5 qhov tsis nkag siab txog mob pancreatitis

Tsuas yog qee cov pej xeem niaj hnub no tsis muaj teeb meem ntawm txoj hnyuv txhauv. Kev ntxhov siab ntau dhau ntawm lub neej, kev ntxhov siab, kev tsim txom tsis zoo thiab kev noj haus tsis zoo ua rau lub plab tsis zoo, qhov tseem ceeb tshaj plaws yog txiav ua kua txiav. Tus naj npawb ntawm cov neeg mob pancreatitis tau nce ib xyoos ib zaug, tus kab mob sai sai zuj zus. Lub caij no, hais txog kev kho kab mob rau tus mob ua paug rau pancreatic, tsis muaj kev hloov pauv txij li xyoo 80 ntawm lub xyoo pua XX. Niaj hnub no, raws li ua ntej, cov hauv kev tseem ceeb tau ua raws li kev noj zaub mov nruj thiab noj cov enzymes.

Feem ntau cov tib neeg uas muaj kev puas hlwb mob ntsws saib xyuas lwm txoj hauv kev kom tshem tau tus kab mob, tab sis feem ntau xws li kev sim (nrog rau kev coj tus kheej nrog cov tshuaj kws kho mob) tsuas yog ua rau cov teebmeem hnyav dua. Muaj ntau qhov kev nkag siab tsis meej hais txog kev kho mob ntawm tus mob pancreatitis. Niaj hnub no peb yuav sim los tawm tswv yim txog cov feem ntau ntawm lawv.

Cov Enzyme-uas Muaj Yeeb Tshuaj

Pancreatic enzymes yog qhov tsim nyog rau kev ua haujlwm ntawm cov protein, carbohydrates thiab cov rog hauv cov hnyuv. Nrog rau cov kab mob ua rau pancreatitis, lawv cov khoom lag luam yog qhov tsis txaus, vim tias lub cev raug mob los ntawm lawv qhov tsis muaj peev xwm, muaj kev cuam tshuam cov kabmob ntawm lub plab zom mov ua haujlwm, uas nkag mus rau qhov tsis zoo rau lub cev tag nrho.

Hauv cov xwm txheej zoo li no, kev siv cov enzyme npaj yog, qhov tseeb, kev hloov kho. Kev ntshai tias kev mob caj dab tawm tsam keeb kwm ntawm kev kho mob yuav dhau los ua "tub nkeeg" thiab tsis ua haujlwm txhua, tsis muaj laj thawj. Thaum twg kev daws teeb meem ruaj khov tiav, qhov mob hloov kho, kev tsim kho ntawm cov enzymes rov ua dua tshiab.

Tsob ntoo enzymes muaj txiaj ntsig ib yam li tsiaj

Kev txhim kho enzyme rau kev kho mob ntawm tus kab mob pancreatitis yog ua los ntawm npua npua. Cov khoom no muaj qhov sib luag thiab zoo tshaj plaws rau tib neeg teeb tsa cov enzymes (proteases, amylases thiab lipases).

Cov tshuaj kho mob kuj yog tsim los ntawm cov khoom ntoo. Cov neeg txhawb nqa ntawm lawv qhov kev siv hais tias cov tshuaj no zoo dua tuaj thiab muaj kev nyab xeeb dua rau kev noj qab haus huv dua li cov tsiaj, tab sis tam sim no nws tau tsim: cov ntoo enzymes tsis muaj txiaj ntsig. Cov kws tshaj lij ntseeg tias lawv tsuas yog siv tau nyob rau theem pib ntawm kev txiav txim ntawm pancreatitis.

Kev npaj siab ntawm cov tshuaj tiv thaiv kab mob siab yog qhov muaj kev phom sij rau kev noj qab haus huv.

Thaum xaiv qhov kev hloov pauv hloov kho, tus kws kho mob txiav txim siab ntau npaum li cas ntawm cov tshuaj, taw qhia los ntawm cov ntaub ntawv hais txog theem ntawm tus kabmob thiab lwm tus neeg yam ntxwv ntawm tus neeg mob. Nyob rau hauv qhov xwm txheej zoo sib xws, ib qho kev tshaj tawm yog cais tawm.

Lub tswv yim tias qhov tsawg kawg nkaus ntawm cov neeg ua hauj lwm enzyme los yog lawv cov kev tswj hwm ib zaug tuaj yeem daws cov teeb meem tsis muaj tseeb thiab tsis txaus ntshai. Cov kev kho mob ntawm tus mob ntsig ua tus kabmob siv sijhawm ntau, qee tus neeg siv tshuaj enzyme rau xyoo. Tsis muaj cov kev mob tshwm sim los ntawm kev kho mob mus sij hawm ntev tau teev tseg.

Kev noj cov enzymes tuaj yeem ua yam tsis muaj kev noj zaub mov zoo

Kev hloov kho Enzyme tsis yog ib txoj kev xaiv rau kev noj zaub mov. Txoj kev mob Pancreatitis yuav tsum ua tib zoo saib xyuas lawv cov zaub mov noj. Txhawm rau tshem tawm ntawm tus kabmob, koj yuav tsum txo qis cov zaub mov carbohydrates, tso tseg cov rog, kib thiab ntsim tais diav, cov khoom noj ceev, cov kaus poom zaub mov, cov nqaij haus luam yeeb, thiab cov khoom lag luam dej cawv.

Hauv kev noj zaub mov ntawm cov neeg mob no, yuav tsum muaj kev sib npaug sib luag ntawm cov protein, cov rog thiab carbohydrates yuav tsum tau ua kev cai. Nws yog qhov sib npaug tseem ceeb rau kev tswj hwm kev noj haus: noj zaub mov tib lub sijhawm, fractionally (feem ntau ntawm cov me me), tsis txhob noj hmo ntuj. Tag nrho cov calories ntau ntawm cov zaub mov noj txhua hnub yog txiav txim siab tus kheej, nyob ntawm theem ntawm tus kab mob thiab cov kev xav tau ntawm tus neeg.

Kev vam meej ntawm kev kho tus mob pancreatitis ncaj qha nyob ntawm kev ua raws li txhua qhov kev pom zoo ntawm tus kws kho mob. Koj tuaj yeem tsis tuaj yeem cuam tshuam txog kev noj cov enzymes lossis txo qhov ntau npaum li cas: qhov ploj ntawm cov tsos mob tsis zoo tsis tas ib txwm qhia kev rov qab ua tiav.

Nws yog ib qho tseem ceeb los saib xyuas cov khoom noj khoom haus. Yog pom tus mob pancreatitis, koj yuav tsum hais ib co lus zoo rau qee yam khoom noj mus ib txhis. Txawm li cas los xij, qhov no tsis txhais tau hais tias muab lub neej ib txwm nyob. Cov neeg mob uas muaj kab mob ntawm lub txiav yuav tuaj yeem txaus siab noj zaub mov qab, ua haujlwm ib txwm muaj, kev ua si sab nraum zoov thiab kis las.

Khiav tus kab mob yog txaus ntshai. Kev tsis quav ntsej cov lus pom zoo rau kev kho mob (tshwj xeeb yog cov teeb meem tsis zoo hauv kev noj zaub mov) tuaj yeem ua rau muaj kev nyuaj: ua rau mob hnyuv, mob siab lossis raum tsis ua haujlwm, ntshav qab zib mellitus thiab lwm yam teeb meem ntawm lub cev zom zaub mov. Kev txhim kho ntawm cov hlav qog ua haujlwm tsis tawm. Yog vim li ntawd thaum thawj cov tsos mob ntawm tus mob pancreatic, koj yuav tsum mus ntsib kws kho mob thiab ua tib zoo mloog cov kev kho mob.

Pancreatic enzymes, ntsis hauv lub cev ntawm lub cev

Lub cev txiav: Daim duab lub cev

Pancreatic enzymes yog lub tswvyim kev sib luag. Nws suav nrog lipase, alpha-amylase, trypsin, chemotrypsin, thiab lwm cov khoom siv roj ntsha.

Tag nrho cov ntawm lawv ua ntau lub zog tswj kev sib tsoo cov rog, cov protein thiab carbohydrates rau cov khoom siv yooj yim tshaj plaws.

Tag nrho cov nyiaj ntawm cov enzymes uas lub cev tsim tawm thaum nruab hnub yog 1 liter. Qhov kev tso tawm ntawm cov tshuaj lom neeg biologically pib tom qab kev noj mov ntawm lub qog zaub mov los ntawm qhov ncauj kab noj hniav thiab lub plab. Tab sis kev ua kom tshwm sim tsuas yog hauv cov hnyuv.

Lipase, phospholipase - pab txhawb kev zom thiab cuam tshuam ntawm cov rog.
Alpha-amylase - tawg zom cov glycogen, hmoov txhuv nplej siab thiab lwm cov carbohydrates rau maltose.
Trypsin, elastase, kallikrein - cov txheej txheem protein tebchaw. Tsis tas li ntawd, trypsin muaj qhov ua kom loog thiab mob nyhuv. Nws yog ib feem ntawm cov tshuaj loj.
Chemotrypsin - tseem ua rau kev rhuav tshem cov protein.

Daim vis dis aus qhia txog lub luag haujlwm ntawm cov enzymes:

Cov tsos mob tseem ceeb

Pab tau tsab xov xwm? Qhia qhov txuas

Pancreatic enzymes yuav tsum tau kws kho mob sau tseg!

Tus deficiency ntawm enzymes digestive tsis zoo cuam tshuam koj noj qab haus huv. Nyob rau theem pib ntawm tus kabmob, cim cov yam ntxwv tsis tuaj. Cov uas tau pom zoo sib xws nrog coob tus cov pathologies ntawm lub plab zom mov.

Digestive enzyme deficiency yog nrog:

tsis xis nyob tom qab noj mov, zoo tag nrho lub plab,
flatulence thiab tsam plab,
kev nrog cua
ua txhaum txoj hnyuv quav, xeev siab,
tsis qab los noj mov.

Ib lub caij nyoog tsis txaus ntawm cov tshuaj lom xyoob ntoo lom ze ua rau daim ntawv tsis txaus siab ntawm kev tshaib plab. Ntawd yog, ib tug neeg yuav siv cov khoom noj kom txaus, tab sis tsis muaj ib tus neeg ua lawv rau hauv ib daim ntawv yooj yim rau kev yaum. Khoom noj khoom haus ntau tshaj tsis muaj kev txwv yog tshem lawm.

Nyob rau hauv lub neej yav tom ntej, muaj teeb tsa lossis tsis tuaj yeem yuag heev, ua kom tawv nqaij qhuav, hloov pauv rau hauv cov qauv horn - plaub hau, rau tes.

Kev ntsuas mob thiab kho pob kom zoo

Qhov tseem ceeb rau kev kuaj mob yog qhov zoo thiab qhov xwm ntawm cov quav. Nrog lub cev tsis muaj cov enzymes, pom kev hloov xim ntawm cov quav mus rau grey pom. Cov teeb meem tsis muaj paug yog pom los ntawm qhov tsis hnov tsw tsw, nws yog qhov nyuaj rau ntxuav nws nrog dej.

Cov kev ntsuas hauv qab no yog qhia pom:

ntsuam xyuas ntshav - dav dav, qab zib thiab biochemistry,
zis, quav - rau kev txiav txim siab pancreatic enzymes,
Ultrasound ntawm lub plab zom plab plab,
IOS lossis MRI nrog cov kab mob neoplasms hauv cov txiav.

Txoj kev kho kom haum yog siv los hloov cov tshuaj kho.

Qhia txog, kev faib tawm

Kev txhim kho enzymatic yog siv dav rau cov kab mob ntawm txoj hnyuv, ua txhaum ntawm lub hauv paus ntsiab lus ntawm kev noj zaub mov zoo, txhawm rau txhawm rau tsis muaj lawv tus kheej tsim cov tshuaj yeeb dej caw.

Kev faib tawm yog raws:

Cov tshuaj muaj pes tsawg leeg tsuas yog enzymes lossis nrog tshuaj ntxiv.
Tsis kam ua rau lub plab zom cov kua txiv.
Raws qhov loj me - ntsiav tshuaj lossis tshuaj ntsiav nrog microgranules.

Qhov kev xaiv ntawm cov tshuaj, qhov ntau npaum li cas nyob ntawm qhov hnyav, cov tsos mob thiab raug xaiv nruj me ntsis rau txhua tus neeg mob.

Cov lus qhia rau kev teem caij ntawm cov hlab ntsha pancreatic:

pancreatitis
mob hauv daim ntawv ntawm pancreatitis,
plob tsis so tswj, mob siab,
raug rau cov hnyuv ntawm ionizing tawg,
flatulence
mob cancer hauv plab
tom qab rov ua haujlwm ntawm cov hnyuv,
zawv plab
ua txhaum kev zom tej haujlwm,
lub sijhawm rov qab los tom qab mob nrawm,
npaj rau xoo hluav taws xob, MRI nrog cov tshuaj tiv thaiv zoo ib yam.

Cov haujlwm siab tshaj plaws ntawm cov khoom pom yog pom 30 feeb tom qab kev tswjhwm.

Cov kev thaiv tsis zoo thiab cov tshwm sim

Kev rho tawm Enzyme yog qhov txheej txheem nyuaj

Lub hauv paus ntawm cov tshuaj enzymatic yog cov tshuaj ntsuab ntawm cov txiav ua tsiaj. Yog li ntawd, nws muaj ob peb contraindications rau kev teem caij ntawm cov tshuaj no:

ib tug neeg intolerance,
chim siab perianal,
inflammatory txheej txheem nyob rau hauv lub pancreas nyob rau hauv mob hnyav theem.

Lwm yam contraindications nyob ntawm seb puas muaj cov khoom siv ntxiv hauv cov tshuaj muaj pes tsawg leeg. Yog li muaj kab mob siab, lwm txoj kev kho mob ntawm txoj hnyuv, npaj muaj cov kua tsib yog cov txwv.

Cov kev mob tshwm sim los ntawm lub caij nyoog ntev tshaj ntawm cov tshuaj noj tau pom zoo. Cov neeg mob yws ntawm:

kev fab tshuaj tsis haum
hyperuricosuria - nce ntau lawm thiab ua haujlwm ntawm uric acid,
cov cim ntawm lub plab hnyuv tws,
nyob rau hauv cov menyuam yaus uas kuaj mob cystic fibrosis, kev ua xua tshwm sim ntawm ib hom mob tam sim ntawd yog ua tau,
mob plab plob tsis so tswj.

Hauv cov rooj plaub no, kev siv cov enzymatic npaj mus ntxiv. Yuav tsum kho kev kho cov tshuaj thiab cov tsos mob uas yuav tsum tau kho. Cov tshuaj tiv thaiv tshwj xeeb tsis muaj nyob.

Cev xeeb tub tsis yog ib qho kev tsis sib haum xeeb rau kev teem caij ntawm cov peev nyiaj ntawd. Cov enzymes tsis muaj nuj nqi mutagenic, tsis teratogenicity, tsis muaj lwm yam ntxim rau cov me nyuam hauv plab. Tab sis kev ywj pheej yuav tsum tsis txhob ua yeeb yam, vim tias cov tshuaj no yuav tsum yog kws kho mob sau tseg los ntawm tus kws kho mob tom qab kuaj xyuas tus neeg mob.

Thaum pub niam mis, txhua yam tshuaj hauv pawg no tau pom zoo siv. Pub mis rau lub sijhawm kho tsis cuam tshuam.

Tseem Ceeb! Cov enzymes thaiv qhov nqus ntawm cov folic acid, hlau thaum qaug zog, txo cov kev ua haujlwm ntawm cov tshuaj aspirin thiab lwm yam tshuaj tiv thaiv kab mob.

Thaum khaws cia hauv kev ua txhaum ntawm cov neeg mob thermal, qhov haujlwm ntawm cov tshuaj poob qis.

Nrov enzymatic npaj thiab tshuaj ntau dua

Hauv cov khw muag tshuaj - kev xaiv ntau ntawm enzyme npaj

Cov tshuaj noj yog cov sawv cev nyob rau hauv cov khw muag tshuaj - los ntawm pob nyiaj mus rau infinity. Xaiv txoj kev yog qhov tsis yog qhov nyuaj.

Nrov enzymatic npaj:

Creon yog microsphere tsiav tshuaj muaj cov enzymes. Ib feem peb ntawm koob tshuaj yog noj ua ntej noj mov, qhov seem yog thaum noj mov. Kev muab tshuaj thawj zaug yog 1-2 tsiav tshuaj, qhov siab tshaj plaws - txog 15 pcs. ib hnub.
Panzinorm - tshuaj ntsiav rau cov thawj coj ntawm qhov ncauj. Kev ua phem yog tau. Txhawm rau pab txo qhov nqos, cov ntsiab lus ntawm cov tshuaj ntsiav yog ntxiv rau applesauce, yogurt. Qhov muab thawj zaug yog 10 txhiab - 25 txhiab ib zaug rau ib pluas noj.
Micrazim - tsiav tshuaj nrog microgranules. Cov koob tshuaj yog xam raws qhov hnyav ntawm tus neeg mob. Qhov siab tshaj plaws nyob rau hauv cov menyuam yaus yog 10 txhiab units rau 1 kg ntawm qhov hnyav hauv ib hnub. Rau cov laus - 100 txhiab ib hnub.
Mezim-forte - daim ntawv ntsiav tshuaj. Cov tshuaj tsis yog zom, tab sis noj tag nrho. Thaum sib tsoo, kev puas tsuaj rau lub plhaub acid-resistant tshwm sim, thiab cov khoom ua kom sov tau ua kom tsis muaj dej hauv hydrochloric acid.
Cov tshuaj pom zoo noj yog 1-2 ntsiav tshuaj 3 zaug hauv ib hnub, tab sis tuaj yeem nce ntxiv mus rau 4 pcs. Cov tshuaj yog coj ua ntej noj mov.
Digestal yog cov tshuaj nyuaj nyob rau hauv daim ntawv ntawm dragees. Ntxiv nrog rau kev enzymes zom, nws muaj bile extract. Nws yog txwv tsis pub coj los kho rau kab mob siab ntawm ntau cov vev xaib, nyob rau hauv muaj cov laij nyob hauv lub zais zis.
Cov tshuaj tsis zom. Lub koob tshuaj thawj zaug yog 1-3 pcs. 3 zaug ib hnub. Lub sijhawm kho yog nyob ntawm kev kuaj mob thiab tuaj yeem siv sijhawm ntau lub hlis.
Lub Caij Festal - muaj cov ntxig pancreatic thiab cov kua tsib. Siv tshuaj 1-2 zaug 3 zaug ib hnub. Tsis txhob zom, vim tias cov Cheebtsam ntawm Festal tuaj yeem ua rau puas cov hnoos qeev ntawm lub qhov ncauj kab noj hniav. Cov tshuaj yaj yeeb txwv tsis pub siv rau cov kab mob ntawm daim siab.

Tag nrho cov tshuaj no yog cov tshuaj analogues, tab sis sib txawv hauv cov lej ntawm cov enzymes hauv plab muaj pes tsawg leeg. Yog li, hloov chaw txhua qhov yuav tsum tau sab laj nrog koj tus kws kho mob.

Tseem Ceeb! Hauv kev kho cov kab mob pancreatitis, ntsiav tshuaj sau ntawv siv tau zoo dua. Nrog pancreatic kawg ua hauj lwm - tsiav tshuaj nrog microspheres.

Qee cov lus xaus

Txhua qhov kev npaj enzymatic yog tsim los ntawm cov khoom siv ntuj tsim. Nov yog noob piaj xyum ua noob. Lawv yuav tsum tau noj tsuas yog ua raws li kev taw qhia thiab tsis tshaj qhov pom zoo cov tshuaj.

Txhais tau tias pawg no tsis yog kev cawm neeg txoj sia. Tsis txhob tsis quav ntsej cov cai ntawm kev noj zaub mov zoo thiab txeeb cov khoom noj muaj roj thiab hnyav nrog enzymatic npaj.

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 hais tias ntawm cov khoom hauv lub cev ua kom tsis 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 nyom.

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, 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 rau enzyme rau tus kab mob pancreatitis txhawb nqa tus txiav, pab kom nws tsis txhob ua kom tiav, kom zom zaub mov kom zoo, kom tshem tawm mob raws plab, xeev siab, tsam plab, 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 rov 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%. Qhov txo qis hauv acidity pib tom qab 2 teev, qhov siab tshaj plaws tau pom nyob rau plaub hnub.

Ib qho tshuaj zoo rau cov 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 nyob rau 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 sau tom qab ob mus rau plaub teev tom qab txhaj thawj, cov nyhuv ruaj khov tom qab 3 hnub ntawm kev kho mob. Nyob rau thawj hnub, cov acidity index txo los ntawm 61%, nyob rau hnub thib yim ntawm kev kho mob - los ntawm 88% ntawm thawj cov lej.

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 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 kom 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 exacerbations 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 xyaw 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, vim tias kev siv tsis raug tuaj yeem ua rau rhuav tshem hlwb, ua rau muaj kev nce siab 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 rog, ntsim, qab ntsev, peppered, cov zaub mov haus luam yeeb, lwm cov tais diav uas txhawb cov kua txiv 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.

Kev mob ntsig ua mob rau hauv lub txiav yog ib qho mob hnyav uas ua rau lub qog raug mob, thiab yav tom ntej qhov no yuav ua rau kev hloov pauv hauv metabolic. Niaj hnub no peb xav txog cov laj thawj ntawm txoj kev mob nkeeg no, yuav daws nws li cas, yuav siv txoj hauv kev twg.

Qhov ua rau ntawm tus kab mob

Kev txheeb xyuas ntawm tus mob kab mob ua paug vwm hauv peb lub sijhawm yog tshwm sim ntau yam. Tab sis vim li cas tib neeg thiaj li ntxiv cov kev txom nyem los ntawm nws? Koj yuav nkag siab txhua yam thaum koj pom tias yog vim li cas thiaj ua rau pom qhov tshwm sim ntawm tus mob no.

Bust nrog cov dej cawv.
Khoom noj khoom haus tsis zoo, piv txwv li nquag siv ntsev ntau, ntsim thiab zaub mov rog.
Tshaj qhov hnyav.
Cov kab mob uas tsis haum, xws li: cholecystitis, kab mob siab, cholelithiasis, mob rau sab hauv, gastritis, o.
Pancreatic phais lossis raug mob rau nws.
Haus Yeeb
Kev fab tshuaj rau khoom noj.
Neeg muaj keeb.
Noj tshuaj kho mob, tom qab uas mob tshwm sim (tetracyclines, cytostatics, sulfonamides).

Cov tsos mob ntawm tus mob pancreatitis

Nrog rau daim ntawv ntawm tus kabmob no, qhov tso tawm dawb ntawm kua txiv pancreatic yog cuam tshuam, nws ce tsis tau zom los ntawm nws tus kheej cov enzymes. Txog kev kuaj mob rau tus mob ua tus txiav ua ke, raws li hauv qab no yog cov yam ntxwv:

Kev mob hnyav. Nws tshwm sim nyob rau sab laug ntawm lub plab, thiab tom qab ib ntus nws kis mus rau tag nrho lub plab.
Xeev siab thiab ntuav.
Ntshav siab yog rhuav tshem.
Txoj kev nkag siab ntawm kev muaj tiag yog ua txhaum.
Ib qho poob siab mob yuav tshwm sim.

Cov tsos mob no loj heev los kho tus kab mob hauv tsev. Yog li ntawd, nyob rau hauv kev mob nraub qaum, tsheb thauj neeg mob yuav tsum tau hu sai sai. Cov kws phais neeg paub dhau los yuav tsum kuaj tus neeg mob thiab, yam tsis muaj qhov ua kom poob zoo, txheeb xyuas nws hauv tsev kho mob rau kev kho mob ntxiv thiab soj ntsuam. Nws tsis zoo li tias kev phais pob leeg muaj peev xwm zam tau nyob rau hauv txoj kev mob hnyav.

Mob txhaws ntev: cov tsos mob thiab kho nyob rau lub sijhawm thawj zaug

Cov cim ntawm tus kab mob no tsis txaus ntshai thiab tsis tas yuav tsum tau txais kev kho mob sai. Tam sim no peb yuav xav txog dab tsi yog mob txhaws txhaws ntev, cov tsos mob thiab kho ntawm hom mob no.

Yuav pib nrog, nws yog qhov yuav tsum tau paub qhov txawv ob ntu hauv mob ntsws:

Pib.
Lub sijhawm ntawm pom meej qhov kev puas tsuaj rau lub txiav.

Thawj lub sijhawm tuaj yeem siv sijhawm ntev - txog 10 xyoo. Cov tsos mob rau lub sijhawm no:

Mob taub hau Qhov mob yuav muaj peev xwm ib cheeb tsam hauv siab sab sauv thiab nruab nrab hauv plab, hauv thaj tsam lumbar sab laug thiab txawm tias thaj chaw hauv plawv. Feem ntau cov feem ntau, xws li tsis txaus siab hnov tshwm sim 15-20 feeb tom qab noj mov.
Xeev siab, ntuav yog tau.
Los ntshav.
Zawv plab.

Thawj qhov khoom yog pom nyob rau hauv cov neeg mob feem ntau, tab sis tus so yuav tsis tshwm sim. Txawm tias ib qho tsos mob tshwm sim, tom qab ntawd nrog kev pab ntawm cov tshuaj koj tuaj yeem txo tus mob sai sai.

Pancreatic Puas Lub Sij Hawm

Ntawm no cov cim qhia yog ntawm no:

Qhov mob tsis tshua pom tseeb li thawj kis.
Hauv qhov no, mob dyspeptic tshwm sim ntau: ua kub siab, hlwv, xeev siab, tsam plab.
Muaj maldigestion syndrome. Qhov no yog thaum muaj kev ua txhaum ntawm kev zom zaub mov rau cov khoom noj uas yuav nqus tau.
Muaj ib qho mob malabsorption syndrome. Hauv qhov no, qhov nqus ntawm cov khoom siv hauv txoj hnyuv yog tag nrho kev cuam tshuam.

Txog kev ua tsis zoo thiab malabsorption, cov tsos mob hauv qab no yog cov yam ntxwv:

tus menyuam hauv plab, muaj quav ntau,
poob phaus
tsis pom kev zoo rau yav tsaus ntuj,
cov pos hniav los ntshav tshwm
ua ke nrog daim tawv nqaij mob, mob plab, thiab khaus ntawm daim tawv nqaij yuav tshwm sim
anemia kev loj hlob
vim qhov tseeb tias muaj kev ua txhaum ntawm kev nqus ntawm cov calcium, muaj cov cramps thiab pob txha mob,
neuropsychic arousal,
qhov zoo li hws txias
trembling hauv lub cev
daim tawv nqaij qhuav
muaj kev zoo siab ntawm kev nqhis dej tsis tu ncua.

Nws yog qhov tsim nyog los kho kev mob pancreatitis kom zam dhau kev phais mob pancreatic. Kev kho yuav tsum tsim nyog thiab tsim nyog. Tsuas yog tom qab dhau tag nrho cov kev ntsuas tsim nyog, nrog rau kev sab laj nrog kws kho mob, kev kho mob tuaj yeem kho. Tam sim no peb yuav xav txog yam kev kuaj mob tus neeg mob yuav tsum yauv mus ua kom daim duab ntawm tus kab mob ua kom pom tseeb.

Kev paub txog kab mob

Cov hom mob txheeb xyuas mob hauv qab no yuav muab daim duab ua tiav ntawm cov kabmob:

Ultrasound kev soj ntsuam Pancreatic ultrasound rau pancreatitis yog ib txoj kev tsom xam ib txoj kev. Qhov kev kuaj mob no qhia tau hais tias nws nce ntau npaum li cas ntawm cov loj me, qhia pom qhov kev hloov pauv ntawm tus qauv, muaj qhov tuaj yeem tawm tsam thiab nthuav dav ntawm cov ducts. Qhov tseeb ntawm qhov kev kawm no yog 80-85%. Qhov no tsis yog ib qho txiaj ntsig zoo heev, yog li kev sim hauv chaw kuaj yuav tsum raug coj.
Muab xam thiab cov duab hlau resonance. Xws li cov kev kuaj mob, raws li thawj qhov teeb meem, qhia ntau npaum li cas ntawm lub cev mob caj dab yog loj dua. Ntxiv rau, nrog kev pab los ntawm cov kev tshawb fawb no, cov qauv kev ua tsis zoo, pseudocysts, thiab qhov txhab ntawm cov kabmob sib nyob ze tuaj yeem kuaj tau.
Endoscopic retrograde cholangiopancreatography. Qhov no yog qhov txheej txheem meej tshaj plaws, uas pom yuav luag 100% qhov tshwm sim. Ntxiv rau, qhov kev kuaj mob zoo no yog cov pheej yig tshaj plaws ntawm cov saum toj no. Muaj tseeb, muaj ib qho kev rho tawm: hom no tsis yog qhov zoo tshaj plaws, thiab qee qhov mob.

Dab tsi kuaj yuav tsum tau ua rau kev kuaj mob?

Ntxiv nrog rau cov txheej txheem saum toj no rau kev paub tus mob, tus kws kho mob muab lus qhia rau kev hla qhov kev tshawb fawb no:

Kev kuaj ntshav dav dav. Nws cov txiaj ntsig tau qhia cov tsos mob ntawm tus mob thiab muaj peev xwm ua kom mob ntshav tsis txaus.
Ntshav pub dawb los txiav txim ntshav qab zib. Qhov kev txheeb xyuas no yog qhov tsim nyog los tshawb pom seb tus kab mob ntshav qab zib puas nyob hauv tus neeg mob.
Mob Lub Hlaus Qhia pom tias muaj kab mob raum.
Ib qho electrocardiogram thiab echocardiography tshem tawm cov mob plawv.

Tom qab dhau qhov kev sim saum toj no, daim duab yuav pom meej meej, nrog rau kev kuaj pom ntawm tus kab mob pancreatic ua los yog tsis.

Lub luag haujlwm ntawm cov kws tshwj xeeb hauv kev kho mob ntawm tus kabmob

Pancreatitis ntawm tus txiav yuav tsum tau kho kom zoo. Yog li, tus neeg mob yuav tsum tsis txhob sab laj los ntawm ib tus kws kho mob, tab sis los ntawm ob peb tus, kom daim duab dav dav ntawm nws qhov mob tshwm sim, thiab cov kws kho mob tau kho nws txoj kev kho kom zoo.

Tus neeg mob yuav tsum tuaj rau kev sab laj nrog cov kws tshwj xeeb no:

Tus kws kho yus tus kws kho mob. Nws muab tshuaj kho.
Rau tus kws phais neeg. Kev pab ntawm tus kws kho mob tshwj xeeb yog xav tau yog tias qhov mob tsis nres lossis muaj teeb meem.
Endocrinologist. Nws yog qhov tsim nyog yog tias tus neeg mob muaj ntshav qab zib mellitus.
Rau tus kws kho plawv. Sab laj nrog tus kws kho mob tshwj xeeb no yog qhov tsim nyog kom cais tawm cov kab mob kev tuaj yeem ntawm cov kab mob plawv.

Qhov tshwm sim ntawm kev kho yuav yog nyob ntawm cov kev tsim nyog ntawm cov kws kho mob. Yog li, koj yuav tsum xaiv qhov zoo tshaj plaws ntawm qhov zoo tshaj plaws hauv lawv cov teb. Koj tuaj yeem nug txog cov kev paub dhau los ntawm cov kws kho mob, lawv tau ua haujlwm ntau npaum li cas, txawm tias muaj txheeb cais. Koj txoj kev noj qab haus huv yog nyob hauv koj txhais tes. Thiab vim tias cov kws tshaj lij ntawm cov kws tshaj lij muaj peev xwm, qhov kev ceev thiab qhov tshwm sim ntawm koj txoj kev kho mob thiab qhov ua kom rov zoo sai yuav nyob ntawm 80%.

Cov hauv paus ntsiab lus ntawm kev noj zaub mov kom zoo rau kev mob pancreatitis. Kev noj haus

Nrog rau tus kab mob no, nws yog ib qho tseem ceeb kom ua raws qee txoj cai hais txog khoom noj khoom haus. Txij li kev kom zoo ntawm tus neeg mob yuav nyob ntawm qhov zoo thiab qhov ntau ntawm cov zaub mov noj. Cov ntsiab cai hauv qab no koj yuav tsum paub:

Koj yuav tsum tau noj zaub mov kom tsawg kawg yog 5-6 zaug hauv ib hnub. Koj yuav tsum noj ib qho me me, hauv qee qhov me me.
Nws yog qhov zoo tshaj rau noj cov zaub mov mashed. Qhov tseeb yog tias nrog xws li kev ua zaub mov noj, lub qog ua kua ntawm lub plab yuav tsis voos.
Proteins (150 grams tauj ib hnub) yuav tsum muaj yeej hauv kev noj haus. Tus nqi ntawm cov rog yuav tsum tsis pub ntau dua 80 grams tauj ib hnub. Carbohydrates kuj tseem yuav tsum ceev faj.
Taboo kub dhau heev lawm los yog, tham, txias txias lauj kaub tais diav.
Nyob rau lub sijhawm ua tsis zoo ntawm cov mob, nws raug nquahu kom muab cov zaub mov pov tseg yam tsawg kawg ib hnub.

Tam sim no xav txog cov zaub mov dab tsi muaj txiaj ntsig zoo rau lub xeev ntawm tus txiav.

Cov npe khoom lag luam

Cov mob tseem ceeb rau tus mob xws li ua rau pancreatic pancreatitis yog kev noj haus. Nov yog lub ntsiab cai tseem ceeb ntawm kev kho. Dab tsi yog qhov khoom noj rau? Hauv kev siv tsuas yog cov zaub mov thiab cov tais diav uas yuav tsis ua rau daim tawv nqaij xoos ua pa ntawm lub caj pas. Cov khoom lag luam hauv qab no tuaj yeem thiab yuav tsum tau noj los ntawm cov neeg mob los ntawm hom mob no.

Nag hmo stale nplej ncuav.
Nqaij qaib ob los yog nqaij nyuj kua zaub kua zaub.
Nqaij: nqaij qaib, nqaij nyuj, qaib cov txwv. Txoj kev npaj ntawm: rwj, ci hauv qhov cub. Cov nqaij yuav tsum tsis txhob muaj ib lub caij nyoog.
Nqaij ntses, ua noj los yog muab ci rau hauv qhov cub.
Khoom noj siv mis nrog cov ntsiab lus tsis muaj roj tsawg.
Hau zaub. Yog tias koj xav tau raw, ces tsuas yog nyob hauv daim ntawv grated.
Ntau hom pasta.
Groats (buckwheat, mov, oatmeal).
Txiv hmab txiv ntoo ci (txiv apples thiab pears hauv siab).
Jelly.
Txiv hmab txiv ntoo Stewed, jelly, tshuaj yej uas tsis muaj zog.

Daim ntawv teev cov zaub mov uas sib xyaw nrog hauv pancreatitis

Thawj cov nqaij los yog ntses ntses. Ntawd yog, rog, cov calorie ntau.
Millet yuav tsum tsis txhob noj ntawm cereals.
Cov rog, nqaij ntses, nqaij qaib.
Los ntawm cov zaub, taboo rau radish, radish, zaub qhwv, sorrel thiab zaub ntsuab.
Mov ci tshiab los yog lwm yam pastry.
Ntau hom hnyuv ntxwm, kaus poom zaub mov.
Quav dej cawv.
Mis nyuj khov.
Cov tshuaj yej khov, kas fes.

Kev siv cov khoom lag luam saum toj no yuav ua rau kom muaj qhov tsis zoo, uas yog hu ua "kev mob ntawm tus kabmob" (mob caj dab, cias tso). Txhawm rau tsis txhob ua si roulette nrog koj txoj kev noj qab haus huv, nco qab cov zaub mov uas txwv tsis pub noj nrog tus kabmob no. Tom qab tag nrho, kev noj haus yog twb 60% ntawm qhov tshwm sim zoo ntawm chav kawm ntawm tus kab mob.

Kev kho mob ntawm kev mob ntsig ua leeg

Kev kho mob ntawm tus kab mob no yog tsim los txo qis bile. Kev mob ntsig txog txiav, tuaj yeem kho tus mob tsuas yog siv rau cov ntsiav tshuaj tshwj xeeb, yuav muab cov txiaj ntsig ib ntus. Thiab yog tias, ntxiv rau qhov no, tus neeg mob yuav noj txoj cai, ua raws li kev noj zaub mov zoo, ces qhov no yuav luag yog 100% lav ntawm qhov ua kom rov zoo.

Tab sis tam sim no cia peb nyob ntawm cov tshuaj uas pab tiv thaiv tus kab mob no.

Yog li, cov tshuaj uas pab txo cov leeg pob txha:

Cov no yog cov tshuaj rau kho tus txiav. Kev kho tus mob Pancreatitis yog kho nrog cov tshuaj antispasmodics hauv qab no: Tsis-Shpa, Spazmoverin, Spazmol.
Cov tshuaj yeeb yaj kiab rau kev npaj cov ntaub ntawv ntau npaum "Papaverine".

Cov tshuaj hauv qab no txo cov kev zais plab ntawm cov kua txiv:

Tshuaj ntsiav Omeprazole.
Ntsiav tshuaj "Ranitidine", "Famotidine".

Cov tshuaj hauv qab no normalize cov txheej txheem zom thiab tswj kev ua haujlwm pancreatic. "Allohol", "Pancreatin", "Phenipentol" - cov no yog cov ntsiav tshuaj los ntawm tus txiav. Pancreatitis tsis yog kab lus.

Tsis tas li ntawd, cov tshuaj uas inhibit zus tau tej cov txiav pancreatic enzymes yog kho rau kev kho mob ntawm pancreatitis. Ntawm cov tshuaj no, Cov tshuaj Aprotinin feem ntau siv.

Yog tias muaj mob hnyav los yog tus neeg poob ceeb thawj, ces pw hauv tsev kho mob thiab kho ntxiv yog ua tau nruj me ntsis los ntawm kev saib xyuas ntawm cov kws tshwj xeeb. Kev phais mob raug muab tshuaj yog tias tus txiav ua tsis muaj txoj cai kho ntxiv lawm. Txoj kev kho, noj zaub mov noj nrog qhov muaj yeej swb yuav tsis pab. Tsuas yog tshem tawm ntawm ib feem ntawm nws xwb thiaj li cawm tau los ntawm kev rhuav tshem ntxiv.

Qhov no tsis yog hais tias tom qab kho mob, qhov kev kho kom rov qab tshwm sim. Tu siab hais tias, tab sis kab mob pancreatitis yuav kho tsis tau. Tab sis yuav kom cov txiav ua kom tus kab mob ntxiv kom tsis txhob tawg ntxiv, nws yog ib qho tseem ceeb uas tau kho, nrog rau ua raws li kev noj haus nruj, uas tau piav qhia saum toj no.

Txoj kev kho tus mob puas tseeb ua ke

Hom mob no yuav tsum tau mus pw hauv tsev kho mob. Hauv tsev kho mob, tus neeg mob tau sau cia ua kev kho mob hauv qab no:

Kev mob hla dej ntawm cov tshuaj uas yuav pab ntxuav cov ntshav ntawm co toxins thiab pancreatic enzymes.
Tshuaj kho mob.
Cov tshuaj uas yuav rhuav tshem cov enzymes hauv caj pas. Piv txwv li, Cordox tablets.
Cov tshuaj noj tiv thaiv ntuav.
Tshuaj tua kab mob.
Antispasmodics.

Ib qho ntxiv, kev kho mob suav nrog:

Ua tiav kev cuam tshuam ntawm cov khoom noj khoom haus los ntawm qhov ncauj mus txog 6 hnub. Qhov no yog qhov tsim nyog thiaj li hais tias cov kev ua ntawm lub pancreas yog tshem tawm ib ntus.
Tso khoom noj rau hauv leeg.
Dag ua kom tso zis yog li ntawd cov tshuaj lom neeg muaj ntau dua los ntawm lub cev nrog zis.
Txoj hnyuv quav lavage.

Kev Tiv Thaiv Pancreatitis

Txhawm rau kom tsis txhob rov mob ntxiv, thiab tus kab mob yuav tsis pov koj rov qab, nws yog ib qho tseem ceeb kom ua raws li cov cai hauv qab no:

Muaj cai noj. Ua raws li kev noj haus yog qhov tseem ceeb tshaj plaws rau kev tswj kev noj qab haus huv ntawm pancreatic.
Kev txwv ib qho rau txhua yam cawv muaj cawv.
Txiav kev haus luam yeeb.
Txo kev txo lub cev. Khiav, dhia, mus xyuas da dej thiab saunas tsis zoo rau cov neeg ua txhaum. Qhov kev xaiv zoo tshaj plaws yog kev tawm dag zog ua pa thiab zaws.

Los ntawm tsab xov xwm, koj tau kawm dab tsi ua ib hom kab mob hu ua pancreatic pancreatitis. Lawv tau txiav txim siab seb yuav kho tus mob no li cas, nrog rau kev paub tus kab mob. Peb pom tau hais tias kev noj haus nruj yog qhov tseem ceeb rau kev kho kom sai ntawm tus neeg mob.

Ntxiv rau cov ncauj lus no:

Thaum Twg thiab Yuav Noj Pancreatin Li Cas
Yuav noj Creon 25000 npaum li cas rau kev mob qaij
Creon yog siv rau kev mob pancreatitis.
Cov tawv nqaij khaus nrog pancreatitis - ua rau, kho

Yog tias koj xav hais tias tsab xov xwm yog qhov nthuav tiag tiag thiab siv tau, ces kuv yuav zoo siab heev yog tias koj qhia cov ntaub ntawv no nrog koj cov phooj ywg hauv kev sib raug zoo. Ua li no, tsuas yog nyem rau ntawm cov nyees khawm ntawm kev tes hauj lwm.

Thaum kws kho mob yuav sau ntawv tshuaj enzyme npaj

Cov tshuaj tau raug pom zoo thaum lub cev tau poob qhov muaj peev xwm ua kom tag nrho cov enzymes zais. Qhov no yog qhov tseem ceeb rau kev nrawm nrawm ntawm lub zom zaub mov, tshem tawm cov tsos mob ntawm tus mob pancreatitis lossis lwm yam kab mob ntawm cov plab hnyuv siab raum ntawm lub plab zom mov.

Enzymes rau tus mob pancreatitis yuav tsum tau noj yam tsis muaj kev ua kom dhau ntawm daim ntawv ntev ntawm tus kab mob, nyob rau hauv kev kho mob ntawm pathologies ntawm kev ua tsis tiav ntawm sphincter ntawm Oddi, kab mob hepatobiliary, kab mob celiac, mob plab hnyuv mob, cystic fibrosis. Feem ntau, kev npaj rau enzyme yog qhia nrog kev txo lub hnub nyoog hauv kev ua haujlwm ntawm exocrine ntawm lub cev, kom tshem tawm cov kev tsis xis nyob tom qab noj ntau dhau thiab tsim txom cov zaub mov txwv tsis pub noj.

Cov lus nug feem ntau tshwm sim ntawm seb nws puas tuaj yeem noj cov enzymes thaum lub sij hawm exacerbation ntawm pancreatitis. Koj yuav tsum paub tias lub sij hawm mob ceev ntawm tus kab mob yog qhov tseeb contraindication rau kev siv tshuaj ntawm cov pab pawg no. Lawv raug pom zoo tom qab kev saib xyuas ntawm txoj kev pathological.

Cov enzymes zoo tshaj plaws yog cov khoom siv sib txuam uas muaj cov khoom sib xyaw ua ke cov khoom tseem ceeb rau kev zom zaub mov zoo. Lawv yuav tsum muaj kev nyab xeeb, tsis muaj tshuaj lom. Kev npaj siab enzyme yog feem ntau ntawm cov tsiaj keeb kwm, lawv tau tsim los ntawm cov npua npua, txij li cov qauv ntawm lub cev ntawm tus tsiaj no zoo heev rau tib neeg.

Koj yuav tsum paub tias txhua yam tshuaj nrog enzymes muaj cov tshuaj tseem ceeb:

Qhov kev npaj enzymatic muaj lub plhaub tawm los tiv thaiv cov kev ua phem ntawm lub plab ua kua, tau ua kom puas hauv thaj chaw alkaline ntawm txoj hnyuv. Nws raug nquahu kom noj ntau npaum li cov enzymes uas noj qab nyob zoo zoo li qub lawm.

Lub sijhawm ntev npaum li cas koj tuaj yeem siv tshuaj pleev rau kev mob qog nqaij hlav ntev, dab tsi cov ntshav yuav siv sij hawm rau tus mob pancreatitis, yuav ua li cas haus cov enzymes rau mob txhaws ntev yog txiav txim los ntawm tus kws kho mob koom, nyob ntawm qhov mob hnyav thiab tus neeg mob keeb kwm kho mob.