Kev siv tshuaj kho tus mob pancreatitis

Txhawm rau pib kho cov kab mob, tus kws kho mob, tom qab kev kuaj mob uas tsim nyog, qhia txog kev kho tshuaj, uas nyob ntawm qhov mob hnyav thiab kev noj qab nyob zoo ntawm tus neeg mob. Tsis muaj ib txoj cai kho tau kiag li; rau txhua tus neeg mob, txoj kev kho yog xaiv ntawm tus kheej.

Yuav pib nrog, nyob rau lub sijhawm sai sai ntawm pancreatitis, nws yog qhov yuav tsum tau soj ntsuam kev pw hauv txaj, hauv qhov no, nrog daim ntawv hnyav ntawm cov mob uas muaj mob hnyav, kev kho mob tsuas yog nyob hauv tsev kho mob. Yog tias txoj cai tseem ceeb no tsis pom, tus kab mob tuaj yeem coj mus ua txhaum ntawm cov haujlwm tseem ceeb.

Lub sijhawm thawj peb hnub ntawm lub sijhawm mob, nws raug nquahu kom tsis txhob noj zaub mov thiab tsuas siv cov kua los tiv thaiv lub cev ntawm lub cev thiab kom tshem tawm sai sai ntawm cov tshuaj lom hauv lub cev.

Txhawm rau txo cov xwm txheej dav dav ntawm tus neeg mob nrog mob hnyav, kev siv tshuaj kho yog kho. Cov kev kho mob ntau yam suav nrog kev noj ntau hom tshuaj kom tshem tawm ntau cov tsos mob ntawm tus kabmob thiab rov ua haujlwm ntawm lub qhov quav.

Ntawm cov tshuaj rau kev kho mob ntawm tus mob vias tiag, tshuaj tua kab mob, antienzymes, tshuaj pleev xim thiab tshuaj uas txo cov mob ua paug tuaj yeem ua qhov txawv txav. Hauv cov kab mob pancreatitis, txoj kev kho mob feem ntau muaj xws li enzyme npaj, tshuaj rau kev kho mob plab, thiab tshuaj los tiv thaiv. Tsis tas li ntawd xwb, lawv yuav tsum siv cov tshuaj uas muaj choleretic, ua haujlwm ntawm kev siv tshuaj, thiab kev kho vitamin yog nqa tawm. Tus kws ntsuas khoom noj khoom haus yuav txiav txim xyuas cov zaub mov noj thiab kev noj tshuaj uas yuav tsum tau ua nyob hauv tsev.

Rau kev kho mob ntawm pathology, cov pawg hauv qab no ntawm cov tshuaj raug coj:

• npaj rau cramping thiab analgesic zoo,
• enzyme thiab antiferment tus neeg sawv cev,
• tshuaj tiv thaiv kab mob
• cov tshuaj sedative,
• H2-blockers ntawm histamine receptors.

Thaum cov qog uas ua lub luag haujlwm ntawm kev tsim cov tshuaj insulin yog koom nrog hauv pathology, kev npaj tshuaj insulin kuj tseem muaj nyob hauv kev kho mob.

Nws yog qhov yuav tsum tau ua raws li kws kho mob cov lus pom zoo, yog tias qhov mob huam mob ntawm tus mob tsis muaj tseeb tsis kho, nws tuaj yeem nkag mus rau qhov muaj mob ntev.

Kev Kho Mob Kom Rov Taug Zog

Pancreatitis nrog cov mob mob hnyav thiab mob hnyav. Rau lawv txoj kev pab, lawv noj cov tshuaj antispasmodics, uas tshem tawm qhov mob thiab mob ib ce. Nrog girdle thiab mob hnyav, tus kws kho mob tuaj yeem sau cov tshuaj narcotic analgesics, uas yog yuav tshuaj nkaus xwb.

Cov tshuaj Antispasmodic suav nrog:

• “Papaverine” - 1 ntsiav tshuaj peb zaug ib hnub. Cov kev tiv thaiv - ua kom lub siab tsis ua haujlwm, ua xua, ntsej muag daj, hnub nyoog laus,
• Mebeverin (Meverin, Trimedat, Aprofen, Niaspam, Duspatalin). Lawv raug coj ob zaug ib hnub 200 mg ua ntej noj mov rau 20 feeb. Kev lees txais cov tshuaj no raug cai los ntawm muaj hnub nyoog 12 xyoos. Cov tshuaj tiv thaiv tsis haum suav nrog kev fab tshuaj rau cov tshuaj nquag, cev xeeb tub,
• "Tsis-shpa" ("Spazmol", "Drotaverina hydrochloride", "Drotaverin") - peb zaug hauv ib hnub (nrog ntu 8 teev), 1-2 ntsiav tshuaj. Cov tshuaj tiv thaiv - kev tiv thaiv tsis haum, mob rau daim tawv nqaij thiab lub raum tsis ua haujlwm,
• "Spasmomen" ("Riabal") - peb zaug ib hnub 20 feeb ua ntej noj mov, 1 ntsiav tshuaj. Contraindication - kev ua haujlwm tsis txaus ntseeg.

Antispasmodics tsis pom zoo kom coj los siv yam tsis muaj tus kws kho mob pom zoo rau ntau tshaj 2 hnub. Cov tshuaj no tuaj yeem pab cuam rau kev phiv, xws li kiv taub hau, tsis muaj ntshav siab, xeev siab, thiab ntuav.

Thaum muaj cov txheej txheem ntawm kev ua xua ntawm lub caj pas, tus neeg mob hnov ​​mob hnyav los ntawm sab lauj hauv qab ntawm tus tav nyob rau hauv lub plab mog sab saud. Kev mob yuav cuam tshuam rau sab nraub qaum, nraub qaum, nruab nrab ntawm lub xub pwg hniav. Cov kab mob no qhia qhov cheeb tsam ntawm cov khoom nruab nrog yog cuam tshuam dab tsi.

Txhawm rau kom tshem tawm ntawm tus mob mob, cov tshuaj hauv qab no yog coj:

• muaj zog analgesics - "Analgin", "Baralgin",
• cov tshuaj tsis-tshuaj steroid - "Ibuprofen", "Paracetamol".

Txhawm rau txo kev mob siab rau kev mob siab rau, narcotic analgesics yog cov tshuaj kho mob, kev taw qhia ntawm uas yog nqa tawm intramuscularly:

Tshuaj kho mob rau kev ua kom lub plab zom mov

Kev siv tshuaj kho kab mob pathology suav nrog kev yuav tsum tau muaj cov enzymes. Lawv tsim nyog los tshem tawm kev ua tsis taus pa, ua rau mob siab, pab kom lub plab zom mov zaub mov kom zoo, rov ua kom haum rau cov khoom zoo. Pancreatin yog qhov tseem ceeb enzyme xav tau rau pancreatitis.

Ntim hauv cov tshuaj ntsiav tshuaj hauv qab no:

Cov tshuaj sib xyaw nrog cov tshuaj suav nrog: amylase, lipase, protease. Qhov no muaj pes tsawg leeg ntawm cov tshuaj:

• pab lub cev nqus ntawm cov tshuaj organic,
• tawm tsam nrog dyspeptic cuam tshuam,
• pab kom normalize lub plab zom mov,
• pab rau txoj haujlwm ua haujlwm ntawm tus txiav.

Lawv tau noj sijhawm li 15-20 feeb ua ntej noj mov peb zaug hauv ib hnub rau 1-2 ntsiav tshuaj. Contraindications - zawv plab hnyuv, ib tug neeg intolerance, mob siab.

Nws tsis pom zoo kom haus cov enzymes ntau dua 10 hnub. Siv lub sijhawm ntev ntawm pancreatin tuaj yeem ua rau hyperuricosuria. Nws yog ib qho tseem ceeb kom txuas cov kev nqus ntawm cov tshuaj enzyme rau kev noj mov lossis tam sim ntawd tom qab noj mov.

Nrog kev ua kom txaus ntawm pancreatin hauv lub cev, pancreatic tsis txaus yog compensated. Tag nrho cov ntsiab lus tuaj nrog cov zaub mov nkag mus rau hauv lub cev muaj cov zaub mov zoo, thiab tus neeg mob tsis ntsib lub teeb meem ntawm kev qias thiab cov vitamins tsis txaus.

Thaum noj cov tshuaj tua kab mob:

• lub cev intoxication txo
• qhov mob yuav raug txo kom tsawg
• kev noj qab haus huv zoo rau tus neeg mob
• txoj kev pheej hmoo ntawm txoj kev tuag txo,
• kev txhim kho ntawm edema thiab nqaij necrosis yog thaiv.

Faib cov tshuaj no:

• "Trasilol"
• Traskolan
• Gordoks
• Ingitril
• "Contrikal."

Hauv tsev kho mob, kev npaj tshuaj tiv thaiv antienzyme yog txhaj rau hauv txoj leeg ntshav los yog intramuscularly rau thawj hnub tom qab tawm tsam mob ntawm pancreatitis. Cov tshuaj no yog xav tau los mus nres txawm tias ntau dua qhov mob ntawm cov ntaub so ntswg vim kev tso tawm ntawm kev txiav tawm ntawm pancreatic.

Tshuaj kom txo qib ntawm hydrochloric acid nyob rau hauv pancreatitis nrog siab acidity

Txoj kev kho ntawm pancreatitis nrog H2-blockers xav tau los txo cov synthesis ntawm hydrochloric acid. Qhov kev kho mob no ua rau kom koj tsis txhob txiav thiab txiav lub cev ntawm cov enzymes. Nrog kev tshem tawm ntawm pancreatitis, nws yog ib qhov tsim nyog yuav tau ua rau kev txwv ib ntus ntawm kev coj ua ntawm cov kua txiv hauv plab. Tus txheej txheem no tsuas yog ib ntus, tom qab ntawd nws yuav tsim nyog nqa tawm kev ua kom lub siab txaus ua haujlwm ntawm lub plab zom mov.

Txais tos nrog H2 blockers tuaj yeem nrog cov kev mob tshwm sim no:

• ua xua
• xeev siab
• plaub hau poob
• cem quav
• malfunction hauv plawv,
• ua txhaum ntawm lub cev ntas rau poj niam, txo tus pojniam muaj siab.

Cov tshuaj Antisecretory suav nrog:

• “Omeprazole” (“Omez”, “Noflux”, “Zerocide”, “Ultop”, “Barol”, “Omitox”). Lawv raug noj ob zaug ib hnub rau ntawm ib lub plab khoob hauv 1 tshuaj ntsiav thaum tib lub sijhawm sib nrug. Cov tshuaj no tsis pom zoo rau siv nrog hypersensitivity rau yam tshuaj, cov menyuam yaus hnub nyoog qis dua 5 xyoos, thaum pub niam mis,
• “Ranitidine” (“Keeb Kwm”, “Gastrosidin”, “Famotidine”, “Atzilok”, “Cimetidine”). Kev txais tos yog nqa ob zaug ib hnub rau ib nrab teev ua ntej noj 1 ntsiav tshuaj. Cov kev txwv tsis pub muaj yog kev xeeb tub, kev tsis taus tus kheej, thiab lub caij pub niam mis. Txoj kev kawm ntev li 2 lub lim tiam. Cov tshuaj phiv tuaj yeem: raws plab, mob tob hau, plooj, xeev siab, plob hau, tawv nqaij ua pob.

Siv tshuaj tiv thaiv

Ib pawg ntawm cov tshuaj tiv thaiv yog xav tau rau mob huam. Tab sis kev noj cov tshuaj zoo li no rau pancreatitis yog qhov tsis xav tau, vim tias tseem muaj qhov ploj ntawm qhov tseeb ntawm qhov mob.

Ib qho ntxiv, cov nyiaj no muaj cov kev mob tshwm sim thiab tsis tuaj yeem siv sijhawm ntev dua 10 hnub:

Pancreatic Tshuaj Kho Mob

Cov tshuaj tua kab mob ua hauj lwm zoo tiv thaiv kev o ntawm cov khoom hauv nruab nrog, ncig cov plab hnyuv siab raum thiab cov ntaub so ntswg, lawv tuaj yeem tiv thaiv cov kev mob tshwm sim (ua qog ntshav, mob peritonitis, pancreatic necrosis, sepsis). Siv tshuaj tua kab mob sab nrauv:

• macrolides
• tshiab tiam cephalosporins,
• fluoroquinolones.

Cephalosporins - "Ceftriaxone", "Cefotaxime", "Cefoperazone", "Ceftazidime", "Klaforan" muaj nyob rau hauv daim ntawv ntawm hmoov lossis lyophilisate rau kev tsim cov tshuaj. Lawv raug coj ua qhov kev txhaj tshuaj ib leeg lossis ib leeg ntawm cov ntshav (hauv tsev kho mob).

Kev daws yog diluted raws li nram no: noj dej rau kev txhaj tshuaj - 1 ampoule (2 ml) thiab lidocaine - 1 ampoule (2 ml). Cov dej sib xyaw no yog muab ntim rau hauv lub taub tshuaj 5 ml thiab txhaj rau hauv lub raj mis hmoov, shaken. Tom qab cov hmoov txhuam tas, cov tshuaj tuaj yeem siv rau kev tswj hwm.

Lub chav kawm ntawm cov tshuaj no yog 7-10 hnub, 1 txhaj tshuaj ib hnub ob zaug (rau cov neeg laus, noj ntau npaum ntawm cephalosporins yog 1 g hauv ib lub raj mis).

Macrolides suav nrog: "Azithromycin", "Roxithromycin", "Erythromycin", "Josamycin", "Fromilide", "Clarithromycin", uas muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj lossis tshuaj ntsiav rau kev tswj hwm qhov ncauj. Lawv yog ntawm cov tshuaj muaj kev nyab xeeb tshaj plaws hauv pawg neeg siv tshuaj tua kab mob.

Rau cov menyuam yaus me, cov kev npaj no yog nyob rau hauv daim ntawv ntawm hmoov rau kev ncua. Lawv yooj yim siv thiab muab cov txiaj ntsig. Lawv noj tsis pub dhau 5 hnub ib zaug ib hnub 1 teev ua ntej noj mov lossis tom qab - 2 teev tom qab noj mov. Cov neeg siv tshuaj loj yog 500 mg. Cov tshuaj no muaj ib qho tsis zoo - lawv txoj kev siv raug txwv thaum cev xeeb tub thiab pub niam mis. Ib qho ntxiv, koj tsis tuaj yeem siv tshuaj ua ke nrog antacids thiab haus cawv.

Cov fluoroquinolones suav nrog Levofloxacin, Norfloxacin, Ciprofloxacin, thiab Moxifloxacin. Lawv tuaj yeem nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab infusion daws teeb meem. Tsuas tshuaj - ob zaug ib hnub, 500 mg ntawm lub sijhawm sib luag rau 7-10 hnub. Cov tshuaj no zoo heev, tab sis lom. Cov txheej txheem tsis haum muaj xws li ua xua, cev xeeb tub, mob plab, pub mis, thiab tseem muaj hnub nyoog 18 xyoo. Nrog kev ceev faj, lawv tuaj yeem raug kho rau cov neeg muaj mob vwm, pathologies ntawm hematopoietic system, mob siab thiab mob raum tsis ua haujlwm, nrog rau cov kab mob hlwb. Nws yog contraindicated ua ke nrog ntshav cov ntshav nyias.

Cov Tshuaj Tiv Thaiv Cell

Txhawm rau kom rov ua cov qe ntshav siab, cov ntsiav tshuaj noj: Qhov tseem ceeb Forte. Cov tshuaj yog siv nrog rau kev teem caij cov tshuaj tua kab mob.

Cov tshuaj no tau noj peb zaug ib hnub, 1 tshuaj ntsiav nrog zaub mov. Cov phospholipids tam sim no muaj pes tsawg leeg tsim dua tshiab thiab tiv thaiv hlwb. Qhov tseem ceeb Forte muaj cov txiaj ntsig zoo rau cov metabolism, muaj ob peb qhov kev cuam tshuam, kev noj ntau dhau tsis hem rau kev noj qab haus huv.

Cov analogues hauv qab no yog muaj:

Lwm yam tshuaj rau kab mob pancreatitis

Rau kev nqus thiab tshem tawm cov teeb meem los ntawm lub cev, los tawm tsam cov kab mob pathogenic microflora, ib qho yeeb tshuaj nrog cov tshuaj tiv thaiv dav dav tau txiav txim siab - Polyphepan. Qhov kev hais daws no yog rau ntawm qhov xwm txheej, Enterosgel tau suav tias yog nws li tshuaj noj. Cov tshuaj yog coj nrog lwm tus neeg sawv cev hauv kev kho cov kab mob uas cuam tshuam nrog intoxication.

Nrog dysbacteriosis, mob plab hnyuv, ua kom tsis haum tuaj yeem pab "Acipol", uas yog txoj hnyuv hauv paus.

Txhawm rau txhim kho kev zom zaub mov, Iberogast tau noj. Cov tshuaj no muaj cov tonic thiab choleretic effect.

Cov tshuaj ntsuab uas kho tau cov kua tsib lub plab yog Flamin. Nws yog hais txog cov tshuaj tua kab mob cholekinetic, relas spasms thiab o, pab txhawm rau txhim kho cov khoom cua kom tsim nyog ntawm cov kua tsib. Ntawm cov tshuaj no, nws tuaj yeem sau tseg:

Cov kev cai hais txog kev noj tshuaj rau mob pancreatitis

Pancreatitis yog suav tias yog ib qho mob hnyav uas ua rau muaj kev ua haujlwm ntawm lub pancreatic. Txhawm rau kom zam kev txhim kho ntawm cov kev mob nyhav uas tuaj yeem ua rau tuag taus, koj yuav tsum nrhiav kev pab ntawm kws kho mob sai sai thiab pib kho.

Cov tshuaj noj rau pancreatitis yuav kav li ib hlis. Kev noj tshuaj tsis tuaj yeem tuaj yeem tuaj yeem ua rau tshwm sim thiab tsis tuaj yeem tshwm sim.

Kom tau txais txiaj ntsig zoo dua ntawm kev kho, tus neeg mob yuav tsum ua raws li kev noj zaub mov nruj, uas cuam tshuam nrog kev tsis lees txais cov kib, roj, ntsim ntsim.