Lub hauv paus ntsiab lus ntawm kev siv tshuaj kho tus mob pancreatitis nrog cov tshuaj niaj hnub

Raws li txoj cai, tus kab mob pib kho nrog tshuaj, uas yog qhov zoo dua rau siv - nws nyob ntawm tus yam ntxwv ntawm tus neeg mob thiab qhov ntsuas ntawm kev muaj mob. Niaj hnub no, muaj ntau yam tshuaj uas muaj kev sim ua tiav nrog qhov teeb meem zoo sib xws. Tab sis nws tsim nyog teev tias ua ntej kho kev mob pancreatitis, koj yuav tsum kuaj koj lub cev kom puv rau kev kuaj mob zaum kawg.

H2 blockers

Cov tshuaj noj los ntawm pab pawg no pab txo qis cov tshuaj hydrochloric acid. Xws li cov nyhuv yog qhov tsim nyog nyob rau hauv kev txiav txim siab kom txo cov txiav cev thiab tiv thaiv kev tso tawm ntawm nws cov enzymes. Cov khoom zoo sib xws yog muaj los ntawm cov tshuaj no: Fanitidine, Ranitidine, Omeprazole, Nizatidine.

  • Ranitidine tuaj yeem raug tswj hwm hauv intramuscularly, mob pob ntseg, thiab kuj tseem noj hauv cov ntsiav tshuaj daim ntawv. Tom qab yuav tsum siv los ntawm tus neeg mob tsis hais txog kev noj zaub mov noj ib hnub ob zaug.
  • Omeprazole yog muab ib hnub ib zaug los ntawm kev nqus dej, kuj tuaj yeem siv rau hauv cov qauv ntawm cov tshuaj ntsiav, ntsiav tshuaj.

Txhawm rau kom rov zoo cov neeg mob, H2-blocker cov tshuaj yuav tsum siv nyob rau 14 hnub. Lawv qhov kev txais tos tuaj yeem txuas nrog cov kev mob tshwm sim hauv qab no:

  1. Ua xua qhov tshwm sim.
  2. Cov plaub hau poob.
  3. Xeev siab.
  4. Quav tawv cem quav.
  5. Kev cuam tshuam ntawm lub siab.
  6. Tsis tshua muaj siab kev ua niam txiv, coj khaub ncaws tsis xwm yeem ntawm poj niam.

Cov tshuaj no tuaj yeem siv tsis tau rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, thaum cev xeeb tub, lactation, nrog lub siab ua haujlwm tsis zoo.

Tshuaj Antacids

Cov txheej txheem inflammatory hauv cov txiav ua kab mob feem ntau yog nrog cov kab mob pathology ntawm lub plab, nyob rau hauv uas muaj kev tso tawm ntawm hydrochloric acid. Txhawm rau kom nruab nrab nws, ntxiv rau ua ib qho thaiv kev tiv thaiv ntawm phab ntsa ntawm ib qho khoom hauv nruab nrog, kev siv tshuaj tiv thaiv kev tiv thaiv tiv thaiv kab mob tau qhia. Hauv cov kab mob pancreatitis, raws li txoj cai, tshuaj tsis zoo ntawm cov neeg no tau siv: Phosphalugel, Maalox, Alumag, Palmagel, Altatsid. Hauv lawv cov muaj pes tsawg muaj magnesium thiab aluminium hydroxide, uas yog vim lawv qhov ua tau zoo.

Cov tshuaj no tuaj yeem siv tsis tau rau lub raum tsis ua haujlwm, phosphorus deficiency, thaum pub niam mis, thaum cev xeeb tub. Ib qho ntxiv, cov ntsiav tshuaj no tsis tuaj yeem siv los ntawm cov neeg uas tsis tuaj yeem tiv thaiv galactose thiab fructose.

Raws li rau cov tshuaj Fosfalugel, nws tuaj yeem raug kho rau menyuam yaus txij thaum muaj rau lub hlis, nws tseem raug tso cai rau cov niam laus thiab tus pojniam xeeb tub. Yuav luag tsis muaj kev phiv. Qee zaum nws tuaj yeem ua rau cem quav.

Antispasmodics

Feem ntau, tus kab mob yog nrog mob. Rau nws txoj kev daws teeb meem, tshuaj antispasmodics yog kws kho. Lawv pab tshem tawm spasm ntawm cov leeg. Ntxiv rau, cov tshuaj no tau siv los kho tus mob pancreatitis thiab cholecystitis, vim hais tias cov kab mob no feem ntau ua ke. Pab pawg no suav nrog: Riabal, No-shpa, Spazmolin, Spazmomen, Drotaverin, Papaverin thiab lwm tus. Cov tom kawg tuaj yeem ua phiv los ntawm cov kab mob plawv.

Kev npaj enzyme

Ib tug xov tooj ntawm cov enzymes suav nrog cov tshuaj xws li Panzinorm, Festal, Creon, Enzistal, Pancurmen, Pancreatin. Lawv muaj lipase, amylase thiab protease. Cov tshuaj muaj pes tsawg leeg muab cov tshuaj hauv qab no rau tus neeg mob lub neej:

  • Nws tawm tsam cov mob dyspeptic.
  • Li qub kom zom cov zaub mov.
  • Txhawb nqa kom nqus tau cov organic tshuaj kom zoo.
  • Facilitates ua hauj lwm ntawm lub txiav.

Thaum twg yog cov tshuaj tiv thaiv kab mob xav tau thaum twg?

Pib kho cov kab mob nrog kev noj cov tshuaj saum toj no. Yog tias, ua raws li tag nrho cov kws kho mob sau rau ob peb hnub, txoj kev cawm siav tsis tuaj, tus kws tshaj lij tuaj yeem sau tshuaj tua kab mob. Tsis tas li, cov tshuaj no rau pancreatitis yog siv nyob rau hauv cov ntaub ntawv ntawm cov nyom ntawm tus kab mob. Lawv pab txhawb rau kev puas tsuaj rau cov kab mob microflora, uas tuaj yeem ua lub hauv paus ntawm kev kis mob. Lub sijhawm ntawm kev kho mob nrog cov tshuaj no yog txiav txim siab nyob ntawm qhov mob hnyav ntawm pathology. Feem ntau, nws yog 5 txog 7 hnub. Kom tau txais cov txiaj ntsig sai, cov kab mob tiv thaiv kab mob tau tswj hwm niam txiv. Yog tias tus kab mob no nyob rau hauv ib qho mob hnyav, kev siv tshuaj sib xyaw yuav siv tau, uas koom nrog kev tswj hwm kev txhaj tshuaj, nrog rau kev tswj hwm qhov ncauj. Ua ke nrog cov kab mob antibacterial, kev siv cov probiotics yog qhia, txij li nyob rau hauv kev cuam tshuam ntawm yav dhau los, kiag li txhua lub plab hnyuv microflora perishes, uas tuaj yeem ua rau lub plab ntawm lub plab hnyuv plab. Txog qhov kawg no, taw npe Yogurt, Linex. Chav kawm nyob ntawm lub sijhawm ua haujlwm ntawm tshuaj tua kab mob. Hauv daim ntawv ntawm cov ntsiav tshuaj, cov chaw sawv cev no feem ntau siv:

  • Amoxiclav. Nws muaj cov antimicrobial siv nyob rau lub sijhawm luv tshaj plaws. Nws tau thov ib hnub ib zaug.
  • Azithromycin Nws muaj ntau cov teebmeem. Lub chav kawm ntawm kev siv tau mus txog 10 hnub. Cov ntsiav tshuaj yuav tsum quag cawv ib hnub ob zaug tom qab noj mov.
  • Sumamed. Cov tshuaj no tau siv dav dav los kho tus mob pancreatitis, vim nws muab cov txiaj ntsig zoo. Cov tshuaj tau coj 2 zaug hauv ib hnub.
  • Ntxim. Nws tseem muab cov txiaj ntsig kev kho mob zoo. Koj yuav tsum tau siv nws ib hnub ib zaug, chav kawm yog li 3 txog 5 hnub.

Txog kev tswj hwm intramuscular feem ntau, cov tshuaj hauv qab no tau sau tseg:

Txhua yam tshuaj tua kab mob yuav tsum tau siv tshwj xeeb rau kev siv tshuaj los ntawm kws kho mob thiab kev tswj hwm nws tus kheej, vim tias kev siv tsis raug ntawm cov tshuaj no tuaj yeem tsim kev kub ntxhov ntxiv.

Txhawm rau kom kho cov tshuaj los nqa cov txiaj ntsig tsim nyog, tus neeg mob yuav tsum ua raws li kev noj zaub mov nruj, uas cuam tshuam nrog kev tsis lees nrog cov rog, kib, ntsim tais diav.

Kev kho ntawm pancreatitis nrog tshuaj cuam tshuam nrog kev siv ntawm ntau pawg ntawm cov tshuaj. Ib txoj kev sib thooj zoo li no tuaj yeem cawm tus neeg mob los ntawm teeb meem nrog cov txiav.

Sib ntaus nrog qhov mob

Mob Pancreatitis nrog rau mob hnyav thiab mob hnyav. Txhawm rau kom tsis txhob mob, antispasmodics yog siv uas tshem tawm qhov txhav thiab mob. Yog tias muaj mob hnyav thiab girdle, tus kws kho mob yuav sau cov tshuaj loog rau lub ntsej muag (tuaj yeem muab tau los ntawm cov tshuaj).

  • Mebeverin (Aprofen, Meverin, Duspatalin, Niaspam, Trimedat) - 200 mg 2 zaug ib hnub 20 feeb ua ntej noj mov. Nws raug tso cai thov ntawm 12 xyoos. Tshuaj tiv thaiv - kev xeeb tub, kev fab tshuaj rau cov tshuaj nquag,
  • Papaverine - 1 ntsiav tshuaj 3 zaug hauv ib hnub. Koj tsis tuaj yeem noj nrog kev phiv tshuaj, tawv ncauj, ua kom lub siab ua haujlwm, hauv lub hnub nyoog laus,
  • Tsis yog-spa (Drotaverin hydrochloride, Spazmol, Drotaverin) - 1-2 ntsiav tshuaj txhua 8 teev (3 zaug hauv ib hnub). Cov tshuaj tiv thaiv yog qhov tsis haum, lub raum thiab lub siab ua haujlwm,
  • Spasmomen (Riabal) - 1 ntsiav tshuaj 3 zaug hauv ib hnub 20 feeb ua ntej noj mov. Nws tsis pom zoo kom noj nrog hypersensitivity.

Nws yog ib qho tseem ceeb kom nco ntsoov! Antispasmodics tsis tuaj yeem siv ntau dua 2 hnub yam tsis muaj kev pom zoo los ntawm koj tus kws kho mob. Cov tshuaj no tuaj yeem ua rau muaj kev mob tshwm sim thiab tsis zoo, xws li kiv taub hau, xeev siab, ntuav, txo cov ntshav siab. Yog tias muaj kev mob tshwm sim, nco ntsoov txiav tawm qhov tshuaj thiab sab laj nrog kws kho mob.

Digestive dysfunction

Kev siv tshuaj kho kab mob pancreatitis suav nrog kev siv tshuaj enzymes. Lawv tshem tawm dyspeptic cuam tshuam, txhawb txoj kev zom zaub mov kom zoo, ua rau yias yias, thiab rov qab nqus ntawm cov tshuaj muaj txiaj ntsig. Lub ntsiab enzyme xav tau rau pancreatitis yog pancreatin. Ntim hauv cov tshuaj sau:

Cov tshuaj Enzymatic noj 1-2 ntsiav tshuaj 3 zaug hauv hnub 15-20 feeb ua ntej noj mov. Nws yog txwv tsis pub coj mus rau cov neeg kev txom nyem los ntawm tus neeg tsis kam txais, mob hnyuv thiab mob siab.

Tseem ceeb heev! Nws tsis pom zoo kom haus cov enzymes ntau dua 10 hnub. Kev siv lub pancreatin ntev ntev tuaj yeem ua rau hyperuricosuria (kab mob pathological ntawm uric acid urates nrog kev tsim ntawm cov lej).

Kev sib ntaus tawm tsam ntau ntxiv ntawm hydrochloric acid

Kev kho cov kab mob pancreatitis nrog H2 blockers yuav tsum txo qis cov kua qaub ua kua qaub (hydrochloric acid). Cov kev kho mob no ua rau kom koj lub siab thiab tiv thaiv kom tsis txhob tso cov enzymes.

  • Omeprazole (Omez, Zerocide, Noflux, Barol, Ultop, Omitox) - 2 zaug hauv ib hnub, 1 tshuaj ntsiav ntawm lub plab khoob hauv lub sijhawm sib npaug. Nws tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, thaum pub niam mis, nrog lub siab yauv rau cov tshuaj nquag,
  • Ranitidine (Gastrosidine, Histak, Atzilok, Famotidine, Cimetidine thiab lwm tus) - 1 ntsiav tshuaj (150 mg) noj 2 zaug hauv ib nrab hnub ib teev ua ntej noj mov. Cov lus tsis sib haum yog lub caij cev xeeb tub, pub niam mis thiab ib tus neeg tsis kam txais.

Lub sijhawm ntawm kev kho nrog cov tshuaj zoo li ntawm 2 lub lis piam. Cov kev mob tshwm sim tuaj yeem tshwm sim thaum tswj hwm: xeev siab, raws plab, plooj, mob taub hau, tawm pob ntawm daim tawv nqaij, plaub hau poob. Ua ntej siv, sab laj rau tus kws tshaj lij.

Ntaus Ntaus Nrig Kub

Cov neeg mob nrog pancreatitis, uas muaj kev ntxiv acidity ntawm lub plab, tej zaum yuav raug kev txom nyem los ntawm kab mob pathological ntawm lub cev - kub siab. Antacid kev npaj yog npaj los tshem tawm xws li lub pathology. Lawv neutralize tshaj hydrochloric acid thiab tsim ib qho kev tiv thaiv ntawm lub plab hnyuv. Antacids suav nrog:

Cov tshuaj nquag siv ntawm cov tshuaj no yog magnesium thiab aluminium hydroxide. Antacids muaj nyob rau hauv daim ntawv ntawm ncua kev kawm, chewable ntsiav tshuaj. Cov tshuaj noj nrog tshuaj tiv thaiv kev tiv thaiv yog noj 3-4 zaug hauv ib hnub rau 20-30 feeb ua ntej noj mov. Lub sijhawm kho yog txog li 2 asthiv. Cov Tshuaj Tiv Thaiv - Alzheimer tus kab mob, kab mob siab thiab mob siab, ib leeg nkag rau hauv yeeb tshuaj.

Saib xyuas! Kev lees txais ntawm cov tshuaj antacid yuav tsum tsis txhob nqa tawm rau cov neeg uas tsis muaj acidity ntawm lub plab.

Pancreatic inflammatory disease

Kev siv tshuaj kho kab mob pancreatitis tuaj yeem ua tsis tau yog tias tsis teem sijhawm siv tshuaj tua kab mob. Cov tshuaj tua kab mob ua hauj lwm zoo tiv thaiv kev o ntawm tus txiav, nws puag ncig cov nqaij thiab kabmob. Kev siv cov tshuaj tua kab mob los tiv thaiv tseem yuav tiv thaiv kom tsis txhob muaj teeb meem (pancreatic necrosis, mob qog, peritonitis thiab sepsis). Rau cov laj thawj no, cov siv tshuaj tua kab mob sab nrauv:

  1. tshiab tiam cephalosporins,
  2. macrolides
  3. fluoroquinolones.

Cov tshuaj niaj hnub tuaj yeem hloov kho qhov ua tau zoo ntawm kev kho mob thiab pab kho kom rov zoo tuaj. Yog tias cov tshuaj tua kab mob ua ntej tau siv tsawg kawg 2 lub lis piam, hnub no lub sijhawm no tau txo qis thiab siv sijhawm tsis tshaj 7-10 hnub, thiab qee zaum tseem tsawg dua.

  1. Cephalosporins ntawm ib tiam tshiab - Cefotaxime, Ceftriaxone, Ceftazidime, Cefoperazone, Klaforan muaj nyob rau hauv cov hmoov lossis lyophilizate formulations rau kev npaj daws. Lawv raug xaj kom sai (nrog kho mob sab nraud) lossis mob ntshav (hauv tsev kho mob). Yuav ua li cas mus daws cov tshuaj. Siv 1 ampoule (2 ml) dej rau kev txhaj tshuaj thiab 1 ampoule (2 ml) ntawm lidocaine. Sau rau hauv 5 ml. sterile syringe, ntxig rau hauv lub hmoov vial thiab co kom huv si. Thaum cov kua ua kom pom tseeb thiab tsis sib thooj, nws tuaj yeem siv rau nws lub hom phiaj. Cov chav kawm ntawm cephalosporins yog los ntawm 7 mus rau 10 hnub, 1 txhaj tshuaj 2 zaug hauv ib hnub (rau cov neeg laus, kev noj cov tshuaj cephalosporins 1 g hauv lub raj mis yog siv).
  2. Macrolides - Erythromycin, Josamycin, Roxithromycin, Azithromycin, Fromilide, Clarithromycin muaj nyob rau hauv daim ntawv ntawm tsiav tshuaj thiab ntsiav tshuaj rau kev tswj hwm ntawm qhov ncauj, thiab raug suav hais tias yog cov tshuaj zoo tshaj plaws ntawm cov tshuaj tua kab mob pawg. Rau cov menyuam yaus, nws yog tsim nyob rau hauv daim ntawv ntawm hmoov rau kev npaj ntawm kev ncua. Qhov hom kab mob tua kabmob no yog siv tau yooj yim, thiab muab kev ua haujlwm sai sai. Lawv tau noj 1 zaug nyob rau hauv ib hnub rau tsis pub ntau tshaj 5 hnub 1 teev ua ntej noj mov lossis tom qab 2 teev tom qab noj mov. Rau cov laus, qhov koob tshuaj yog 500 mg. Tab sis lawv muaj ib qho tsis txaus - lawv tsis tuaj yeem siv thaum cev xeeb tub thiab thaum lactation.

Tseem Ceeb! Cov tshuaj macrolides tsis pom zoo kom noj nrog cov tshuaj antacid, haus dej cawv yog txwv thaum lub sijhawm kho macrolide.

Xaus

Kev siv tshuaj kho tus mob pancreatitis yuav siv li ib hlis thiab tsis ua siab ntev rau tus kheej. Cov tshuaj tsis tau tswj hwm ua rau muaj kev txhim kho cov kev mob tshwm sim thiab qhov tsis tuaj yeem xav tau. Ua ntej koj noj cov tshuaj koj tus kheej, mus los ntawm kev kuaj mob kom paub tias muaj tseeb. Qhov no yuav pab tus kws kho mob sau ntawv muab tshuaj rau noj txaus. Cov tshuaj niaj hnub tsis sawv tseem, txhim kho thiab cov tshuaj tsis muaj mob nrog kev ua haujlwm siab rau kev kho mob ntawm cov kab mob ntawm lub plab zom mov thiab lwm yam hauv nruab nrog cev yog tsim tau. Cov tshuaj niaj hnub tuaj yeem zam kev phais mob, txo lub sijhawm rov ua haujlwm, tsis muaj tshuaj lom thiab zoo rau lub cev.

Cov cim thiab tsos mob ntawm tus mob pancreatitis

Pancreatitis yog ib qho kev kho mob uas tuaj yeem txhim kho cov ntaub so ntswg ntawm cov txiav. Nws cov teeb meem yog kev noj zaub mov tsis zoo, kev haus dej cawv thiab tshuaj, muaj qee yam mob plab zom mov, muaj kev raug mob rau lub plab, ua kom lub plab zom mov tsis zoo.

Cov qhov txhab yuav tuaj yeem nyob hauv txhua qhov chaw hauv nruab nrog cev thiab muaj qhov sib txawv, tab sis nws ib txwm ua rau muaj teeb meem loj.

Kev mob voos rau ntawm lub txiav tuaj yeem ua rau cov nqaij mos necrotic puas thiab ua rau lub txim tsis zoo, nyob rau hauv kev mob hnyav ua rau tuag taus.

Tus kab mob tuaj yeem hloov maj mam tshwm sim, tab sis feem ntau muaj tus mob huam. Thawj cov tsos mob ntawm tus mob pancreatitis yog:

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  • mob hnyav, lub caij ntev ntawm kev txiav qhov xwm txheej hauv lub plab mog sab sauv,
  • xeev siab, ntuav ntuav uas tsis coj kev zoo, tsam plab, duav,
  • npaws
  • kev ua kom tsis zoo ntawm kev noj qab haus huv - qaug zog, tsaug zog, kiv taub hau, hauv qhov xwm txheej loj, ploj ntawm nco qab thiab tsis nco qab.

Nrog rau kev txhim kho ntawm cov tsos mob zoo li no, koj yuav tsum tam sim ntawd sab laj nrog kws kho mob - kab mob pancreatitis tuaj yeem ua rau muaj kev phom sij loj.

Kho kab mob

Cov mob vwm thiab mob ntev ntawm tus txiav ua rau muaj kev tsis zoo rau lub cev tag nrho. Ib lub cev tsis muaj zog tsis ua tiav nws cov haujlwm, uas tsis yog hauv kev zom zaub mov nkaus xwb, tab sis hauv kev sib txuas ntawm cov enzymes tseem ceeb thiab cov tshuaj hormones. Vim li ntawd, lub plab zom mov, endocrine thiab cov tshuaj tiv thaiv hormonal muaj feem cuam tshuam, kev txhim kho ntawm kev nkag mus kis, cholecystitis thiab lwm yam teeb meem yog tau.

Kev siv lwm txoj kev kho rau kev mob ua paug tsis tuaj yeem tsuas yog ua ke nrog kev kho kom zoo tom qab sab laj nrog kws kho mob.

Kev kho cov kab mob pancreatitis nrog kev siv tshuaj thiab tshuaj rau cov neeg laus yog tsom rau kev tshem tawm cov kev tsis zoo siab, tso tseg txoj kev mob, txhawb txoj haujlwm ntawm cov khoom hauv nruab nrog cev thiab txhim kho kev mob ntawm tus neeg mob.

Rau qhov no, cov tshuaj siv nrog cov txiaj ntsig sib txawv yog siv, uas tau xaiv ib tus zuj zus, nyob ntawm qhov mob, qhov mob hnyav ntawm cov tsos mob thiab cov yam ntxwv ntawm tus neeg mob lub cev.

Pob Taum Pleev

Qhov pib thiab exacerbation ntawm pancreatitis yog nrog mob hnyav, uas yog girdle-zoo li. Feem ntau cov feem ntau, analgesics yog siv los tshem tawm qhov mob tshwm sim - Analgin, Baralgin thiab lawv cov analogues.

    AnalginCov. Ib hom tshuaj uas tsis tshua muaj qhov mob uas ua kom nrawm nrawm yog muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis kev txhaj tshuaj. Nrog mob hnyav, sab hauv noj 0.75-3 mg ib zaug, cov koob tshuaj ntawm cov tshuaj rau intramuscular txhaj yog 1-2 ml.

Yuav luag txhua yam tshuaj loog yog suav tias yog tshuaj zoo thiab pheej yig. Tsis txhob hnov ​​qab tias lawv muaj qhov taw qhia, contraindications thiab cov kev mob tshwm sim. Ua txhaum cov lus pom zoo rau kev siv yog nruj me ntsis tsis pom zoo, txwv tsis pub tus neeg mob tus mob yuav haj yam tsis zoo. Thaum tsis muaj cov nyhuv ntawm cov tshuaj ua kom loog, qhov muaj zog, cov tshuaj pleev xim rau taub hau yog siv.

Opioid Kev Ua Phem Rau Txoj Kev Tuag

Tramadol, Bupernorphine, Omnopon thiab lwm yam tshuaj uas siv rau cov kev mob hnyav heev yog los ntawm cov tshuaj opioid analgesics. Lawv yog cov tshuaj kho mob thiab muaj cov cim qhia analgesic nyhuv. Kev kho nrog cov tshuaj no nyob hauv tsev tsis tuaj yeem ua tau, vim tias kev siv lawv tuaj yeem ua rau muaj kev phiv tshuaj thiab quav ntxiv. Dosage thiab ntev ntawm chav kawm raug xaiv ib tus zuj zus, thiab kev kho mob yog coj los ntawm kev saib xyuas kev kho mob tshwj xeeb hauv tsev kho mob.

Cov tshuaj Antispasmodic

Cov tshuaj antispasmodic cuam tshuam rau cov leeg nqaij ntawm cov zom zaub mov, so nws thiab pab txhawb kev nthuav tawm ntawm cov enzymes, uas txo qhov mob thiab txo tus mob ntawm tus neeg mob. Hauv tsev, antispasmodics yuav siv tau tsuas yog hauv daim ntawv ntawm cov ntsiav tshuaj thiab txhaj tshuaj intramuscular. Thaum tsis muaj cov nyhuv, cov kev daws teeb meem rau txoj hnyuv ntshav (mob plab) yog siv, tab sis lawv tuaj yeem nqa tawm tshwj xeeb hauv tsev kho mob.

Sau cov tshuaj

Ntawm cov tshuaj tiv thaiv uas pheej yig tshaj suav nrog No-Shpa thiab Papaverine. Lawv raug muag hauv cov khw muag tshuaj tsis muaj tshuaj, muaj tsawg heev ntawm kev phiv thiab contraindications. Yog tias tsis muaj ib qho tshwm sim, Pantifillin, Atropine thiab lawv analogues tau siv.

    Tsis muaj-shpa (Drotaverin)Cov. Cov tshuaj yog raws li drotaverine hydrochloride. Cov nyhuv tshwm sim 15 feeb tom qab kev tswj hwm, nrog kev tswj hwm ntawm qhov ncauj ib koob yog 80 mg ntawm cov tshuaj nquag, nrog rau kev tswj hwm intramuscular - 2 ml.

Cov tshuaj antispasmodic muaj cov nyhuv sai heev tab sis ib ntus. Yog tias cov txheej txheem mob tshwm sim, qhov mob yuav sai sai. Lub sijhawm ntev siv cov tshuaj antispasmodics tsis pom zoo, vim qhov no tuaj yeem cuam tshuam loj heev rau tus neeg mob lub cev.

Cov neeg sawv cev Enzymatic

Nrog kev ua txhaum ntawm lub luag haujlwm ntawm cov txiav, lub cev tsis txaus ntawm cov enzymes uas ua rau kom cov zaub mov tawg. Txhawm rau txhawb nqa kev ua haujlwm ntawm lub cev, cov kws kho mob tau sau tshuaj rau cov tshuaj amylase, protease, lipase, thiab lwm yam. Lawv pab ua kom cov txheej txheem ntawm kev zom thiab tshem tawm cov tsos mob tsis zoo.

TshuajYam khoom muaj siaTxoj kev ntawm daim ntawv thovChaw tsim tshuaj pausNqe, tshiav.
Lub FestalHemicellulose (bovine bile extract)1 ntsiav tshuaj ib hnub thaum lub sijhawm lossis tom qab noj movAventis Pharma Ltd, Is Nrias teb / Ukraine220
Creon PancreatinTsuas tshuaj yog nyob ntawm saib chav kawm soj ntsuam ntawm tus kab mob.Abbott Laboratories GmbH, Lub Tebchaws Yelemees350
PanzinormPancreatin1 ntsiav tshuaj nrog zaub mov peb zaug ib hnubKrka, hnub, Novo mesto, Slovenia185
MezimPancreatin nrog lipolytic kev ua si1-2 ntsiav tshuaj (tsiav tshuaj) 1-3 zaug hauv ib hnubBerlin-Chemie AG (Menarini Group), Lub Tebchaws Yelemees150

Kev txhim kho enzymatic tuaj yeem siv tsuas yog nrog kev kawm qeeb ntawm tus kabmob. Nrog rau mob o, lawv tuaj yeem thab tus mob, yog li lawv txoj kev siv txwv tsis pub. Mob hnyav yuav tsum tau kho nrog cov tshuaj uas tiv thaiv kev ua tiav ntawm pancreatic thiab tiv thaiv kom tsis txhob muaj teeb meem.

Cov tshuaj Antisecretory

Nrog kev o thiab o ntawm daim tawv nqaij txiav pancreatic, ntau dhau ntawm kev tsim cov enzymes tshwm sim, vim qhov tshwm sim hauv lub cev pib zom nws cov ntaub so ntswg. Txhawm rau txo cov kev pheej hmoo ntawm necrosis, cov tshuaj siv tau uas txo cov zus tau ntawm cov enzymes thiab thaiv qee cov receptors, kom lub xeev ntawm cov txiav ua ke tsis tu ncua. Cov tshuaj no suav nrog H2-histamine receptor blockers, proton twj tso kua mis inhibitors, tshuaj antienzyme.

H2 histamine receptor blockers

Qhov zoo siab ntawm H2-histamine receptors ua rau lub zog ua rau lub plab zom mov, lub plab zom mov thiab lub plab zom mov, ua rau lub plab zom mov zoo. Cov tshuaj noj los ntawm qeb ntawm H2-histamine receptor blockers txo cov tshuaj tiv thaiv histamine, txo kev tsim tawm ntawm hydrochloric acid thiab ua rau lub plab hnyuv tawm tsam ntau dua tiv thaiv tsis zoo. Lawv siv pab txo qis cov haujlwm ntawm cov txiav, tshem tawm o thiab o. Cov tshuaj uas siv ntau tshaj plaws yog cimetidine, ranitidine, famotidine.

Proton twj tso kua mis inhibitors

Cov nyhuv ntawm cov tshuaj yog tsom rau kev thaiv cov kev ua ntawm ntau tus enzymes, uas paub hauv cov tshuaj raws li cov twj tso kua mis proton. Lawv koom nrog kev tsim cov tshuaj hydrochloric acid, uas, thaum muaj kev sib koom ua ke, tuaj yeem ua rau cov txheej txheem ua paug, edema, mob txhab txhab thiab lwm yam kev nyuaj.

Proton twj tso kua mis inhibitors tswj tau qhov pH li qub hauv lub plab thiab pom tau tias muaj kev nyab xeeb dua thiab muaj txiaj ntsig zoo dua li H2-histamine receptor blockers. Tus naj npawb ntawm cov tshuaj hauv pawg no suav nrog Omeprazole, Pantoprazole, Omez, Nolpaza.

Antenzyme npaj

Muaj qee kis, siv cov tshuaj antienzyme siv los tshem tawm cov tsos mob thiab tiv thaiv kev cuam tshuam ntawm pancreatitis. Lawv thaiv cov kev ua si ntev dhau ntawm cov enzymes, qhov kev txiav txim ntawm uas tuaj yeem muaj qhov tsis zoo rau lub xeev ntawm txiav. Antenzyme kev npaj txo qis o thiab cov nqaij ua si, txhawb kev kho lub plab zom mov thiab tiv thaiv necrotic. Cov kab mob Antenzyme suav nrog Kontrikal, Aprotinin, Gordoks, Ingitril.

Txhua yam tshuaj saum toj saud tuaj yeem noj tsuas yog qhia los ntawm kws kho mob. Cov koob tshuaj thiab lub sijhawm siv sijhawm tau muab suav txhua tus, nyob ntawm qhov chav kuaj mob tus kabmob, qhov mob hnyav ntawm cov tsos mob thiab lwm yam. Thaum tsis muaj qhov ntsuas tseem ceeb, nws tsis pom zoo kom siv lawv; tsis li ntawd, kev mob siab rau lub qog ua rau lub caj pas ua tiav, uas yuav ua rau muaj teeb meem.

Cholagogue

Nrog rau kev txhim kho ntawm cov txheej txheem inflammatory nyob rau hauv cov ntaub so ntswg ntawm tus kab mob vias, stagnation ntawm bile tshwm sim, uas paug ntawm qhov mob ntawm tus txiav, ua rau muaj kev phiv los ntawm daim siab thiab lub zais zis. Txhawm rau cov haujlwm ntawm biliary li qub, siv cov tshuaj tshwj xeeb, suav nrog:

Cov tshuaj muaj tshuaj muaj pes tsawg leeg sib txawv, kev ua haujlwm ntawm cov teeb meem thiab cov ntawv thov, yog li ntawd, lawv tau raug txiav txim los ntawm tus kws kho mob tshwj xeeb.

Cov tshuaj tsis-steroidal los tiv thaiv kev kho mob rau tus kab mob pancreatitis yog txwv, txij li lawv nce txoj kev pheej hmoo ntawm mob ntshav sab hauv.

Thaum kos duab kab mob kev kho mob rau tus mob ua tiav pancreatitis siv tshuaj sib txawv, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account tsis tsuas yog kev taw qhia, contraindications thiab phiv, tab sis kuj cuam tshuam tshuaj. Ib cov tshuaj los ntawm ntau pawg tuaj yeem nce qib lossis txhim kho qhov siv tshuaj kho, ntxiv rau nce qhov kev pheej hmoo ntawm kev tsim cov tshuaj tsis haum. Raws li, kev kho nyuaj ntawm tus mob pancreatitis yuav tsum tau nqa tawm los ntawm kev saib xyuas ntawm tus kws kho mob, thiab mob hnyav thiab mob hnyav yuav tsum tau mus pw hauv tsev kho mob sai.

Txoj kev kho pancreatitis zoo tshaj yog dab tsi?

Kev txiav yog qhov chaw tseem ceeb uas koom nrog hauv cov hnyuv thiab endocrine. Pancreatitis, uas yog suav hais tias yog tus kab mob ntawm cov khoom nruab nrog, ua rau tsis yog mob xwb, tab sis kuj tseem ua rau txoj kev loj hlob ntawm cov txheej txheem hauv cov nqaij. Teeb meem ntawm tus kab mob tuaj yeem ua txhaum loj ntawm lub plab zom mov, lub plab hlaub thiab endocrine, thiab cov txheej txheem loj necrotic ua rau muaj kev hem thawj rau tus neeg mob lub neej.

Cov tsos mob ntawm tus kab mob pancreatitis tuaj yeem tshem tawm nrog kev kho mob, tshuaj enzymatic thiab antisecretory, tab sis lawv tsis muaj peev xwm kho tus kab mob no kom meej. Txhawm rau cov haujlwm ntawm cov txiav ua ke, kev kho mob kom meej los ntawm tus kws kho mob yog qhov tsim nyog, thiab thaum tsis muaj cov txiaj ntsig, kev phais mob. Txhawm rau tiv thaiv cov mob rov qab los ntawm cov kab mob, cov neeg mob yuav tsum tso tawm mus rau qhov tsis zoo thiab noj zaub mov kom zoo thoob lub neej.

Cia Koj Saib