Pancreatic tshuaj rau mob ua rau tus kab mob pancreatitis

Pancreatitis yog tus mob ntawm daim tawv nqaij hlav. Tus kab mob no tuaj yeem tshwm sim hauv ob leeg mob thiab mob ntev. Nws yog nrog los ntawm kev mob thiab ua kom tsis zoo, tsis yog tsuas yog ntawm lub cev ua kua hlab ntsha xwb, tab sis kuj muaj cov kabmob uas nyob ib sab sib txuas nrog nws: daim siab, lub zais zis, lub plab hnyuv.

Hauv kev mob taub hau qhuav, cov duab hauv chaw kuaj mob yeej ib txwm tau hais tawm, thiab txoj kev kho tsuas yog mus pw. Qhov exacerbation ntawm tus txheej txheem mob ntev kuj qee zaum yuav tsum tau pw hauv tsev kho mob. Tab sis, pawg tseem ceeb ntawm cov neeg mob uas muaj tus mob pancreatitis yog kho hauv tsev. Nws yog ib qho tseem ceeb kom paub cov pab pawg tseem ceeb thiab cov tshuaj tshwj xeeb rau cov txiav ua qab, vim li cas lawv tau raug tshuaj thiab yuav siv lawv li cas.

Kuv puas tuaj yeem kho tus txiav ua qab kuv tus kheej

Lub ntsws thiab mob pes nrab ntawm kev mob caj dab ntev tuaj yeem kho tau nyob hauv tsev neeg mob hauv qab no:

• Koj tau ntsuam xyuas tag nrho 1-2 lub xyoo dhau los thiab lwm yam kab mob tau raug cais tawm (piv txwv, qog, mob pob txha, mob plab peptic).
• Xws li cov kev paub tsis zoo uas tau qhia rau koj paub thiab tsis txawv yav dhau los.
• Koj muaj cov lus qhia kho mob dhau los.
• Lub exacerbation yog mob me me, tsis ntuav, tsis muaj mob raws plab heev.
• Hauv ob peb hnub ntawm kev kho mob, tau sau tseg.

Cov hauv paus ntsiab lus rau kev kho mob ntawm kev mob caj dab

1. Noj cov zaub mov tshwj tsis yog cov roj zaub mov, cov nqaij uas muaj nqaij, noj zaub rau cov nplua nuj, cov zaub mov kaus poom. Xws li kev txwv nyob rau hauv cov kab mob ntawm cov txiav yog cai rau lub neej. Nrog exacerbation, kev tshaib kev nqhis yog tau kho rau ob peb hnub, thiab tom qab ntawd ces kev noj zaub mov muaj roj tsawg kom txog thaum qhov mob chwv.
2. Kev haus cawv thiab haus luam yeeb.
3. Kev Nyem Xim Xaus.
4. Tsis tshua muaj kev zais cia ntawm cov kua txiv thaum lub sij hawm exacerbation ntawm lub txiav.
5. Kev nqus ntawm cov enzymes hauv ntsiav tshuaj los pab txhawb kev zom.
6. Kev tshem tawm ntawm qhov ua paug thiab ua haujlwm zoo li qub hnyuv.
7. Kev nqus ntawm cov vitamins thiab minerals, txij li lawv nqus los ntawm cov zaub mov nrog pancreatitis yog qhov tsis taus.
8. Tshuaj kho mob los kho lub plab hnyuv muaj nqes.
9. Kev kho mob ntshav qab zib, uas tuaj yeem yog tus mob ntawm tus mob huam los yog mob leeg qhuav.

Txoj kev kho rau tus mob pancreatitis yog qhov nyuaj, nyob ntawm cov tsos mob. Tsis muaj ib qho "tshuaj ntsiav txiav zoo". Tus kab mob tuaj yeem tshwm sim sib txawv. Ib tug yuav muaj mob thiab nws xav tau kev kho mob rau mob, lwm qhov malabsorption thiab kev zom zaub mov, thiab nws xav tau ntau yam tshuaj tiv thaiv enzyme. Qee tus neeg yuav muaj mob thiab zawv plab, tawm tsam cov keeb kwm no - poob ceeb thawj thiab sab sab.

Tshuaj Kho Mob Kom Mob Siab

Cov tsos mob tseem ceeb uas ua rau tus neeg mob lub siab txhawm chim ntawm tus mob pancreatitis yog qhov mob. Yuav noj cov tshuaj dab tsi yog tias qhov tus mob taub hau mob?

• Cov tshuaj rau qhov mob tseem ceeb uas tau noj nrog rau mob ntawm no yog Paracetamol (nws yog qhov muaj kev nyab xeeb tsawg tshaj plaws rau lub plab hnyuv). Paracetamol 1-2 ntsiav tshuaj tau noj 3-4 zaug hauv ib hnub 30 feeb ua ntej noj mov. Txawm li cas los xij, nws yog kws kho nrog ceev faj thaum concomitant siab pathology.
• Nws kuj tseem muaj peev xwm siv cov kev kawm luv luv thiab lwm yam tsis-siv yeeb tshuaj xoom - Spazgan, Baralgin, Ketanov, Ibuprofen, Nimesulide. Muaj cov kev tshawb fawb pom zoo qhov ua kom muaj zog ntawm cov nyhuv analgesic ntawm cov tshuaj no thaum noj ua ke nrog multivitamin complexes, nrog rau cov tshuaj tiv thaiv kab mob. (amitriptyline).

Cov tshuaj kho mob yuav tsum tsis txhob noj rau ntau tshaj 10 hnub.

• Antispasmodics tseem siv. - Tsis-shpa, Buskopan, Mebeverin, Duspatalin, Papaverin. Lawv daws spasm ntawm cov kua tsib txoj hnyuv, txoj hnyuv, yog li txo qis siab hauv plab lumen.
• Cov kua qaub ntau ntxiv rau cov ntsiab lus los ntawm lub plab mus rau hauv duodenum, qhov kev zais ntau yog qhib kom ua tiav ntawm cov txiav. Raws li, cov tshuaj uas tau thim tawm lub zais ntawm hydrochloric acid thaum nphav kuj ua rau mob mob. Cov tshuaj no suav nrog H2 receptor blockers. Ranitidine, Famotidinezoo li proton twj tso kua mis inhibitors Omeprazole (Omez, Losek, Ultop), Rabeprazole (Pariet), Pantoprazole (Nolpaza, Contralock), Esomeprazole (Nexium).
• Qee zaum cov tshuaj tiv thaiv kab mob tau siv Dalargin rau kev tswj hwm intramuscular lossis intravenous.
• Tshuaj Antacids - Phosphalugel, Maalox kuj txo cov acidity ntawm pais plab kua txiv. Thov lawv 40 feeb tom qab noj mov thiab ua ntej yuav mus pw.

Lub txiav ua pa yog lub caj pas nquag nyob hauv peb lub cev. Nws tsim 1.5-2 liv ntawm kua txiv qab zib tauj ib hnub nrog cov ntsiab lus ntawm 10-20 gram ntawm cov zom zaws hauv nws. Tus mob huam tuaj yuav luag txhua zaus ua rau lawv cov neeg tsawg zuj zus, uas cuam tshuam rau kev zom zaub mov (feem ntau yog cov rog).

Cov zaub mov tsis zoo nyob rau hauv cov hnyuv tsis ua kom mob plab hnyuv, ua kom mob plab, tsam plab, raws plab hauv nws (malabsorption syndrome). Cov mob plob tsis so tswj ua rau ntxiv ua rau mob plab, malabsorption ua rau tus neeg poob phaus, ntshav liab thiab ntshav hypovitaminosis.

Yog li, cov tshuaj tseem ceeb rau kev mob pancreatitis nrog exacerbation yog cov enzymes uas pab cov kev zom thiab kev nqus ntawm cov zaub mov. Indirectly, lawv kuj txo qhov mob, ib txwm tso quav, inhibit depletion thiab txhawb kev nqus ntawm cov vitamins thiab minerals hauv plab hnyuv.

Kev npaj enzyme muaj ob qho tib si hauv cov ntsiav tshuaj daim ntawv thiab hauv tshuaj ntsiav tshuaj. Ib daim foos nws muaj nws qhov zoo thiab qhov tsis zoo. Daim ntawv teev cov tshuaj noj uas muaj cov enzymes hauv plab yog qhov loj. Txhua tus ntawm lawv muaj amylase, lipase thiab protease hauv ntau yam tshuaj, ntxiv rau lwm yam tshuaj ntxiv rau.

• Qhov kev npaj qis tshaj plaws ntawm cov enzyme yog peb qhov kev kho mob hauv tsev Pancreatin Tab sis nrog lub ncab nws tuaj yeem hu ua kev kho mob rau pancreatitis, vim nws muaj qis qis ntawm cov enzymes uas nquag (hauv kev hais lus lipase - txog 3 txhiab units). Nws yog ntau siv rau qhov ua yuam kev ntawm cov khoom noj. Ntawm qhov zoo - tsis tshua muaj nqi (pib ntawm 30 rubles).
• Pancreatin analogue - Mezim. Kev ua - txog li 3,500 IU ntawm lipase. Tus nqi yog kwv yees li 100 rubles ib pob ntawm 20 ntsiav tshuaj.
• Penzital (kwv yees li 6000 PIECES ntawm lipase). Nqe - los ntawm 170 rubles.
• Enzistal P (3500 PIECES). Tus nqi yog los ntawm 70 rubles.
• Panzim forte (3500 PIECES). Tus nqi yog los ntawm 160 rubles rau 20 ntsiav tshuaj.

Yog tias peb tham txog txoj kev kho kom raug, yog li thaum tus neeg mob taub hau mob, yuav tsum tau xaiv cov tshuaj muaj kev xav ntau dua ntawm cov enzymes. Qhov kev ua si yog feem ntau nyob rau cov ntsiab lus ntawm lipase. Rau kev hloov kho kom zoo, tsawg kawg yog 25,000-40000 units ntawm lipase rau cov zaub mov tseem ceeb thiab txog 10 txhiab rau cov khoom noj txom ncauj ntxiv.

• Cov ntsiav tshuaj pancreas nto moo tshaj plaws nrog kev ua si zoo dua yog Mezim Forte 10000, 20000Cov. Cov nqi rau cov tshuaj no pib ntawm 200 rubles rau ib pob ntawm 20 ntsiav tshuaj.

Qhov zoo tshaj plaws tshuaj enzyme hnub no yog pancreatin npaj rau hauv daim ntawv ntawm microtablets, minimicrospheres lossis microplates ntim hauv gelatin capsule (IV tiam). Lub particle txoj kab uas hla ntawm pancreatin nyob rau hauv xws li tsiav tshuaj tsis ntau tshaj 2 hli. Lub plhaub nws tus kheej tsis yaj nyob rau hauv lub plab, tab sis nyob rau hauv duodenum, cov lus hais tau sib xyaw zoo ib yam nrog zaub mov noj, cov nyhuv ntawm daim ntawv ntawm daim ntawv thov ntawm cov enzymes yog qhov ntau.

Cov tshuaj ntsiav nrov tshaj plaws ntawm kev npaj ntawm pancreatin thiab lawv cov nqi:

Nqe ib pob 20 tsiav tshuaj

(nruab nrab)

Cov tshuaj uas kim tshaj plaws hauv cov koob no yog Creon, qhov pheej yig tshaj yog Panzinorm.

Thaum mob siab rau, mob plab hnyuv taum npaj rau pancreatin noj thaum lub sijhawm lossis noj mov tom qab ib pluas noj. Lub chav kawm ntawm kev kho mob yog los ntawm 1 mus rau 3 hlis. Yav tom ntej, koj tuaj yeem haus tshuaj ntsiav rau kev ua txhaum ntawm kev noj haus. Feem ntau, kev muab tshuaj yog nqa tawm rau lub neej.

Nws yuav tsum raug sau tseg tias kev mob pancreatitis TSIS TXHOB lees txais cov enzyme uas npaj cov kua tsib hauv lub cev - Festal, Digestal, Enzistal, vim tias lawv tuaj yeem ua rau mob ntxiv.

Ib qho piv txwv ntawm kev kho kab mob rau exacerbation ntawm pancreatitis

1. Noj cov zaub mov rau pancreatitis. Kev haus cawv thiab haus luam yeeb.
2. Creon 25,000 X 3 zaug ib hnub rau pluas mov tseem ceeb, 10,000 X 3 zaug rau khoom noj txom ncauj rau 12 lub lis piam.
3. Omeprazole 20 mgX2 zaug ib hnub rau 4 lub lim tiam, tom qab ntawd 20 mg thaum sawv ntxov rau 2 lub lim tiam.
4. Mebeverin 200 mgX2 zaug ib hnub rau 6 lub lis piam.
5. Txog rau mob - Paracetamol 500-1000 mg X3 zaug ib hnub 30 feeb ua ntej noj mov 7 hnub.

Npaj rau kev txum tim rov qab ntawm hnyuv microflora

Kev ua txhaum ntawm tus piv ntawm cov kab mob ib txwm muaj thiab ua kab mob hauv txoj hnyuv yog pom hauv yuav luag txhua tus neeg mob uas muaj tus kab mob pancreatitis. Qhov no tau piav qhia los ntawm qhov tsis muaj enzyme kev rho tawm, nce fermentation txheej txheem, uas tsim kom muaj qhov chaw nyiam rau kev nthuav tawm ntawm cov kab mob microflora.

Txhawm rau tshem tawm qhov tshwm sim no, qee zaus nws tau sau tseg:

• Tshuaj tua kab mob hnyuv: Enterofuril (Tseg tsis tau)Rifaximin (Alphanormix). Los yog Ciprofloxacin, txog rau 7 hnub.
• Tom qab ntawv - probiotics thiab prebiotics muaj cov kab mob muaj txiaj ntsig zoo. Cov no suav nrog: Bactistatin, Enterol, Linex, Bifiform, Floristin, Normobact thiab lwm yam. Tau txais thaum lub sijhawm lossis tom qab noj mov hauv cov chav kawm txog 3 lub lis piam.

Txoj kev kho tus mob puas tseeb ua ke

Yog hais tias tus txiav ua paug rau lub cev, cov tshuaj rau lub qhov ncauj tswj hwm yuav tsis pab. Tshuaj mob hauv tsev kho mob yog qhov yuav tsum tau ua nyob ntawm no. Yuav muab tus neeg mob rau:

• Kev mob plab hnyuv tawm ntawm lub cev kev daws teeb meem.
• Tshuaj loog kom txog qhov qaug tshuaj kom tsaug zog.
• Cov blockers ntawm cov enzyme proteolytic - Gordoks, Kontrikal.
• Octreotide yog tshuaj rau tshuaj tiv thaiv kom txhob muaj cov qog zais.
• Tshuaj tua kab mob.
• Kev Tshawb Fawb
• Kev ua haujlwm yog tias kev ntsuas kev txuag tau ua pov thawj tias tsis muaj txiaj ntsig.

Herbal tshuaj rau pancreatitis

Nws paub tias qee cov nroj tsuag muaj cov khoom siv uas pab kho ntau yam kabmob. Txij puag thaum ub los, cov kab mob ntawm lub plab zom mov tau raug kho nrog kev kho mob ntawm pej xeem, thiab cov neeg kho neeg mob tau ua tiav zoo. Nrog txoj kev loj hlob sai heev ntawm cov tshuaj lom neeg cov tshuaj, kev txaus siab hauv tshuaj ntsuab tau ploj mus me ntsis. Tab sis cia peb tsis nco qab tias cov khoom kho zoo ntawm cov nroj tsuag tsis tau ploj mus, thiab tshuaj ntsuab muaj peev xwm pab tau zoo rau txoj kev kho mob txoj hnyuv mob, nrog rau kev ua kom lub cev rau hauv tawv ncauj.

Tshuaj ntsuab kho ib leeg xwb yuav kho tsis yooj yim ntawm kev mob taub hau, tab sis lawv tuaj yeem txo qhov noj tshuaj tsawg.