Creon rau pancreatitis

1. Yuav noj Creon 25000 npaum li cas rau kev mob qaij
2. Dab tsi yuav hloov tau cov kab mob creon thiab lwm yam kev npaj enzymatic rau mob pancreatitis.
3. Dab tsi yog qhov txawv ntawm mezim, pancreatin, Festival lossis Creon?
4. Yuav ua li cas noj cov enzymes rau pancreatitis

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.

Tus mob pancreatitis yog dab tsi?

Tus kab mob yog tus mob aseptic txheej txheem ntawm kev o uas tshwm sim hauv cov neeg ua txiav. Qhov tshwm sim ntawm daim ntawv tshwm sim los ntawm tus mob huam mob vwm, yog txuam nrog pathologies ntawm lub plab zom mov thiab lwm yam plab hnyuv siab raum. Tus kab mob no yog tus cwj pwm los ntawm qhov txo qis ntawm qhov mob hnyav tom qab pib siv sijhawm kho. Cov kab mob kev tshwm sim ntawm cov pathology yog qhov mob, kub siab, ntuav thiab xeev siab, intoxication. Thaum thawj cov tsos mob tshwm sim, tus kab mob yuav tsum kuaj sai sai thiab pib kho mob.

Kev tawm tsam ntawm tus mob hnoos qeev tau tshwm sim rau cov txiv neej feem ntau ntau dua li cov poj niam. Cov txheeb cais zoo li no tau piav qhia los ntawm qhov muaj zog ntawm kev sib deev muaj zog haus dej haus cawv ntau dua thiab muaj roj muaj roj. Cov mob no ua rau muaj kev nce siab ntau ntxiv nyob rau hauv duodenum, paug zuj zus ntawm cov kua txiv pancreatic. Cov hauv qab no tuaj yeem cuam tshuam qhov tshwm sim ntawm kev tawm tsam ntawm pancreatitis:

• mob plab, uas yog nrog los ntawm kev txhim kho ntawm lub cev ntawm tus kab mob pancreatic parenchyma,
• tus cwj pwm tsis zoo (haus luam yeeb, haus dej cawv, dhau hwv),
• nquag muaj kev cuam tshuam tsis zoo ntawm kev ntxhov siab rau lub cev,
• kev siv tshuaj ntev (cov tshuaj tsis haum steroidal los tiv thaiv cov tshuaj tiv thaiv, cov tshuaj hormones, metronidazole),
• Txaus siab tau txais kev pab ntawm kev kib, roj, haus luam yeeb, ntsim zaub mov, dej qab zib carbonated.

Hauv qee cov neeg mob, qhov tshwm sim ntawm pancreatitis yog vim qee lub caij nyoog pathological. Qhov nres yuav tshwm sim vim cov kab mob cuam tshuam lub plab hnyuv:

• mob cholecystitis,
• helminthiasis,
• kis mob siab
• mob plab, mob plab,
• cirrhosis ntawm daim siab,
• lom zaub mov
• mob ncauj plab tiv thaiv cholelithiasis,
• leeg hauv plab dyskinesia,
• gallstone tus kab mob, stagnation ntawm kua txiv pancreatic.

Qhov cim tseem ceeb ntawm kev rov qab mob pancreatitis yog mob ntawm kev siv ntau. Nws cov kev ua haujlwm hauv cheeb tsam pab txiav txim seb thaj chaw twg ntawm tus txiav tau ua tiav tus txheej txheem o. Kev hnov ​​mob hauv txoj cai hypochondrium qhia pathology ntawm lub taub hau ntawm cov khoom nruab nrog. Nrog qhov tsis hnov ​​mob nyob rau hauv thaj chaw ntawm epigastric, nws yuav tsum xav tias lub cev ntawm lub cev nqaij hlav muaj kev cuam tshuam. Yog tias qhov mob nyob hauv thaj chaw sab laug hypochondrium, tus Tsov tus tw ntawm lub caj pas puas lawm. Tag nrho cov khoom hauv nruab nrog cev tuaj yeem mob: hauv qhov no, tus neeg mob hnov ​​mob girdle.

Txoj kev mob Pancreatitis tuaj yeem kuaj pom los ntawm kev txheeb xyuas tus neeg mob lub sijhawm. Tus mob kis tau nws tus kheej los ntawm cov tsos mob hauv qab no:

• txog siav
• mob hauv lub hypochondrium lossis plab,
• paroxysmal xeev siab nrog kev tso tawm ntawm cov kua tsib thiab hnoos qeev,
• ua daus no thiab hyperthermia,
• mob plab zom mov
• tsam plab thiab pom,
• zom cov quav hws tso tseg
• nce plob tsis so tswj thiab tso zis,
• nplawm
• Kev mob siab.

Teeb meem

Yog tias muaj tus mob hu ua pancreatitis tau txiav txim siab los ntawm kev kuaj mob, tus neeg mob xav tau kev kho mob sai sai, txwv tsis pub tus kab mob no tuaj yeem mob ntev. Kev loj hlob ntawm tus kabmob ua rau tus neeg tau txais kev mob hnyav, txog ntawm kev ua rau neeg tuag. Yog hais tias tsis kho, mob rau leeg txhawm kom ua rau mob lwm yam ntxiv:

• o ntawm peritoneum,
• fistulas ntawm pancreatic genesis,
• endotoxin poob siab,
• hemorrhages,
• phlegmon lossis abscess,
• necrotic hloov pauv ntawm thaj chaw ntawm cov kabmob uas nyob sib ze.

Kev kuaj mob

Thaum tus neeg mob qhia thawj cov tsos mob ntawm tus mob hnoos qeev, nws yuav tsum tau sab laj nrog kws kho mob sai sai rau kev kuaj mob. Txhawm rau txhawm rau txheeb xyuas tus kab mob, cov kev tshawb fawb tau sau tseg:

1. Tso zis thiab kuaj ntshav (dav dav, biochemical, coagulogram, kev txiav txim siab txog theem ntawm elastase, calcium, protein, pancreatic enzymes) - thaum lees tias kev kuaj mob, kev nce qib hauv elastase thaum ntxov ntawm tus kabmob, amylase, thiab trypsin inhibitor tau sau tseg. Muaj cov qe ntshav dawb nyob rau hauv qhia txog o.
2. Keeb kwm kev kho mob - nws tau tshaj tawm tias tus neeg mob muaj cov kab mob mus ntev ntawm lub plab zom mov, uas yog nyob rau lub sijhawm ntawm exacerbation, thiab lwm yam kev taw qhia etiological.
3. Kev kuaj lub cev - tus kws kho mob tshwj xeeb rau tachycardia, pallor ntawm daim tawv nqaij, tawv nqaij qog ua pa, mob ntshav hauv lub plawv, mob ntawm palpation ntawm lub plab mog sab saud, sab laug pob txha caj qaum.
4. Ultrasound ntawm lub plab zom plab yog qhov kev nyab xeeb thiab qhia cov txheej txheem kuaj mob. Nws pab txhawm rau txheeb xyuas puffiness, nce ntxiv ntawm lub txiav, muaj cov cystic formations nyob rau hauv nws, laij nyob rau hauv cov bile duct.
5. Kev sib piv thiab sib nqus resonance imaging - cov hau kev ntawm cov ntsiab lus siab, pab rau kev ntseeg tau txiav txim siab qhov chaw ntawm qhov chaw mob, qhov loj me ntawm cov khoom nruab nrog.
6. Laparoscopy - yog siv yog tias chav kawm ntawm tus kab mob yog qhov nyuaj, kev siv lwm yam kev tshawb fawb tsis yooj yim raws li tus neeg mob.
7. Kev xoo hluav taws xob - yog ua kom paub cov kev mob cuam tshuam nrog cov kua tsib thiab nplooj siab, kuaj xyuas qhov muaj thiab cov tsos mob ntawm cov mob ua xua

Qhov muaj pes tsawg leeg thiab ntsiab cai ntawm kev ua ntawm cov tshuaj

Creon rau kev mob caj dab ntev thiab Creon rau exacerbation ntawm pancreatitis yog qhov zoo tshaj plaws uas tuaj yeem kho txoj kev zom plab.

Cov tshuaj muaj nyob rau hauv daim ntawv ntawm tsiav tshuaj.

Lub ntsiab ua haujlwm tseem ceeb hauv cov tshuaj yog pancreatin.

Ntxiv nrog rau lub ntsiab nquag tivthaiv, cov lus ntawm cov cuab yeej suav nrog tag nrho cov khoom sib txuas ntxiv uas ua si cov haujlwm pabcuam.

Cov tshuaj ntxiv ntawm cov tshuaj yog cov tshuaj hauv qab no:

• macrogol
• dibutyl phthalate,
• kua paraffin,
• dimethicone
• phthalate hypromellase.

Qhov kev txiav txim ntawm cov tshuaj yog ua raws li qhov tseeb tias cov nquag ua kom muaj cov tshuaj cuam tshuam rau cov txheej txheem kev zom zaub mov, ib txwm ua cov tshuaj tiv thaiv ntawm cov khoom siv metabolism.

Raws li kev ua ntawm cov feem uas ua rau cov tshuaj, qhov nqus ntawm cov protein, carbohydrates thiab cov rog yog nrawm.

Tom qab noj cov tshuaj ntsiav nrog rau cov tshuaj, nws tsis cais hauv cov kab noj hniav ntawm lub plab, tab sis txav mus rau hauv lub plab hnyuv lumen. Nyob rau hauv txoj hnyuv, qhov nquag ua haujlwm tau tso tawm, uas muab qhov xav tau ntawm lipolytic thiab tiv thaiv proteolytic.

Lub tebchaw uas tsim tau Creon pab zom cov tebchaw zoo.

Kev siv cov Creon hauv daim ntawv uas mob ntev yog qhov ua tau zoo heev. Qhov ua tau zoo ntawm cov tshuaj yog xyuas los ntawm cov ntsiab lus hauv nws ntawm txhua yam kev xav tau thaum lub sijhawm hloov tshuaj enzyme.

Minimicrospheres ntawm cov tshuaj muaj tag nrho ntau yam ntawm cov khoom uas tso cai rau koj kom tusyees faib cov khoom siv nquag ntawm cov tshuaj thoob plaws ntim ntawm cov zaub mov pob. Qhov kev ua no ntawm cov sib txuas nquag txhim kho cov txheej txheem kev zom zaub mov.

Qhov tso tawm ntawm cov tshuaj yog nqa tawm hauv peb hom, nyob rau hauv uas tsuas yog tsuas tshuaj ntawm lub tebchaw nquag yog txawv:

Feem ntau feem ntau hauv cov tshuaj, hauv kev kho mob ntawm pancreatitis, Creon 10000 yog siv.Thaum noj qhov sib txawv ntawm cov tshuaj, pancreatitis yog yooj yim dua.

Cov ntsiav tshuaj Creon belongs rau cov txhais tau los ntawm ob hom plhaub hom, uas tso cai rau koj thauj cov enzymes rau duodenum.

Kev ntsuas rau siv, contraindications thiab phiv

Yuav kom siv Creon thaum kho kab mob pancreatitis tsuas yog siv lus pom zoo los ntawm kws kho mob.

Noj tshuaj kom nruj raws li txhua cov lus qhia tau txais los ntawm koj tus kws kho mob.

Tus kws kho mob, thaum sau ntawv yuav siv cov tshuaj, xaiv ib qho tshuaj ib qho rau kev kho mob, coj mus rau hauv tus account yam ntxwv ntawm tus neeg mob lub cev.

Ua raws li cov lus qhia rau kev siv, tshuaj tau siv los kho lub hauv paus hauv qab no:

• mob ntsws qhuav mob,
• cystic fibrosis,
• mob tom qab phais mob ntawm tus txiav thiab nws rho tawm ib nrab,
• kuaj kom paub kev ua haujlwm tsis zoo hauv cov nqaij mos,
• nrog kev rhuav tshem ntawm txoj hnyuv quav,
• nqig enzyme ntau lawm hauv cov neeg muaj hnub nyoog 65 xyoos.

Tsis tas li ntawd, Creon tuaj yeem siv tom qab kev phais mob kom tshem tawm cov kem plab, nrog kev ua txhaum nyob rau hauv daim siab thiab nrog rau kev kuaj mob ntawm lub qog-txhaws - cholecystitis.

Qhov ntau npaum li cas thaum noj cov tshuaj tau txiav txim nyob rau hauv txhua kis ntawm tus kheej.

Cov kev tsis haum rau siv Creon yog:

1. Mob ncauj mob taub hau.
2. Lub xub ntiag ntawm daim ntawv uas muaj mob voos qhwv ntawm tus neeg mob hauv ntu mob huam tuaj.
3. Tus neeg mob tsis kam txais los ntawm tus neeg mob ntawm cov tshuaj tseem ceeb lossis koom nrog ua ke ntawm kev siv tshuaj.

Thaum noj tshuaj, cov kev mob tshwm sim txuas ntxiv tuaj yeem tshwm sim.

• cov tsos ntawm kev tsis xis nyob hauv plab,
• cem quav
• ua txhaum ntawm txoj hnyuv,
• qhov pib ntawm xeev siab thiab mob siab kom ntuav,
• cov tsos mob ua xua ntawm daim tawv nqaij ua xua,
• kev tshem tawm thiab cov quav tsis tu ncua,
• zawv plab

Cov tshwm sim ntawm kev phiv los ntawm kev noj cov tshuaj yog rau npe hauv qee qhov tsis tshua muaj.

Cov lus qhia rau kev siv tshuaj

Yuav ua li cas noj Creon rau tus mob qaij noj? Cov koob tshuaj ntawm cov tshuaj tau xaiv ib tus zuj zus nyob ntawm qhov nyuaj ntawm cov enzymatic pancreatic tsis txaus. Kev noj tshuaj ib zaug tuaj yeem ncav 10,000-25,000 IU. Tshwj xeeb tshaj yog cov teeb meem nyuaj, tshwj xeeb nrog tus mob pancreatitis, cov tshuaj no yuav nce ntxiv.

Cov tshuaj muaj nyob hauv ntau qhov sib txawv. Qhov sib txawv no tso cai koj xaiv cov tshuaj kom raug yog qhov ntau npaum li ua tau ntawm txhua kis.

Thaum pib theem ntawm kev kho mob, ib tus neeg mob laus yuav tsum noj 2 capsule ntawm cov tshuaj thaum noj mov tseem ceeb thiab ib zaug zuj zus thaum noj khoom txom ncauj. Los ntawm 4 rau 15 tsiav tshuaj muaj kev tso cai ib hnub.

Capsules yog noj tag nrho yam tsis ntxo. Yog tias muaj teeb meem nrog nqos tshuaj, nws raug tso cai qhib thiab sib xyaw cov ntsiab lus ntawm cov tshuaj ntsiav nrog zaub mov ua kua. Nco ntsoov tias noj cov tshuaj yuav tsum nrog dej kom ntau. Qhov no yog vim qhov tseeb tias txwv tsis pub cem quav yuav tshwm sim.

Txhawm rau kom ua tiav qhov siab tshaj plaws ntawm cov tshuaj, ib koob tshuaj tau pom zoo kom muab faib thiab coj ua ob koob tshuaj. Thawj ntu yog qaug ua ntej noj mov, thiab qhov thib ob ncaj qha thaum noj mov.

Thaum siv cov tshuaj, cov khoom noj pom zoo los ntawm cov kws kho mob koom nrog yuav tsum ua raws.

Kev txiav txim los ntawm kev tshuaj xyuas muaj, cov tshuaj yog qhov txiaj ntsig zoo hauv kev ua tiav kev hloov kho enzyme thiab tuaj yeem txhim kho tus neeg mob tus mob.

Yog tias nws tsis tuaj yeem siv Creon, nws tuaj yeem hloov nrog analogues. Cov tshuaj no yog:

• Gastenorm Forte,
• Mezim Forte
• PanziKam,
• Panzim Forte,
• Pacreasim
• Pancreatin-LekT,
• Penzital
• Enzystal
• Uniens MPS,
• Hermitage
• Pancreoflat.

Tus nqi ntawm Creon rau kev lag luam pharmacological ntawm Lavxias txawv nyob ntawm thaj av ntawd thiab qhov ntau ntawm cov tshuaj. Tus nqi ntawm cov tshuaj noj nrov tshaj plaws ntawm Creon 10000 yog qhov nruab nrab ntawm 228 txog 300 rubles.

Cov yam ntxwv pharmacological ntawm kev npaj enzyme tau piav qhia hauv video hauv kab lus no.

Khoom Piav Qhia

Creon yog ib qho kev enzyme uas siv los ua qhov haujlwm ntawm lub plab ua haujlwm. Nyob hauv kev cuam tshuam ntawm cov khoom siv nquag, kev tawg ntawm cov rog, protein thiab carbohydrates thiab lawv qhov siab tshaj plaws tau zoo tuaj. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov tsiav tshuaj, uas, tom qab nkag mus rau hauv lub cev hauv daim ntawv hloov pauv, ua ntej mus rau txoj hnyuv thiab tsuas yog nyob ntawd lawv tso cov minimicrospheres, uas muaj cov nyhuv xav ua.

Nyob rau hauv kev cuam tshuam ntawm Cheebtsam, qhov tawg ntawm cov rog, starches thiab lipids yog pom, uas muaj cov txiaj ntsig zoo rau txheej txheem ntawm kev zom zaub mov. Lub hauv paus ua haujlwm tseem ceeb ntawm cov tshuaj yog lipase, amylase thiab protease. Ntxiv rau lawv, cov tsis suav nrog.

Hom voos thiab lawv qhov sib txawv.

1 tshuaj ntsiav ntawm Creon 10000 muaj: pancreatin 150 mg, nrog rau kev ua kom tsawg kawg enzymatic: lipase 10000 PIECES ntawm Ph. Eur, Amylases 8000 PIECES Ph. Eur, cov txhawb nqa 600 Daim Txiaj Ntsig Ph. Eur.

1 tshuaj ntsiav ntawm Creon 25000 muaj: pancreatin 300 mg, nrog rau kev ua kom tsawg kawg enzymatic: lipase 25000 EDPh. Eur, Amylase 18000ED Ph. Eur, protease 1000 EDPh. Eur.

Cov tshuaj tiv thaiv thiab kev xeeb tub

Ntawm qhov ua tau contraindications, ntau yam yuav tsum tau sau tseg. Hauv qee kis twg koj tsis tuaj yeem siv cov tshuaj:

• Tus neeg tsis qaug rau cov tshuaj nquag lossis nws cov khoom siv pabcuam.
• Cov mob huam mob vwm ntawm pancreatitis.
• Exacerbation ntawm daim ntawv uas muaj mob ntawm pancreatitis.

Thaum kho nrog cov tshuaj thaum nqa tus menyuam, tsis muaj kev mob tshwm sim.

Cov kev tshawb fawb tsiaj tau ua, cov txiaj ntsig ntawm uas tsis tau qhia tawm ib qho txiaj ntsig ntawm cov enzymes ntawm keeb kwm ntawm lub cev pancreatic porcine.

Qhov no qhia tau tias cov tshuaj tsis muaj tshuaj lom rau ntawm lub zwj ceeb ntawm kev tsim tus me nyuam hauv plab.

Thaum cev xeeb tub, cov tshuaj tau sau nrog ceev faj. Cov tshuaj tsis muaj teebmeem dabtsi thaum lub sijhawm lactation.

Yog li, lub sijhawm lactation tsis yog qhov kev txwv rau txoj kev kho leej niam, tab sis rau cov laj thawj no tus kws kho mob xaiv tau qhov tseeb.

Cov hau kev ntawm kev siv Creon hauv kev kho mob ntawm pancreatitis

Kev ua mob ntawm tus txiav ua ntej nrog qhov tseeb hais tias ua txhaum ntawm cov txheej txheem fermentation. Qhov no cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub plab zom mov tag nrho, uas ua rau muaj kev tsis zoo ntawm tus mob feem ntau. Hauv qhov no, kev npaj enzyme yuav tsum ua txoj hauv kev kho mob ntawm pancreatitis. Lawv tau tso cai rau ua lub luag haujlwm ntawm kev ua haujlwm ntawm cov plab zom mov kom zoo dua qub thiab txhim kho kev ua haujlwm ntawm txhua qhov nruab nrog, nrog rau lub qog o. Hauv qhov hais txog no, cov kws kho mob tshwj xeeb feem ntau kho Creon rau mob pancreatitis.

Txhawm rau tshem tawm cov kev tsis zoo nyob rau hauv cov hnyuv tiv thaiv kab mob pancreatitis, cov tshuaj Creon yog siv.

Daim Ntawv Thov Nuances

Cov tshuaj tsuas yog siv lub xub ntiag ntawm pancreatic kawg. Hauv cov theem pib ntawm pathology, nws tsis tsim nyog. Thaum ua txoj kev kho, nws yog ib qho tseem ceeb uas yuav tsum muaj kev saib xyuas mob. Nrog rau siv ntev hauv cov koob tshuaj ntau, qhov tsim los ntawm cov nruj hauv ileum thiab colitis yog ua tau.

Txhawm rau tiv thaiv cov kev tsis zoo, nws raug nquahu kom koj ua tib zoo saib xyuas koj tus kheej qhov mob thiab qhia txhua qhov hloov pauv.

Thaum siv Creon, tsis muaj kev poob qis hauv kev ua haujlwm, uas tso cai rau nws siv los ntawm cov neeg ua haujlwm hauv kev tsim khoom, xav tau kev saib xyuas ntau ntxiv, zoo li thaum tsav tsheb. Nws tsis pom zoo kom haus cov tshuaj nrog Acarbose. Qhov no tau piav qhia los ntawm qhov tseeb tias amylase pab txo cov nyhuv ntawm cov tshuaj no.

Creon hauv pancreatitis: kev txiav txim, siv, analogues thiab contraindications

Hloov kho txoj hau kev tseem ceeb los kho tus mob pancreatitis, vim nws yuav pab tshem tawm cov tsos mob tsis zoo thiab ua kom lub plab zom mov.Txawm li cas los xij, lub ntsiab vector ntawm cov nyhuv cuam tshuam yog qhov txiav txim siab thiab tshem tawm cov hauv paus hauv kev tsim cov kab mob. Hauv qhov no, kev siv Creon ua rau nws muaj peev xwm txhim kho lub neej zoo ntawm tus neeg mob thiab muab nws lub cev nrog cov khoom noj khoom haus txaus tsim nyog rau kev ua haujlwm tag nrho.

Qhov qhia tau rau kev siv tshuaj yog qhov tsis txaus ntseeg ntawm kev ua haujlwm ntawm enzyme ntawm lub cev, nws muaj peev xwm tsim tsis tsuas yog vim nws qhov mob, tab sis kuj yog lwm cov txheej txheem pathological. Raws li qhov no, Creon pom zoo kom ua raws li cov xwm txheej hauv qab no:

• pancreatitis
• pancreatic malignant hlav,
• thaiv ntawm cov kwj deg pancreatic,
• cystic fibrosis,
• hnub nyoog ntsig txog poob hauv kev enzyme digestive,
• tej yam mob tom qab tshem tawm ntawm txoj hnyuv, plab, lossis txiav.

Tag nrho cov xwm txheej no cuam tshuam nrog kev ua rau lub plab tsis zoo thiab yuav xav kom muaj kev hloov kho. Nyob rau tib lub sijhawm, lub sijhawm ua haujlwm ntawm cov thawj coj thiab kev xaiv ntawm qhov tsim nyog ntawm Creon yog xaiv nruj me ntsis ntawm cov hauv paus ntawm cov paib muaj thiab lawv qhov mob hnyav.

Thawj pab rau pancreatitis

Cov lus qhia rau kev siv paub tias Creon tau pom zoo rau siv rau hauv qhov xwm txheej uas tsis muaj enzymes los ntawm lub cev lossis tsim tawm hauv cov khoom me me. Nws yog cov xwm txheej no uas ua rau muaj kev cuam tshuam ntawm cov txheej txheem ntawm kev zom zaub mov, kev txhim kho ntawm cov kab mob ntawm txoj hnyuv huam.

Hauv lub sijhawm mob sai sai, kev nce ntau ntxiv ntawm kev ua tiav ntawm pancreatic enzymes tshwm sim, uas ua rau kev zom cov zaub mov ntawm lub cev. Yog li ntawd, Creon yog contraindicated nyob rau theem no ntawm tus kab mob.

Hauv cov txheej txheem mob, cov tshuaj pib txheej txheem ntawm kev txhim kho lub zom zom kom zoo, uas ua kom cov zaub mov ua tiav thiab nws cov khoom tawg rau cov tshuaj yooj yim. Kev siv cov tshuaj tsis raug cai nyob rau hauv kev mob caj dab ntev ua rau koj rov qab ua haujlwm ntawm lub qog, txo exacerbation, txhim kho kev zom thiab txhim kho kom zoo rau tus neeg mob.

Hauv cov txheej txheem kev txhim kho ntawm cov kab mob pathology hauv lub cev, kab mob degenerative tshwm sim, cuam tshuam kev ua haujlwm ntawm cov kabmob, ua rau muaj kev pheej hmoo loj.

Kev muaj mob hauv daim ntawv ntev yuav tsum tswj hwm, tswj hwm, noj zaub mov zoo thiab ua lub neej zoo. Yuam kev hauv kev noj haus, tsis ua raws li kev noj tshuaj kho mob ua rau muaj kev cuam tshuam loj heev.

Lub ntsiab tseem ceeb yog enzymatic deficiency, uas tuaj yeem tshwm sim rau ntau yam:

• mob o ntawm lub txiav,
• pancreatic necrosis,
• phais kom tshem tawm cov txiav los yog los ntawm nws,
• mob gallstone
• cov kab mob ntawm cov qog endocrine.

Cov tshuaj kuj tseem siv los ua kom tsam plab, tsis hnov ​​tsw peristalsis, muaj teeb meem nrog quav. Hauv kev kuaj mob hauv tshuaj kho mob, cov tshuaj yog siv rau hauv txoj kev kho mob ntawm dysbiosis lossis lwm yam mob plab hnyuv.

Kev Rov Kho Tus Kab Mob Pancreatitis

Txoj kev kho tus mob kom rov huam mob ntxig txhawm rau tsom lub hlwb, leeg mob caj pas, qaug cawv. Cov mob tseem ceeb rau kev kho mob kom vam meej yog kev tshem tawm cov kabmob qis. Thaum lub sij hawm thawj 2-3 hnub, cov neeg mob yuav tsum noj infusions ntawm tshuaj ntsuab nrog anti-inflammatory siv thiab dej. Nrog txoj kev mob me me ntawm tus mob hnoos qhuav, kev noj zaub mov nruj kom pom tseeb, txwv cov ntsiab lus ntawm cov rog thiab cov protein nyob hauv cov zaub mov noj, tab sis nplua nuj nyob hauv cov carbohydrates. Cov txheej txheem endoscopic yog siv yog tias tus kab mob tshwm sim tawm tsam keeb kwm ntawm cholelithiasis.

Lub hauv paus ntawm kev kho mob yog tshuaj kho mob. Nrog rau mob pancreatitis, cov pawg hauv qab no ntawm cov tshuaj yog kws kho:

• pancreatic enzymes (Pancreatin, Mezim, Creon, Panzinorm),
• tshuaj tua kab mob - tshuaj loog, tshuaj tsis-steroidal los tiv thaiv cov tshuaj (Diclofenac, Ibuprofen),
• antispasmodics (Tsis-shpa, Papaverine),
• carminative (Espumisan),
• tshuaj tua kab mob (Gentamicin, Ampioks).

Txoj kev kho yuav tsum tau pib tam sim ntawd, nruj me ntsis coj raws li tus kws kho mob cov lus qhia. Nws yog txwv tsis pub siv morphine rau kev kho mob, vim nws ua rau spasm ntawm lub duodenal papilla loj. Feem ntau siv tshuaj kho mob:

• Mezim - tsim los ua kom muaj kev ywj pheej ntawm cov tsis tuaj yeem ua rog nrog panzreatic enzymes. Cov tshuaj muaj pes tsawg leeg yog sawv cev los ntawm pancreatin - hmoov uas tau los ntawm cov txiav ntawm npua. Mezim yog qhia rau cov tsos mob dyspeptic, siv cov khoom noj hnyav lossis atypical, cov kab mob uas nrog cov pa tsis txaus ntawm lub plab zom mov enzymes, thiab ua haujlwm tsis zoo ntawm lub plab zom mov. Ib cov tshuaj yog siv los npaj tus neeg mob rau kuaj mob. Cov tshuaj kho mob nrog rau kev sib duav, tsam plab, kub siab, xeev siab, pom. Mezim tsis pom zoo rau exacerbation ntawm pancreatitis, plab hnyuv muaj teeb meem los ntawm kev cuam tshuam cov tshuab, cuam tshuam rau lub siab. Cov kev mob tshwm sim tuaj yeem tshwm sim los ntawm zawv plab, xeev siab, txham, hnoos qeev, tawm pob rau ntawm daim tawv nqaij, thiab lacrimation. Cov menyuam yaus hnub nyoog loj dua 3 xyoos thiab cov laus yuav tsum tau noj 1-2 lub tshuaj nrog zaub mov, haus khob dej. Lub sijhawm ua haujlwm ntawm chav kawm raug teeb tsa ua ib leeg zuj zus raws li kev soj ntsuam.
• Creon - cov tshuaj siv los txhim kho kev zom zaub mov, raws li kev hloov kho rau pancreatic enzyme deficiency. Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog pancreatin. Creon yog qhia rau kev mob ntxiv rau pancreatitis, cystic fibrosis, ob leeg ntawm cov hlab pas ua kom mob plab hnyuv los ntawm neoplasms, mob hlav hlav. Ib qho tshuaj noj tau muab tshuaj rau kho tus mob txiav, txiav ib feem ntawm lub plab, tag nrho lub plab zom mov. Qhov zoo dua ntawm Creon yog qhov ua tau zoo, qhia nyob rau hauv kev txhim kho kev zom ntawm cov tais diav hnyav. Kev txheeb xyuas txog qhov tshwm sim ntawm kev mob tshwm sim yog tsawg. Nws yog txwv tsis pub sau ntawv tawm Creon nrog mob leeg, mob taub hau, muaj mob rhiab ntawm yeeb tshuaj. Cov kev mob tshwm sim muaj nyob rau hauv daim ntawv tsis xis nyob hauv txoj hnyuv, ua xua, xeev siab, cem quav, raws plab. Thaum pib thawj zaug ntawm kev kho mob, Creon yog tshuaj nrog ntau npaum ntawm 10,000-25,000 units. Siv cov tshuaj sab hauv, ib nrab ua ntej noj mov, qhov seem - nrog zaub mov. Cov ntsiav tshuaj yog ntxuav nrog dej. Kev muab tshuaj thiab qhov ntev ntawm cov chav kawm tau teeb tsa ua ib tus zuj zus.
• Espumisan yog carminative uas txo qhov nro ntawm cov roj npuas. Cov khoom ua si nquag hauv tshuaj ntsiav yog simethicone. Qhov zoo ntawm cov tshuaj muaj xws li kev ua kom siab, muaj peev xwm ua kom tsis hloov pauv. Cov menyuam yaus hnub nyoog dhau 6 xyoo thiab cov laus tau sau 2 cov tshuaj Espumisan 3-5 zaug / hnub. Cov tshuaj yuav tsum tau noj tom qab noj mov nrog ib qho me me ntawm cov dej. Kev siv cov khoom lag luam yog txwv tsis pub quav ntawm lub plab, ua kom lub ntsej muag tsis haum, ua rau lub plab zom zaws. Cov kev mob tshwm sim tsis tshua muaj, pom los ntawm kev ua xua.
• Gentamicin yog ib qho tshuaj tua kab mob ntau yam. Cov tshuaj tau muab faib ua ntau yam: hmoov, tshuaj pleev qhov muag, daws, aerosol, tshuaj pleev. Tus nquag ua hauj lwm yog gentamicin sulfate. Hauv kev txiav mob ntawm pancreatitis, ib qho tshuaj tiv thaiv kab mob tshwm sim nyob rau hauv lub sij hawm mob hnyav. Gentamicin yog kho rau kev mob peritonitis, cystitis, pyelonephritis thiab lwm yam kab mob. Cov tshuaj yog muab cov tshuaj intramuscularly ntawm 120-160 mg 1 zaug / hnub. Lub chav kawm ntawm kev kho mob yog 7-10 hnub. Cov tshuaj tiv thaiv tsis zoo rau kev siv tshuaj muaj xws li: keeb kwm kev ua xua, uremia, cev xeeb tub, lactation, ua haujlwm tsis zoo ntawm lub raum, thiab hnov ​​ntawm lub paj hlwb. Gentamicin muaj cov npe loj ntawm cov kev mob tshwm sim uas cuam tshuam rau ntau yam hauv lub cev.
• Ibuprofen yog tshuaj loog, tiv thaiv lub cev. Nws siv nyob rau hauv rooj plaub ntawm kev mob, tshav kub. Cov tshuaj no muaj nyob hauv cov npe tshuaj tseem ceeb los ntawm World Health Organization. Nrog rau pancreatitis, reactive yog tshuaj raws li kev nco loog uas txo qhov mob. Cov neeg laus thiab cov menyuam yaus hnub nyoog dhau 12 xyoos pom zoo kom haus 3-4 ntsiav tshuaj / hnub nrog dej. Kev txais tos yuav tsum tau nqa tawm tom qab zaub mov. Cov tshuaj yog contraindicated rau mob thiab voos ntawm lub plab zom mov, lub plab zom mov lossis plab hnyuv los ntshav hauv cov theem nquag, mob raum thiab mob siab tsis txaus, hypersensitivity, thaum cev xeeb tub lig. Cov ntsiav tshuaj muaj cov npe loj ntawm cov kev mob tshwm sim (kab mob siab, hnov ​​pob ntseg, tsis hnov ​​lus, pom kev qhov muag, mob tachycardia, muaj ntshav siab ntxiv, ua xua tuaj).

Kev noj zaub mov kom zoo rau hauv lub cev rov tuaj yeem mob yog ib qho tseem ceeb ntawm kev kho kom ua tiav. Tus neeg mob cov zaub mov yuav tsum tsis txhob muaj cov co ntxhib. Tag nrho cov tais diav tau hais kom muab rau tus neeg mob frayed. Cov zaub mov yuav tsum tsis txhob txias lossis kub. Txhawm rau kom tsis txhob mob pancreatitis, koj yuav tsum ua raws ntau txoj cai kev noj haus:

1. Lub sijhawm sib nrug ntawm cov zaub mov raug nquahu kom txo qis.
2. Xaiv cov khoom noj muaj txiaj ntsig zoo thiab muaj txiaj ntsig.
3. Txwv txiav koj txoj kev haus cawv.
4. Txiav rov qab rau cov rog, kib zaub mov.
5. Tsis txhob noj tshuaj rau tus kheej, thaum thawj tus mob pib, muaj tus kws kho mob tshwj xeeb.

Cov khoom noj kom tsim nyog rau pancreatitis pab txo kev ntxim siab ntawm kev rov huam mob tuaj. Cov khoom tau tso cai thiab txwv tsis pub muaj nyob hauv lub rooj:

Daim ntawv yuav tshuaj ntawm cov tshuaj

Cov tshuaj muaj txiaj ntsig no raug pom zoo siv rau cov kab mob hauv qab no:

1. Mob txhaws ntev, uas muaj qhov tseeb hais tias tsis muaj plab zom mov.
2. Cystic fibrosis.
3. Kab mob siab thiab kab mob ntsws.
4. Oncological kab mob ntawm lub gastrointestinal ib ntsuj av.
5. Sijhawm tom qab tau tas yog tias lub plab lossis plab hnyuv raug tshem tawm.
6. Kev zom zaub mov vim qhov teeb meem tsis txaus.

Tseem Ceeb! Creon txwv tsis pub noj nrog exacerbation ntawm pancreatitis, zoo li yog kuaj pom tias muaj tus kab mob pancreatitis.

Qhov kev txiav txim ntawm cov tshuaj yog vim nws cov tshuaj nquag, uas, tom qab noj, nkag mus rau hauv lub plab, qhov twg tshuaj ntsiav yaj hauv qab ntawm kua txiv thiab lawv sib xyaw nrog cov ntsiab lus hauv lub plab. Ib daim ntawv tshwj xeeb ntawm microgranules nyob rau hauv uas muaj tshuaj muaj nyob tso cai rau lawv xa mus rau duodenum thiab twb ua kom tiav nyob rau ntawd.

Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm tsiav tshuaj thiab muaj sib txawv qib ntawm kev ua, nyob rau hauv lwm yam lus, cov ntsiab lus ntawm active tshuaj raug muab faib nyob rau hauv ntau koob:

1. Creon 10,000, lipase 10,000 IU, amylase 8,000 IU, protease 6,000 IU.
2. Creon 25,000, lipase 25,000 IU, amylase 18,000 IU, protease 1000 IU.
3. Creon 40,000, lipase 40,000 IU, amylase 25,000 IU, protease 1,600 IU.

Qhov kev siv ntau npaum li cas thiab ntau npaum li cas haus cov tshuaj no yuav tsum yog kws kho mob sau tseg. Nws tag nrho yog nyob ntawm qhov degree ntawm tsis muaj sab nraud ntawm lub cev zais zis thiab qhov degree ntawm tus kab mob.

Khaws Creon rau Cov Menyuam

Rau cov neeg mob hauv tsev kho mob, cov tshuaj no tau raug kho rau mob ntawm cov txiav, rau cov teeb meem ntawm nchuav, rau mob plab, thiab rau cov endocrine tsis txaus.

Tsis ntev los no, tsiav tshuaj tau tsim rau cov menyuam yaus thiab cov neeg mob ntsib teeb meem los ntawm kev nqos, uas tuaj yeem yaj nrog cov khoom noj muag muag thiab cov kua qaub qis thiab nqos. Qhov ntau npaum li cas rau cov menyuam yaus yog kws kho mob tau sau tseg, tab sis nyob ntawm lub hnub nyoog tsis pub tshaj ½ lossis 1/3 ntawm cov tshuaj ntsiav.

Rau cov menyuam yaus me, cov tshuaj no tau sau tseg vim tias tsis muaj cov tshuaj enzyme, uas muaj cov teeb meem ntawm lub cev tsis ua haujlwm thiab cystic fibrosis. Kev txheeb xyuas txog kev tswj hwm cov tshuaj no los ntawm cov menyuam yaus muaj qhov zoo heev, nws yog qhov cim zoo li cov tshuaj enzyme.

Nrog lub sijhawm ntev ntawm kev siv cov tshuaj los ntawm cov neeg mob me, qhov kev pheej hmoo ntawm kev txhim kho urolithiasis nce thiab theem ntawm uric acid nce ntau.

Txhua yam kev kho mob yuav tsum yog nyob ntawm kev saib xyuas los ntawm kws kho mob uas yuav kho ib qho kev kawm thiab qhia kev noj tshuaj thiab kev noj tshuaj dabtsi. Kev kho tus kheej nrog cov enzymes tuaj yeem ua rau muaj teeb meem loj.

Analogues ntawm cov tshuaj

Zoo li lwm yam tshuaj, Creon muaj ntau yam analogues. Cov no yog cov enzyme npaj uas pab txhawb kev txhim kho ntawm cov hnyuv. Ntawm qhov nrov tshaj plaws thiab ua tau zoo, cov hauv qab no tau sau tseg:

Cov tshuaj no muaj cov qauv sib txawv thiab cov sib txawv. Qee ntawm lawv, tshwj xeeb hauv Festal, muaj cov bile ntawm nyuj, uas tso cai rau koj kom sai cov txheej txheem kev nqus ntawm cov as-ham uas tsim nyog.

Txawm li cas los xij, cov kws tshaj lij tau sib cav hais tias cov analogues qis dua rau Creon hauv lawv qhov kev nqis tes ua. Cov tshuaj no tuaj yeem siv hauv qhov yooj yim thiab tsis saib xyuas qhov xwm txheej nrog o ntawm tus txiav. Cov tshuaj Analog muaj qhov tshuaj xyuas zoo los ntawm cov neeg mob thiab kws kho mob yog tias lawv raug coj nrog cov teeb meem me hauv cov hnyuv, xws li tsam plab, colic, hnyav dua tom qab noj mov.

Qhov zoo ntawm Creon yog tias nws:

1. Nws tawm tsam ncaj qha rau cov teeb meem, thiab tsis tshem cov tsos mob. Nws cov lus sib xyaw thiab tus naj npawb ntawm cov khoom siv tau tso cai rau koj los kho qhov haujlwm ntawm cov kabmob muaj sia. Cov tshuaj muaj cov kua tsib kua tsib, uas yuav pab tsis cuam tshuam cov txheej txheem hauv kev zom, thaum lub cev rov qab los.
2. Cov tshuaj no muaj qee qhov kev mob tshwm sim.
3. Creon tuaj yeem siv los kho cov menyuam yaus.

Cov tshuaj no muaj cov kev tshuaj xyuas zoo thiab cov yam ntxwv zoo los ntawm ob tus kws kho mob thiab cov neeg mob hnub nyoog sib txawv.

Cov lus pom zoo rau kev siv Creon

Qhov ntau npaum ntawm cov tshuaj tsuas yog los ntawm cov kws kho mob koom nrog, uas yuav tsum coj mus rau hauv tus lej ntawm cov kabmob, hnub nyoog, hnyav thiab cov zaub mov uas tus neeg mob noj.

Cov tshuaj yog noj tom qab noj mov, thaum lawv tsis tom, tab sis nqos, muab ntxuav nrog dej kom ntau.

Yog tias cov tshuaj ntsiav tau tov nrog zaub mov, ces nws tsim nyog txiav txim siab tias cov zaub mov yuav tsum tsis txhob kub dhau thiab yuav tsum muaj qhov tsawg kawg nkaus ntawm acidity.

Thaum lub sijhawm tag nrho ntawm kev noj cov enzyme no, nws yog qhov yuav tsum tau haus cov dej kom txaus. Qhov ntim tsim nyog tuaj yeem raug txiav txim siab raws li lub cev qhov hnyav.

Cov tshuaj no yuav tsum tau noj raws li kws kho mob tau hais, ntxiv rau, txhua yam kev kho mob ntawm pancreatitis suav nrog kev kho mob nyuaj. Nws yog ib qho tsim nyog kom ua raws li cov cai rau kev noj tshuaj thiab tswj hwm kev kho mob kom zoo. Ua tsaug rau cov cuab yeej no, koj tuaj yeem kho microflora ntawm lub plab, kom tshem tawm ntawm ntau yam khoom noj ua xua thiab diathesis, rov qab rau lub txiav.