Kev Pab Kho Pancreatic: Tshuaj Xyuas Cov Tshuaj Uas Zoo

Kev mob uas hla ib tus neeg thaum nws muaj teeb meem nrog ib qho ntawm cov plab hnyuv siab raum ntawm endocrine yog qhov tsis taus. Nws yog ua tau kom txo qis thiab kuj muab qhov txiaj ntsig kho nrog kev pab ntawm ntau yam tshuaj. Tab sis kev kho mob ntawm tus txiav nrog lub tshuaj yuav tsum tau nqa tawm suav nrog dab tsi ua rau muaj teeb meem kev noj qab haus huv. Ua raws li qhov no, cov nyhuv ntawm cov tshuaj nws txawv.

Kev noj tshuaj hais txog kev npaj tshuaj enzymatic siv kom paub meej cov seem ntawm lub txiav. Thaum muaj txaus ntawm cov enzymes uas tsim los ntawm nws hauv cov ntshav, lub cev nres lawv cov ntau lawm, thiab qhov no yog ib qho ntawm cov xwm txheej rau kev kho kom zoo.

Ib qho tshuaj noj yog siv rau kev txiav txim siab tsis txaus, ua haujlwm ntawm lub plab, lub zais zis, lub siab, plab hnyuv. Tsis tas li, cov tshuaj tuaj yeem siv rau hauv kev kho mob flatulence, cystic fibrosis, tsis muaj mob plab zom mov. Enzistal pab txhim kho txoj kev zom zaub mov.

Nws muaj peev xwm ua tiav kev kho mob uas cov txiav, mob plab, thiab lwm yam plab hnyuv plab hnyuv siab tuaj yeem yuav tsum tau ua los ntawm ib hom tshuaj, xws li cov ntsiav tshuaj enteric-coated.

Enzistal muaj ntau yam tshuaj:

• Pancreatin
• Hemicellulose,
• Bovine bile extract.

Cov npe ntawm cov khoom siv pabcuam suav nrog:

• Colloidal silicon dioxide,
• Magnesium stearate,
• Lactose Monohydrate.

Lub plhaub ntim tshuaj muaj:

Yog tias tus neeg mob lub caj pas mob lossis muaj qhov xav tau los pab lub plab zom cov zaub mov, nrog rau kev kho ntau yam kab mob, cov tshuaj tau siv raws li no:

• Cov menyuam hnub nyoog tshaj 6 xyoo thiab tub ntxhais hluas tau muab 1 ntsiav tshuaj ob zaug (ntau kawg peb zaug) ib hnub. Cov neeg mob nyob rau hauv hom no yuav tsum yog kws kho mob sau tseg.
• Cov neeg loj yog pom zoo kom noj cov tshuaj nyob rau hauv tus nqi ntawm 1-2 ntsiav tshuaj peb zaug / hnub. Ntawm kev txiav txim siab ntawm tus kws kho mob, ntau npaum li cas yuav tsum tau nce, tab sis qhov no tsis tuaj yeem ua nws tus kheej.

Sijhawm Pub Pub Nkag Enzistala tej zaum yuav yog ob peb hnub lossis ntau lub hlis. Qee tus neeg mob qee zaum yuav tsum tau siv cov tshuaj siv rau ob peb xyoos, yog tias xav tau kev hloov kho tas li.

Muaj cov contraindications rau kev siv ntawm cov tshuaj uas kho tus txiav:

• Kab mob siab
• Tus mob pancreatitis ua mob ntev
• Daim siab ua haujlwm
• Tawv nqaij daj,
• Hyperbilirubinemia, Kuv,
• Thaub ob sab,
• Cholelithiasis,
• Hepatic precoma (lossis coma).

Gentamicin

ECov tshuaj no yog cov tshuaj tua kab mob ntau yam, thiab siv, sib txuam, los kho tus mob pancreatitis. Qhov kev tshem tawm ntawm cov o yog tau los ntawm kev rhuav tshem cov pathogens uas ua rau txoj kev no.

Cov tshuaj tiv thaiv kev ua kom tsis haum ntawm cov txheej txheem mob, thiab yog li ntawd siv ob qho tib si rau kev kho mob ntawm tus txiav, plab, lwm yam plab hnyuv, thiab lwm yam khoom hauv nruab nrog cev. Ib qho kev daws teeb meem rau kev txhaj tshuaj yog siv.

Qhov tseem ceeb tshuaj ntawm cov tshuaj yog gentamicin sulfate.

Hauv daim ntawv teev cov tshuaj ntu hauv cov tshuaj sib xyaw koj yuav pom:

• Methylhydroxybenzoate,
• Kho kom haum disodium,
• Sodium bisulfate
• Propylene glycol.

Cov koob tshuaj ntawm cov tshuaj yog nyob ntawm tus kabmob uas cuam tshuam rau cov txiav, nrog rau lub hnub nyoog ntawm tus neeg mob.

• Cov menyuam yug tshiab tau muab rau 2-5 mg / 1 kg ntawm tus menyuam qhov hnyav nrog rau kev hno ob zaug / hnub. Hauv kev siv tib lub tshuaj, cov tshuaj tau raug muab rau cov menyuam yaus hnub nyoog qis dua 2 xyoos, tab sis nrog kev txhaj tshuaj ntawm peb zaug / hnub,
• Cov menyuam muaj 2 xyoos rov hauv thiab cov neeg laus tau nquahu kom siv cov tshuaj 1-1.7 mg / 1 kg ntawm tus neeg mob qhov hnyav. Hauv qhov no, tsis pub ntau tshaj 3-5 mg / 1 kg ntawm tus neeg mob lub cev qhov hnyav yuav tsum tau txhaj ib hnub. Qhov ntau zaus ntawm kev txhaj tshuaj yog 2-4 zaug / hnub.

Kev kho mob nrog cov tshuaj no kom txo tau cov mob thiab tshem tawm lwm cov teeb meem yuav kav txog ib lub lim tiam.

Cov kev tiv thaiv tsis haum rau kev siv tshuaj yog:

• Intolerance rau cov ntsiab ntawm cov tshuaj,
• Lub xub ntiag ntawm neuritis ntawm auditory hlab ntsha,
• Mob raum tsis zoo,
• Cev xeeb tub, lactation,
• Uremia
• Kev tsis haum rau cov tshuaj tua kab mob uas yog nyob rau qeb ntawm aminoglycosides.

Cov tshuaj yog zwm rau pab pawg ntawm antacids, kev kho mob ntawm tus txiav yog nqa tawm siv cov tshuaj no hauv daim ntawv ntawm cov ntsiav tshuaj. Cov tshuaj muaj peev xwm tiv taus cov acids, txo kev ua nruj ntawm ib puag ncig. Tsis tas li ntawd, cov tshuaj txwv tsis pub nws nkag mus rau hauv duodenum. Lub cuab yeej txhawb txoj kev tsim cov pancreatic enzymes, nrog rau lawv ua kom.

Cov tshuaj muaj peev xwm muaj peev xwm muaj adsorb bile acids, pepsin. Cov cuab yeej siv los kho cov kab mob gastroenterological. Nws tuaj yeem noj yog tias lub plab mob, mob caj pas vim tsis muaj enzymes.

Qhov muaj pes tsawg leeg noj tshuaj muaj xws li cov khoom siv tseem ceeb:

• Magnesium hydroxide,
• Aluminium hydroxide.

Muaj nyob hauv cov tshuaj thiab cov ntsiab lus ntxiv:

• Magnesium stearate,
• Peppermint tsw zoo
• Pob kws nplej siab
• Sodium saccharin
• Sorbitol
• Sucrose
• Mannitolum.

Txog kev yuav noj tshuaj li cas thiaj li kho tau tus kab mob ntsws, mob plab, yuav tsum muaj kev daws teeb meem.

Cov lus qhia rau kev noj tshuaj muab cov lus pom zoo li no:

• Txhawm rau tiv thaiv, koj yuav tsum tau noj 1 lub tshuaj ntawm lub tshuaj ib hlis twg ntawm ib teev ua ntej noj lwm yam tshuaj uas cov tshuaj tua kab mob kho,
• Cov me nyuam muaj hnub nyoog 10-15 xyoo raug pom zoo kom siv ½-1 ntsiav tshuaj ob zaug-thib peb zaug / hnub,
• Cov menyuam yaus hnub nyoog 15 xyoos thiab laus dua, nrog rau cov laus, tau hais kom noj cov ntsiav tshuaj ntau npaum li 1-2 1-2pcs. plaub lub sij hawm / hnub tom qab 1 teev tom qab noj mov. Koj tuaj yeem noj 1 lub tshuaj nyob rau hmo ntuj yog tias koj yuav tsum ua kom tshem tawm ntawm lub siab kub, mob hauv lub epigastrium, tsis xis nyob hauv plab, plab hnyuv.

Muaj ib tug xov tooj ntawm contraindications kom noj cov tshuaj:

• Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj,
• Fructose fab,
• Alzheimer tus kab mob
• Qhov tsis txaus ntawm isomaltase, sucrose,
• Mob raum tsis zoo,
• Cev xeeb tub
• Kev ua haujlwm ntshav siab.

Siv nrog ceev faj Lub plab thaum pub niam mis.

Cov cuab yeej siv los txhawb kev tsim tawm thiab ua kom muaj zog ntawm pancreatic enzymes. Ib qho tshuaj yog siv rau exacerbations ntawm pancreatitis, uas zoo tshaj plaws hauv thawj ob peb hnub txij li hnub pib ntawm daim ntawv no ntawm tus kab mob, nrog rau kev tiv thaiv nyob rau hauv lub sijhawm tom qab.

Ib qho yeeb tshuaj yog siv rau kev kho mob nyob rau hauv daim ntawv ntawm lyophilisate rau kev txhaj tshuaj lossis cov kua poob.

Lub hauv paus tseem ceeb ntawm cov tshuaj yog aprotinin. Isotonic sodium chloride siv los ua cov kuab tshuaj. Ib qho ntxiv ntawm cov lyophilisate yog mannitol.

Hauv dab tsi ntau cov tshuaj yuav tsum tau siv yog nyob ntawm lub hom phiaj uas nws siv:

• Yog tias muaj mob nrawm, cov tshuaj thawj zaug tau tso tshuaj rau hauv ntau npaum li ntawm 200 txhiab mus rau 300 txhiab ATPE. Tom ntej no, ib qho tso dej nrog cov tshuaj no tuaj yeem raug kho. Hauv txoj kev no, tib cov tshuaj muaj peev xwm muab tau,
• Txhawm rau tiv thaiv tom qab kev phais mob rau tus kab mob pancreatitis, kev txhaj tshuaj rau tus neeg sawv cev hauv qhov nyiaj ntawm 200 txhiab ATPE yog tus kws kho mob, uas yog qhov tshuaj txhua hnub.

Lub sijhawm ntawm kev siv cov tshuaj yog nyob ntawm kev hloov pauv ntawm tus neeg mob tus mob.

Tsis txhob siv "Yeebyam" rau kev kho mob rau cov xwm txheej zoo li no:

• Cev xeeb tub kuv hlis
• Intolerance rau cov cheeb tsam "Contrikala".

Cov cuab yeej hais txog cov tshuaj hormones, thiab yog siv los tswj kev tsim cov enzymes hauv plab, txiav Nws yuav tsum tau yug los rau hauv lub siab tias cov tshuaj pab ua kom txo qis ntshav hauv lub cev, yog li ntawd, nws tau raug kho nrog kev ceev faj, tsuas yog tsim nyog. Daim ntawv teev npe ntawm cov cim qhia rau kev siv yeeb tshuaj suav nrog rau mob siab rau mob taub hau.

Nws yog siv rau kev txhaj tshuaj thiab cov kua roj hauv cov kua ntawm qhov kev daws teeb meem. Lub ntsiab ntawm cov tshuaj yog octreotide, thiab cov npe ntawm cov koom haum pabcuam suav nrog kev lim dej huv thiab sodium chloride.

Hauv kev sib ntaus tawm tsam tus kab mob pancreatitis, cov tshuaj tau muab rau hauv ib qho nyiaj ntawm 100 μg peb zaug / hnub hauv daim ntawv ntawm dauv. Yog tias cov tshuaj tau muab tso quav, qhov tshuaj txhua hnub tuaj yeem muaj peev xwm txog li 1200 mcg.

Lub sijhawm siv "Octreotide" feem ntau 5 hnub, tab sis nyob ntawm tus mob ntawm tus neeg mob, cov sijhawm no yuav txawv.

Cov khoom lag luam tsis siv rau hauv rooj plaub hauv qab no:

• Tus neeg mob tsis tau muaj 18 xyoo
• Hypersensitivity ntawm tus neeg mob rau cov khoom siv "Octreotide."

Kev ceev faj nyob rau hauv kev teem caij ntawm cov nyiaj yuav tsum tau qhia yog tias tus neeg mob muaj ntshav qab zib mellitus, cholelithiasis. Qhov no kuj siv tau rau cov neeg mob cev xeeb tub, pub mis.

Kev tswj hwm tus kheej ntawm cov tshuaj tuaj yeem ua rau tus neeg mob lub cev tsis zoo, yog li ntawd, kev sab laj nrog kws kho mob yog qhov tsim nyog, thiab tsuas yog tom qab nws koj tuaj yeem pib kho nrog tshuaj.