Ukwelashwa kwama-pancreas ngezidakamizwa kuyisidingo sokuqala sokulawulwa ngempumelelo kwe-pancreatitis. Lesi sifo aselapheki, kepha ukwelashwa okusebenzayo kungavimba ukwanda kwezinkinga.
Ukwelashwa kwama-pancreas kuhloselwe kakhulu ukumisa izinhlungu, ukubuyisela umsebenzi ojwayelekile wesisu nokuqeda ukungapheleli kwe-insretory.
Kulokhu, udokotela unquma izinhlobo ezahlukahlukene zezidakamizwa ezigulini: ama-antispasmodics, ama-analgesics, ama-antacid, ama-NSAIDs, izidakamizwa ze-choleretic, izidakamizwa ezibanzi ezibanzi, izidakamizwa ze-antidiarrheal kanye ne-antiemetic, izidakamizwa ze-enzymatic ne-antisecretory. Banendlela ehlukile yokukhipha - ithebhulethi, ukumiswa, ama-ampoules wokuphathwa kwe-intravenous. Ngaphezu kwalokho, zombili izinto zokwenziwa zokwenziwa nezamakhambi ziyasetshenziswa.
Izimiso zokwelashwa kwe-pancreatitis ebabayo futhi engamahlalakhona
Ukuvuvukala kwamanyikwe kaningi kwenzeka ngenxa yokudakwa ngokweqile kwesifo sotshwala nesifo se-gallstone. I-vascular pathologies, ukusebenza esiswini kanye ne-duodenum, ukusetshenziswa kwemithi ethile, i-genetics, isifo sikashukela, i-ERCP, i-cholecystitis, ukuhlukunyezwa kwe-helminth, ukungalingani kwe-hormonal, ukuhlukunyezwa kwe-anatomical kanye nezifo nakho kungathinta ukungasebenzi kahle.
Ekuqaleni kokukhula kwe-pancreatitis, umuntu uphethwe yizimpawu ezinjengokucanuzelelwa kwenhliziyo kanye nokuhlanza, ukubanda nokushisa komzimba osezingeni eliphansi, ubuhlungu obungazelelwe esiswini esingenhla, isifo sokuqaqamba kwamazinyo, kubandakanya ukuqunjelwa kanye ne-flatulence. Ngomonakalo obalulekile kuma-pancreas, kuhudula i-pancreatic - isifo sohudo, sihambisana nokuhlangana kwe-mucus kanye nezinhlayiya zokudla ezingafakwanga.
Ngenxa yokuthi lesi sifo siqhubeka ngezindlela ezimbili - ezinzima futhi ezingamahlalakhona - ukwelashwa kwe-pancreatitis kunomehluko othile. Ngaphezu kwalokho, indlela ebukhali ye-pathology i-biliary, drug and alcohol etiology.
Ekuhlaselweni okukhulu kwe-pancreatitis, ukwelashwa kuyadingeka esibhedlela. Udokotela unquma ukuzila okwelashwa kwezinsuku ezingama-3-4 nokudla izidakamizwa ezilandelayo:
- izidakamizwa ezinciphisa umsebenzi wama-enzyme wokugaya ukudla;
- ama-analgesics aqeda izinhlungu;
- izindlela zokwehliswa emzimbeni komzimba;
- imishanguzo yokulwa namagciwane.
Ngezinsuku zokuqala zokwelashwa, izidakamizwa ziphathwa ngaphakathi, lapho-ke kuvunyelwe ukuzithatha zisezingeni lethebhulethi. Ngemuva kokuhlaselwa ngamandla, isiguli singathatha amanzi afudumele we-alkaline. Ngemuva kwezinsuku ezingama-3-4, lapho i-syndrome yezinhlungu incipha, futhi secretion yama-enzyme ancipha, isiguli sivunyelwe ukudla ukudla okuvunyelwe kokudla okungu-5 ngokwe-Pevzner.
Ngisho nangemva kokunqoba i-pancreatitis eyingozi, kuyadingeka ukugcina ukondleka okhethekile. Imikhuba emibi, efana notshwala nokubhema, kufanele kube yizihibe esigulini. Kwi-pancreatitis engapheli, kuyadingeka ukuthatha amalungiselelo e-enzymatic (Mezim, Festal) ukwenza ngcono inqubo yokugaya. Ziqukethe ama-enzyme akhishwe kuma-pancreas ezinkomo, ezithatha indawo yabantu.
Kukhona nezinye izidakamizwa ze-pancreatic ezisetshenziselwa i-pancreatitis, ezoxoxwa ngokuhamba kwesikhathi.
Ama-Painkiller nama-enzyme
Kuyaziwa ukuthi ngokwanda kwalesi sifo, isiguli sikhononda ngobuhlungu obukhulu esifundeni se-epigastric. Zingaba ngokuzumayo, zinikeze ngakwesobunxele somzimba ngisho nangasemuva eliphansi.
Kunzima impela ukubhekana nobuhlungu, ngakho-ke isiguli sinqunyelwe ama-analgesics nama-antispasmodics - ama-painkillers. Lezi zinhlobo zemithi ziyehluka ngendlela yokusebenza.
Ama-antispasmodics anciphisa ukuqina kwemisipha yamathumbu. Amakhambi athandwa kakhulu yiNo-Shpa noPapaverin. Ukudambisa izinhlungu ngokuqhubekayo, kuyadingeka ukusebenzisa i-Atropine noma i-Gastrocepin.
Uma ubuhlungu buvela kwi-pancreatitis engapheli, udinga ukubasusa ngokushesha. Kulokhu, ama-analgesics asiza. Zijwayelekile (i-Baralgin) ne-narcotic (Tramal).
Ukubuyiselwa kokugaya ukudla akunakwenzeka ngaphandle kokusetshenziswa kwamalungiselelo we-enzymatic. Ngoba umsebenzi oyimfihlo we-pancreas ukhubazekile; ama-enzymes wokugaya awangeni kwi-duodenum. Umsebenzi wama-enzymatic agents ukubuyisa esikhundleni sawo. Ukuze uvimbele umuthi:
- Ilayisense
- I-Enzystal;
- Ukudla;
- I-Panzinorm;
- I-Pancreatin
- Ikhoni
- Festal.
Ngokuya ekubunjweni, amalungiselelo e-enzymatic wepancreas angahluka:
- Okuqukethe i-bile (i-enzyme forte, i-Festal, i-Ferestal). Zisetshenziswa kabanzi ekwelapheni i-pancreatitis, kepha azivinjelwe ezigulini ezihlushwa izilonda zesisu kanye ne-duodenal ulcer, isifo se-gastritis kanye nesifo se-gallstone.
- Iqukethe ama-enzyme kuphela (Pancreatin, Mezim) - amylase, lipase, proteinase. Izimali ezinjalo azikwazi ukuthathwa isikhathi eside, ngoba zibangela ukungasebenzi kahle kwe-pancreatic.
Kwesinye isikhathi udokotela ubeka izidakamizwa ze-choleretic ze-pancreatitis, okuhloswe ngazo ukwandisa ukucasulwa kwamaseli wesibindi. Amakhambi adumile yiHeptral ne-Allohol.
Izidakamizwa ze-Antidiarrheal kanye ne-antiemetic
Isibonakaliso esifana nesifo sohudo ku-pancreatitis yisibonakaliso sokuthi umuntu udlile ukudla okuqinisa inqubo yokugaya ukudla. Ngokuvamile, isifo sohudo se-pancreatic senzeka ngesikhathi sokuxhamazela.
Ukuchama kaningi kuholela ekuqothulweni komzimba kanye nokudakwa komzimba. Kulokhu, izidakamizwa ze-antidiarrheal kufanele zisize ukubhekana nesibonakaliso esingathandeki futhi zivimbele ukuthuthukiswa kwezinkinga ezinkulu. Uhlu lwemithi ephumelelayo yethulwe etafuleni.
| Isihloko | Umthamo | Contraindication |
| I-Rehydron | 10 ml / kg wesisindo ngehora ngemuva kwesitofu ngasinye. | I-Arterial hypertension ye-degree ngokulinganisa ne-ezinzima, i-mellitus yesifo sikashukela, ukwehluleka kwezinso okulimazayo nokuhluleka kwe-renal okungapheli, i-potassium ngokweqile. |
| I-Bactisubtil | I-1 capsule izikhathi eziyi-3-6 ngosuku ngomlomo, ezimweni ezinzima kakhulu - kuze kufike ku-10 amaphilisi ngosuku. | Hypersensitivity kwento esebenzayo nezinto ezisizayo zomkhiqizo. |
| I-Tannacomp | Ithebhulethi eli-1 izikhathi ezine ngosuku ngokuqedwa kwesifo sohudo, 1 ithebhulethi 2 izikhathi ngosuku ukuvimbela. | Sebenzisa ngokuqapha ngesikhathi sokukhulelwa. |
Lesi sifo sisesimweni esibi kakhulu kwesinye isikhathi sikhombisa ukubonakala kokuhlanza okukhulu, ngemuva kwalokho impumuzo ayenzeki. Ezimweni ezinzima, kuholela ekuhlanzeni okuyisisekelo. Ngakho-ke, udokotela unquma enye yale mithi elandelayo:
- I-Metucal;
- I-Tserukal;
- I-Metoclopramide.
Kumele kukhunjulwe ukuthi umuthi kumele uphuzwe ngokuqinile ngokuya ngezincomo zikadokotela nemiyalo esemiyalweni. Ukuzilapha kungaholela emiphumeleni engalindelekile.
Izidakamizwa ze-Antacid ne-antisecretory
Ngenkambo ende ye-pancreatitis, kuphakama izinkinga zesisu, okungukuthi ukukhiqizwa ngokweqile kwe-hydrochloric acid.
Kulokhu, udokotela angahle anikeze umuthi ovela eqenjini lama-antacid aphazamisa ukukhiqizwa kwe-hydrochloric acid.
Izidakamizwa ezinjalo zinganciphisa i-acidity yesisu futhi zithuthukise inqubo yokugaya ukudla:
- Phosphalugel;
- I-Almagel;
- Maalox;
- Omez.
Ngokudakwa kakhulu komzimba, ukuhlanza ngokushesha izinto ezinobuthi kuyadingeka. Kulokhu, udinga ukusebenzisa umuthi ophumelelayo we-Enterosgel noma ikhabhoni ejwayelekile eyenziwe yasebenza.
Imvamisa ngokuvuvukala kwamanyikwe, isiguli sibhekene ne-dysbiosis, engaqedwa ngosizo lomenzeli onjengeSmecta. I-Trimedat ingabuyisela ukungasebenzi kahle kwamathumbu.
Uma kwenzeka wephula umsebenzi oyimfihlo wesisu, udokotela ubeka umuthi obulala izidakamizwa. Ukukhiqiza ngokweqile kwama-enzyme kuholela ekunciphiseni kwamanyikwe. Ngenxa yalokho, i-pancreatic necrosis ingakhula - i-necrosis yezicubu zesitho, okuyisibonakaliso sokungenelela kokuhlinzwa ukuze kusisuse.
Izidakamizwa ze-Antisecretory zifaka i-histamine H2 receptor blogger nama-proton pump inhibitors. Amathebhulethi e-pancreatic athandwa kakhulu:
- I-Esomeprazole;
- Rabeprazole;
- ILansoprazole;
- INizatidine;
- I-Cimetidine;
- Gordox;
- Omeprazole
Ukuthatha le mishanguzo kusiza ukudambisa izinhlungu futhi kunciphise ukukhiqizwa kwe-hydrochloric acid. Ngokuvamile zibekelwe i-pancreatitis engamahlalakhona.
Izidakamizwa ezingezona ezombumbulu kanye nemithi elwa namagciwane
Umuthi ongeyona i-steroidal anti-inflammatory (NSAID) unomphumela wokulwa nokuvuvukala, i-antipyretic ne-analgesic emzimbeni.
Uma kuqhathaniswa nama-glucocorticoids, ama-NSAID ngokoqobo awadali ukusabela okuphambene. Izidakamizwa eziphumelela kakhulu zivezwa etafuleni.
| Igama lesikhungo | Umthamo | Contraindication |
| Aspirin | Umthamo wansuku zonke ngu-4 g. | Ukwehluleka kwenhliziyo / kwezinso / kwesibindi, ukukhulelwa (ІІІ trimester), i-hypersensitivity, i-hemorrhagic diathesis, i-asthma, i-peptic ulcer, ukuhlanganiswa ne-methotrexate. |
| I-Diclofenac (amaphilisi) | I-50-150 mg ngosuku, ihlukaniswe ngemithamo engu-2-3 | Ukukhulelwa, isikhathi sokubeletha, i-hypersensitivity, i-proctitis, izingane kanye nentsha engaphansi kweminyaka engu-12 ubudala, izindlela ezibhubhisayo nezilulazayo zepheshana lesisu, izifo zohlelo lwe-hematopoietic, izilonda esiswini kanye ne-duodenum. |
| I-Ibuprofen | Azikho ngaphezu kwamathebhulethi ayi-6 ngosuku. | Ukuzwela komuntu ngamunye kwizakhi, ukwehluleka kwenhliziyo okukhulu, ukungasebenzi kahle kwe-hepatic / renal, ukukhulelwa (ІІІ trimester), ukopha kwesisu, ulwelwesi lwesisu kanye ne-duodenal ulcer. |
Lapho kunamathele ukutheleleka ngegciwane, kuba nesidingo sokusebenzisa ama-antibhiksiki anezinto eziningi ezenziwayo. Isibonelo, kubalulekile ukuthatha izidakamizwa ezinjalo lapho uthuthukisa i-cholecystopancreatitis:
- I-Bactrim;
- I-Ampicillin
- I-Kanamycin;
- Oletetrin;
- Sigmamycin.
Inkambo yokwelashwa ngalezi zidakamizwa yizinsuku ezimbalwa kuphela. Ngokwemibono yodokotela neziguli, ama-antibiotic aholela ku-dysbiosis. Ngokuhambisana nokwelashwa ngama-anti-antibiotic, ukugcinwa kwe-microflora yamathumbu kuyadingeka. Kulokhu, kunconywa ukusebenzisa ama-probiotic nama-prebiotic.
Amakhambi Pancreatic
Njengoba i-pancreatitis engapheli iyisifo esingalapheki, kubalulekile ukusigcina isimo silawulwa njalo.
Ukwelashwa ngesikhathi nangendlela efanele kwe-pathology kuvimbela ushintsho lwe-pathological ku-anatomy yesitho.
Ngemuva kokunqoba isigaba sokwanda, isiguli sikhishwa esibhedlela.
Kumele anamathele ekudleni uNo. 5 futhi athathe izidakamizwa ezibuyisela umsebenzi we-pancreatic:
- I-Pancretinol ilungiselela amakhambi, okubandakanya ukukhishwa kweminti, i-anise, i-chamomile, i-fennel, i-elm kanye nempande ephuzi. Umthamo wansuku zonke yithebhulethi eyi-1. Inkambo yokwelashwa ihlala kuze kufike izinsuku ezingama-30.
- I-Bifidumbacterin yisidakamizwa esisebenza kakhulu phakathi kwezinye izidakamizwa ezingabizi. Indlela yokusebenza yesidakamizwa ihambisana nokuqina kokusebenza kwamaseli we-islet apparatus kanye ne-microflora yamathumbu. Njengengxenye yomkhiqizo, i-sucrose, i-bifidobacteria bukhoma, ubisi lwe-skim, i-gelatin edliwayo iyodwa. Umuthi uthathwa isigamu sehora ngaphambi kokudla. Ungawubala kanjani umthamo owufunayo kukhonjisiwe kwiphakheji.
- IHilak Forte ikhambi lokuphazamiseka kwezidakamizwa. Umuthi usiza ukuthuthukisa inhlala-kahle ephelele, yenza ibhalansi ye-acid-base ibhalwe kabusha, ibuyise i-microflora yamathumbu nama-pancreas. Umuthi uthathwa ehla ngama-50 kathathu ngosuku. Isikhathi sesifundo sinqunywa ngudokotela uqobo.
Ngoba ngokuvuvukala kwama-pancreas, ukungasebenzi komzimba wesiguli kuncishiswa kakhulu, abanye ochwepheshe batusa ukusetshenziswa kwemithi ye-homeopathic evimbela ukutheleleka ngomkhuhlane kanye ne-SARS.
Noma yimuphi ikhemisi unganikeza inqwaba yezidakamizwa. Kodwa-ke, kufanele kudliwe ukudla okuyisipesheli, okungagcini nje ngokuvimbela ubunzima be-pancreatitis, kodwa futhi nezinye, ama-pathologies angenangozi kangako, ngokwesibonelo, i-steatosis, isifo sikashukela i-mellitus, njll.
Ukwelashwa kwe-pancreatitis kuchazwe kanjani kule vidiyo kulesi sihloko.
