Ukwelashwa kwezidakamizwa i-pancreatitis kuyindlela eyinhloko yokwelashwa kwesigaba esibuhlungu noma ukwanda kwesifo esingamahlalakhona. Ngokukhethwa okufanele kwezidakamizwa, ungasithuthukisa kakhulu isimo sesiguli, uvikele izinkinga ezinzima ze-pathology.
Ngefomu lesifo elithobekile, lapho kungekho zinkinga, kunikezwa ukwelashwa kwesondlo. Ukumisa i-pain syndrome, kunconywa ama-painkiller, futhi ukwelashwa ukumnika kunqunyelwe ukubuyisa uketshezi.
Uma inqubo yokutheleleka isungule emgudwini we-biliary noma ohlelweni lokuphefumula, kusetshenziswa izidakamizwa ezilwa ne-pancreatitis kanye nendlala.
Ungaqala kabusha ukudla kungakapheli izinsuku ezintathu, lapho izinhlungu zesiguli zincipha, ukuhamba kwamathumbu sekujwayelekile.
Amathebulethi amakhulu e-pancreatitis acute
Inkambo ebucayi yenqubo yokuvuvukala kumanyikwe ibonakala ngezinkinga ezahlukahlukene - isisulu sokuhlanza, ukufa kwezicubu zesitho sangaphakathi, i-peritonitis, lipomatosis, njll. Kwinyanga eyodwa, isiguli sidinga ukulamba. Ngalesi sikhathi, kunikezwe umsoco wabazali.
Kwi-pancreatitis enzima, kungenzeka ukuthi kuphakama ukungasebenzi kahle kwepancreatic. Ukuvimbela ezinye izinkinga, isiguli singaphansi kokuqashwa njalo kwezokwelapha.
Ngalesi sikhathi, ungasebenzisi amaphilisi we-vasoconstrictive pancreatitis. Qiniseka ukuthi ulawula umthamo wamanzi ajikelezayo. Thela amalitha ayisithupha ngosuku, futhi kwezinye izithombe zomtholampilo ngisho nangokwengeziwe, kuze kube yilapho ivolumu ibuyiselwa.
Uma ngabe imingcele ye-albhamuin esegazini incishisiwe, ingahambelani namanani ajwayelekile, isisombululo se-colloidal senziwa ngaphakathi. Lapho i-hematocrit incipha, ukusetshenziswa kwesisindo se-erythrocyte kuyadingeka.
Ngokuncipha kwenani lamanzi ajikelezayo, kungenzeka ukuthi kube khona umsebenzi wezinso ongasebenzi kahle. Ukuvimbela lokhu, ukwelashwa kwe-infusion kuyenziwa.
Lapho kunezinkinga ezihlobene nezinkinga ngohlelo lokuphefumula - izinga lokuphefumula egazini liyancipha, kuqhamuka nezimpawu zokuhluleka kokuphefumula, lokhu kubonisa isifo sokuphefumula. Ukuyimisa, ama-analgesics aphathwa ngokuhlinzwa njalo ngemizuzu engama-120.
Ungayiphatha kanjani i-pancreatic pancreatitis? Ngaphandle kokusebenzisa izidakamizwa ngeke ukwazi ukwenza. Uma isiguli sinokuhlaselwa okunzima kwenkambo enzima, khona-ke le mithi elandelayo ifakiwe kuhlelo:
- AmaPainkiller. Zivame ukuphathwa nge-intramuscularly. Basiza ukudambisa uphawu olufana nobuhlungu. Imvamisa basebenzisa i-No-shpa, Baralgin, Papaverin. Ngezinhlungu ezinzima, zingavimba;
- Izidakamizwa ze-Enzymatic ziyadingeka ukunxephezela ukungapheleli kwe-pancreatic. Banciphisa kakhulu umthwalo esithweni esikhanyisiwe, bamnikeze ukuthula. Abamele leli qembu bahlanganisa iPanzinorm, iCreon, iMezim Forte;
- Ukuze wehlise imfihlo yamanyikwe, kubekwe i-Dalargin. Umuthi uyatholakala ngesimo se-powder sokuphathwa kwe-intravenous usebenzisa i-dropper;
- Uma umkhuhlane, nikeza izidakamizwa ze-antipyretic;
- I-Octreotide ilawulwa ngokufudumele umthamo we-10 mcg izikhathi ezi-3 ngosuku, isikhathi senkambo yokwelapha siyizinsuku ezinhlanu;
- Izidakamizwa ze-Antacid zisiza ngokuchasene nokubonakaliswa kwe-dyspeptic - ukugabha, uhudo, njll., Kunqunyelwe i-Almagel.
Izinhlobo zokwelashwa zingafaka i-Ibuprofen, umuthi oyinkimbinkimbi osiza ukudambisa izinhlungu, ngenkathi futhi unemisebenzi yokulwa nokuvuvukala. Umthamo unqunywa ngamunye ngokuya ngokuqina kwesimo sesiguli. Imvamisa, kanye nokuhlaselwa kakhulu, izifo ezingalapheki, ngokwesibonelo, i-cholecystitis, ziyanda, lapho izidakamizwa zelashwa kwazo kunqunyelwe khona impela.
Futhi, ekwelapheni i-pancreatitis eyingozi, izidakamizwa ezifaka imbozo, kusetshenziswa izidakamizwa ze-choleretic. Imithi efaka izinto zamahomoni - i-anabolic ne-steroid.
Ukwelashwa okukhethwe kahle futhi okusebenzayo kuwukululama ngokushesha kwesiguli ngobunzima obuncane.
Ukwelashwa kwe-pancreatitis ngezidakamizwa
Imithi ye-pancreatitis inikezwa kuphela ngemuva kokuxilongwa. Inkambo yokwelashwa ekhethwa udokotela kuphela, ngoba izincomo eziningi kufanele zibhekwe ukuncoma ukwelashwa okusebenzayo. Uhlelo lwenkambo yokwelapha luhlala lufaka nezidakamizwa zamaqembu ahlukahlukene emithi.
Ukunciphisa ukukhiqizwa kwe-hydrochloric acid, kubekwa ama-H2 blockers. Basiza ukunciphisa umsebenzi wesitho sokugaya ukudla, ukuvikela ukukhiqizwa kwama-enzymes wokugaya ukudla.
Izidakamizwa ezinconyiwe i-Ranitidine, i-Omeprazole. Umuthi wokuqala uphathwa ngokuhlinzwa noma nge-intramuscularly, noma kunikezwa ithebhulethi. Thatha ngokudla noma ngaphambi kokudla. Ukuphindaphindeka - kabili ngosuku. I-Omeprazole isetshenziswa ezibhebheni noma ihanjiswa nge-dropwise.
Ukwelashwa nge-H2 blockers kuthatha izinsuku eziyi-14, kungaphansi. Ukusetshenziswa kwabo kungaholela ekwakhiweni kwemiphumela emibi - ukusabela komzimba, isicanucanu, ukuqunjelwa, ukulahleka kwezinwele, izinkinga ngohlelo lwenhliziyo. Ukudla okuhlanganayo notshwala akuvunyelwe ngokuphelele.
Ukulungisa ukusebenza kwesistimu yokugaya ukudla, kuthathwa ama-anticholinergics. Uhlu lwezidakamizwa lubandakanya:
- I-Metacin.
- I-Antispasmodic.
- I-Chloroquine.
Ama-antispasmodics ayadingeka ekukhululeni kobuhlungu. Baqeda ukuqothuka kwemisipha ebushelelezi. Leli qembu lezidakamizwa lifaka iRiabal, i-No-shpu, iSpazmolin, iDrotaverin, iPapaverine (ingadala ukuthuthukiswa kwezifo zohlelo lwethambo).
Ukwelashwa okuqaphelekayo kokulimala okungapheli kwe-glandular
Izinqubo zokuvuvukala kumanyikwe ngokuvamile zivame ukuhambisana nezifo zepheshana esiswini, lapho kuphakanyiswa khona inani elikhulu le-hydrochloric acid. Ukuze udambise umphumela wayo onolaka, dala isithiyo esithile ezindongeni zesisu, kusetshenziswa imithi ye-antacid.
Kulesi sifo esingamahlalakhona, izidakamizwa ezingenawo amandla okumunca zivame ukusetshenziswa - i-Alumag, Maalox, Altacid. Imithi iyathengiswa ekhemisi; ungawuthenga ngaphandle kokuthola udokotela ochwepheshe.
Amathebhulethi e-antacid awabeki ngesikhathi sokukhulelwa, ngomsebenzi we-renal okhubazekile, ukuntuleka kwe-phosphorus, nokuncelisa ibele. Ngokwenqatshelwe ngokwezigaba ukusetshenziselwa okuphikisana nesizinda sokungabekezelelani ne-galactose ne-fructose. I-Phosphalugel iyihlukile, inganikezwa ngisho nezingane ezincane kusuka ezinyangeni eziyi-6.
Ukuze ukwelashwa kunikeze umphumela ofunekayo, isiguli siyalungiswa; ukudla kuyalandelwa njalo. Iziphuzo zotshwala, ikofi, okuthosiwe, okunamafutha, nezinongo zokudla okunezipayisi azihlanganisiwe kwimenyu; i-confectionery ayivunyelwe. Njengomthetho, umuntu unikezwa uhlu oluthile lapho kuboniswe khona ukudla okungavunyelwe futhi kuvunyelwe.
Imithi ye-enzyme:
- I-Enzystal;
- I-Pancurmen.
Leli qembu lezidakamizwa lilwa nokubonakaliswa kwe-dyspeptic, lifaka inqubo yokugaya ukudla, lisungula ukufakwa kwezakhi zomzimba emathunjini, futhi lisize ukusebenza kwamanyikwe.
Ukusetshenziswa kwe-antibiotic
Ukwelashwa kwesifo esingamahlalakhona kuhlala kuqala ngokusetshenziswa kwezidakamizwa ezichazwe ngenhla. Uma isiguli sithatha umuthi ku-dosage edingekayo, silandela zonke izincomo zikadokotela, kodwa umphumela ofunekayo awutholakali, kunqunywa ukwelashwa ngama-antibiotic. Ama-antibiotic asetshenziswa kuphela lapho kunezinkinga ze-pathology.
Basiza ekubhubhiseni ama-microflora we-pathogenic, balwa namagciwane enza njengomthombo wenqubo yokutheleleka. Isikhathi sokusetshenziswa kwama-antibiotic kungenxa yobunzima benqubo yokuvuvukala, umlando wezinkinga. Uma kukhona i-pancreatic cyst, isikhathi sokwelashwa ngama-antibiotic siyanda. Imvamisa musa ukuthatha izinsuku ezingaphezu kwezingu-7- 000.
Ukuthola umphumela osheshayo, imishanguzo ivame ukuphathwa ngabazali. Ngezindlela ezinzima zesifo, kunezindlela eziningi zesicelo ezinganconywa - zenza imijovo, isiguli siphuza amaphilisi / amaphilisi.
Kanye nemithi elwa namagciwane, ama-probiotic kufanele athathwe, ngoba izidakamizwa zokuqala ziba nomthelela omubi kuma-microflora amathumbu ajwayelekile, okungaholela ekusebenzeni kahle kwesistimu yokugaya ukudla. Isiguli siphuza i-Linex. Inkambo incike esikhathini sokulashwa kwe-antibiotic.
Uhlu lwama-antibiotics:
- I-Amoxiclav inempahla yokulwa namagciwane. Thatha kanye ngosuku.
- I-Azithromycin isidakamizwa esibanzi. Inkambo ephezulu yokwelashwa yizinsuku eziyi-10. Thatha kabili ngosuku, ithebhulethi eyodwa.
- ISumamed isetshenziswa kabanzi ukwelapha i-pancreatitis. Yamukela kabili ngosuku.
Ukusetshenziswa kwe-intravenous, Ampioks, Cefotaxime, Doxycycline kuvame ukunqunyelwa. Ama-antibiotic ane-contraindication eminingi nemiphumela emibi, ngakho-ke awukwazi ukuyithatha ngokungalawulwa - lokhu kungasibangela isithombe sesifo.
Ngemuva kokumisa ukwanda kwesifo esingalapheki, kuvunyelwe ukusebenzisa amakhambi esintu asiza ukuthuthukisa amanyikwe. Sebenzisa amakhambi ahlukahlukene okwelapha, i-oatmeal esekwe jelly. Qiniseka ukuthi uthatha amavithamini aqinisa amasosha omzimba. Ungasebenzisa amakhambi we-homeopathic. Esimweni sokugcina, anqunywe yi-homeopath, ebheka izimfanelo zomuntu.
Ukwelashwa kwezidakamizwa i-pancreatitis kuchazwe kuvidiyo kule ndatshana.
