I-pancreatitis yisifo esidala ukuvuvukala kwamanyikwe. Kungaba okungapheli futhi kube nzima. Ezimweni zombili zokuqala nezesibili, enye yezimpawu zokugula kwesinye isikhathi ibuhlungu obukhulu e-peritoneum.
Lokhu kungenxa yokuthi ama-enzyme angangeni ekugayeni kokudla, aqala ukugaya hhayi ukudla okukuwo, kodwa izicubu zezitho eziseduze. Imijovo ye-pancreatitis ingasindisa umuntu ogulayo ku-pain syndrome evela kuye. Into esemqoka ukusebenzisa izidakamizwa eziphephile kuphela kumthamo ofanele.
Imijovo ye-Antispasmodic
Imijovo ye-Antispasmodic evela ku-pancreatic pancreatitis isetshenziswa ngenxa yezici ezilandelayo ezisebenzayo:
- Le mithi inomthelela ekunyamalaleni kwezinhlungu. Ngenxa yalokho, isiguli siqala ukuzizwa singcono.
- Futhi, izidakamizwa zalolu hlobo ziyasiza ekuvuseleleni izicubu zomzimba wesitho, ngenxa yalokho inqubo yokudluliswa kwejusi le-pancreatic emzimbeni wokugaya ukudla kungasebenza.
Ezimweni eziningi, imijovo elandelayo ye-spasmolytic kufanele isetshenziselwe ukwelapha ama-pancreas:
I-Platyphyllinum. Lo muthi usetshenziswa kuphela ezimweni zokuma ngokugadwa kukadokotela. Ukuze wenze i-pancreas ibulale. Isiguli sinconyelwa ukuthi sijove ama-milliliters angama-1-2 wesisombululo esingama-0,2% ngokuzithoba. Isikhathi somjovo kufanele sibe amahora ayi-12.
I-Odeston. Lesi sidakamizwa sigqugquzela ukuphuma kanye nokuqedwa kwe-bile, sivuselela i-sphincter yase-Oddi, sisuse ama-cramps futhi sisuse izimpawu ezinjengobuhlungu, ukugabha, isicanucanu, ishudo kanye nokubuna. Lokhu kusiza ukuvimbela ukuthuthukiswa kwengcindezelo enjalo yesifo se-pancreatitis njenge-cholecystitis.
I-Metacin. Umthamo owodwa omkhulu walo muthi ama-milligram ama-2. Akunakusetshenziswa imiligrama yesidakamizwa engaphezu kwe-6 ngosuku ngesiguli ngasinye. Ngakho-ke, phakathi nosuku, inani eliphezulu lemijovo alikwazi ukudlula imijovo emithathu.
Atropine Kunconywa isixazululo esingu-0,1% kuma-ampoules. Ingahanjiswa esigulini ngokungaqondakali. Ukuphathwa okunjalo ezimweni eziningi kuhlanganiswa nokuphathwa kwemithi ye-analgesic yomlomo. Umthamo owodwa we-Atropine ungowokugcotshwa okukodwa nje komuthi. Uma kunesidingo, umjovo ungaphindwa ngemuva kwamahora ama-3-4.
No-Shpa. Iyakhishwa, zombili ngendlela yesisombululo somjovo we-intramuscular, kanye nokuphathwa kwe-intravenous. Umvini ojwayelekile womuthi u-millilitha ayi-2. Uma kudingekile ukujova emthanjeni, kufakwa kumamililitha angamamilimitha ayisishiyagalombili kasawoti. Ukuze ungavumeli ukwehla komfutho wegazi, umuthi uphathwa kancane imizuzu emi-5.
Papaverine. Ukusetshenziswa kwalesi ejenti kuqinisekisa ukuhoxiswa okuyikho kwe-bile, kwehlisela ingcindezi ngaphakathi kwamanyikwe, kwehlise ukuqothuka kwe-sphincter ye-Oddi, futhi kuthuthukisa umphumela we-analgesic neminye eminye izidakamizwa.
I-pancreatitis engalapheki futhi i-acute ivame ukuphathwa ngemithi engenhla ngendlela yezisombululo zemijovo ye-intravenous, intramuscular and subcutaneous.
Imijovo ye-Analgesic
Ukwenza i-pancreas kungenzeki ngenxa yezinqubo zenqubo yokuvuvukala esimweni esibi sesifo kunconywa ngosizo lwe-NSAIDs.
I-Paracetamol Ukwelashwa kokuvuvukala kwama-pancreas ngethuluzi elinjalo kungenxa yomthelela wakhona wokunciphisa izinga lokushisa lomzimba eliphakeme, kuqeda izinhlungu futhi kunciphise izinga lokuthuthuka kwenqubo ye-pathological emzimbeni. Imijovo ye-pancreatitis nalesi sidakamizwa yenziwa kusetshenziswa isisombululo ngomthamo wamamiligremu ayi-10 wempahla esebenzayo kumamililitha ngamunye.
I-Baralgin. Leli thuluzi lisiza ukwelapha isifo ngenxa yezakhiwo eziningi eziwusizo. Phakathi kwazo, kufanelekile ukugqamisa i-pancreatic anesthesia, ukuqeda i-spasm of fibers yemisipha, kuqeda ukuvuvukala ngezinga elithile futhi kwehlise izinga lokushisa lomzimba. Umuntu omdala angasebenzisa izixazululo zamamililitha ayi-2,5 no-5, womjovo kanye nowokudonsa. Ukuhlanganisa umuthi kuvunyelwe neminye eminye imithi enganciphisa ukuvuvukala.
Ukuhlaziya. Njengayo yonke eminye imithi eminingi, lo muthi unemiphumela emithathu ebaluleke kakhulu yokwelashwa: i-analgesia, ukwehla kwezinga lokushisa lomzimba eliphakeme, kanye nokwehla kwezinga lokuvuvukala. Umuthi uyatholakala kuma-ampoules we-milliliters we-1-2 ngesisombululo se-0.25% noma i-0.5% yento esebenzayo.
ISandostatin. Kuyi-analogue yokwenziwa ye-somatostatin. Umuthi wenziwa ngesimo sesisombululo somjovo noma i-lyophilisate ukulungiselela kwawo. Ku-ampoule eyodwa yezidakamizwa, omthamo wayo ungu-1 millilita, umthamo ka-0,05 mg noma we-0,5 wamamitha wezinto ezisebenzayo ungaqukathwa. ISandostatin ingasiza ama-pancreas ngenxa yokuthi ivimbela izinga lokutholwa kwalesi sitho, ngenxa yalokho kukhiqizwa ujusi we-pancreatic ngenani elincane. Imvamisa, umuthi onjalo ubekelwe iziguli ngemuva kokuhlinzwa. Cishe konke ukubuyekeza mayelana nokusetshenziswa kwaleli thuluzi ku-Intanethi kuyinto enhle.
Ukufakwa kwama-pancreas ekwelapheni i-pancreatitis kufanele kunqunywe kuphela ngudokotela wesiguli ngemuva kokuhlolwa okuphelele.
Ukuzimela okwenziwa ngokuzimela kwenqatshelwe, ngoba noma yisiphi isidakamizwa sinalo uhlu lonke lwe-contraindication kanye nemiphumela emibi.
Ezinye izindlela zamanyikwe
Kwezinye izimo, ngaphezu kwe-analgesics ne-antispasmodics ye-pancreatitis, kusetshenziswa ezinye izidakamizwa.
I-Hormone insulin. Ukusetshenziswa kwaleli thuluzi kungenxa yokuthi ngenkambo ende engapheli ye-pancreatitis, kwehla ukugcwala kwe-insulin egazini lomuntu ogulayo. Imvamisa, lokhu kudalwa kwengqondo kuholela ekuthuthukisweni kwesifo sikashukela.
I-Gentamicin. Le miyalelo ye-intravenous antibiotic yokusetshenziswa ingasetshenziswa ekwandiseni lesi sifo, lapho umuntu eba nenqubo enamandla kakhulu yokuvuvukala kumanyikwe. I-Gentamicin kumele iphathwe ngokungaxhunyiwe ku-2 kuye ku-4 ngosuku. Inhloso yalesi sidakamizwa isakugwema ukuthuthukiswa kwezinhlobo ezahlukahlukene ze-purulent pathologies, kwezinye izimo ezenzeka nge-pancreatitis.
Okuphikisayo. Leli thuluzi lithinta ngqo ukusebenza kwama-enzymes we-pancreatic womuntu. Ukulungiswa kulungiselelwe ngendlela ye-lyophilisate yesisombululo esenzelwe umjovo. Into esemqoka yokusebenza kwemithi yi-Aprotinin. Umuthi kumele ujutshwe ngaphambi kokuwusebenzisa, bese ufakwa emithanjeni yesiguli.
Kuyafaneleka ukunaka igama lezidakamizwa ezinqunyelwe, ngoba ukusetshenziswa komuthi ongalungile kungadala imiphumela emibi empilweni yabantu.
I-pancreatitis ithathwa njengesifo esingathathelanayo, ngakho-ke, ukugoma ngeke kuvikele ingane kulesi sifo. Akunconyelwe ukuthi kugonywe okunye ukugula enkambeni enkulu yesifo ngenxa yokuthi akunakwenzeka ukubala umphumela ongaba khona wokukhwabanisa onjalo.
Isazi sevidiyo esikulesi sihloko sizokhuluma ngokwelashwa kwe-pancreatitis.
