, saib saum toj no).

"Allohol" siv 2 ntsiav tshuaj 3 zaug hauv ib hnub tom qab noj mov. Lub chav kawm ntawm kev kho mob no yog kwv yees li 1 hlis, thiab tom qab ntawd tib txoj kev kho yuav tsum rov qab ua dua tom qab 3 hlis.

"Nicodine", lossis "hydroxymethylnicotinamide" - yog siv qhov ncauj ntawm 500 mg (1 ntsiav tshuaj) 3 zaug ib hnub ua ntej noj mov. Kev kho mob chav kawm yog 2.5 lub lim tiam.

Koj tseem tuaj yeem siv cov tshuaj los txhim kho lub paug ntawm cov kua tsib, xws li "Magnesium sulfate." Nws ua rau lub qog ua paug ntawm duodenum 12, uas ua rau muaj kev zom zom ntau dua cholecystokinin, uas ua rau muaj qhov paug ntawm lub plab thiab ua kom cov sphincter so ntawm Oddi. Qhov no ua rau kev txiav tawm ntawm kev mob ntshav siab thiab kev txhim kho ntawm cov dej ntawm lub cev ntawm kev tso pa tawm raws Wirsung duct.

"Magnesium sulfate" yog ua rau cov hmoov ntoo thiab siv raws li 20-25% kev daws ntawm 1 lub rooj 3 zaug nyob rau ib hnub 15 feeb ua ntej noj mov.

Kev npaj Vitamin A, B, D, E thiab K

Kev npaj ntawm cov vitamins A, B, D, E, thiab K rau kev mob rau daim tawv nqaij yog siv rau hauv rooj plaub uas tsis tuaj yeem rov qab tawg ntawm cov vitamins-rog soluble los ntawm kev sau ntawv rau cov kua tsib. Hauv qhov no, nws yog qhov yuav tsum tau kho cov vitamins tsis muaj peev xwm los ntawm kev sau cov tshuaj vitamins sab nraud los ntawm kev tswj hwm qhov ncauj lossis tso ntshav.

Vitamin K raug tshaj tawm nyob rau ntawm ib koob tshuaj 10 mg rau ib hnub, ntxiv rau nws, vitamin A raug tshaj tawm nyob rau ntawm koob tshuaj 25,000 thoob ntiaj teb ib hnub + vitamin D ntawm koob tshuaj ntawm 2000 thoob ntiaj teb ib hnub, thiab nws kuj tseem tsim nyog ntxiv rau kev qhia vitamin E ntawm ib koob tshuaj 10 mg / hnub. Vitamin D feem ntau noj ntawm qhov ncauj, thaum muaj cov vitamins E thiab A tuaj yeem muab rau tshuaj intramuscularly. Cov vitamins ntawm pawg B yog qhov tsim nyog rau cov cawv cawv ntawm keeb kwm ntawm mob hnyav thiab mob ntev.

Cov tshuaj zoo tshaj plaws rau mob vwm thiab mob ntsig nrog: kho mob

Yog li, cov txheej txheem rau kev kho mob zoo tshaj plaws ntawm pancreatitis nyob rau theem mob thiab huam mob vwm, nrog rau mob ntev, yog cov hauv qab no:

- cov tshuaj tiv thaiv kab mob proteolytic enzymes (Kontrikal),

- Kev tso ntshav khov ntawm ntau cov kev daws teeb meem rau lub cev thiab tswj cov khoom siv hluav taws xob (sib xyaw ua ke), cov kua dej khov tshiab, niam txiv kev noj zaub mov thiab peritoneal lavage nrog nasogastric khiav tawm ntawm lub plab cov ntsiab lus,

- M-anticholinergics (Atropine), uas inhibit zais cia ntawm tag nrho cov qog exocrine, nrog rau cov txiav

- H2-blockers (Famotidine, Ranitidine) - txo cov kev zais ntawm cov qog,

- opioid thiab tsis-opioid analgesics (Promedol, Ketorolac) - tshem tawm qhov mob,

- tshuaj tua kab mob (Metronidazole, Azithromyci, Ofloxacin) - tiv thaiv kev sib kis ntawm cov ntaub so ntswg uas puas,

-miotropic antispasmodics (Drotaverinum) - tshem tawm ntawm qhov nqaij ntsiag to.

- analogues ntawm somatostatin (Octreotide) - kev tsuj ntawm kev ua haujlwm ntawm lub qog thiab so.

Hauv cov mob hnyav, thaum nws tsis tuaj yeem tshem tawm cov txheej txheem ua mob rau hauv kab mob, nrog rau thaum lwm txoj kev kho mob rau tus mob huam thiab mob txhaws tsis muaj txiaj ntsig, glucocorticoids (Prednisolone, Methylprednisolone) raug kho - lawv sai txwv qhov mob rau hauv cov leeg nqaij, tshem tawm o thiab tiv thaiv qhov pib ntawm kev poob siab.