I-pancreatitis yisifo se-pancreas esikhula ngenxa yokuvuvuka kolwelwesi lwama-mucous nezicubu zesitho sangaphakathi. Lesi sifo siqala lapho sihola impilo engafanele, ukungahambi kahle, ukondleka okungafundile, ifa kungaba yimbangela.
Lesi sifo kufanele siphathwe ngokubonakaliswa kwezimpawu zokuqala ngendlela yokuphazamiseka kokugaya ukudla, izinhlungu ku-hypochondrium yangakwesobunxele, umkhuhlane. Udokotela osesiswini uhlonza lesi sifo, anqume ubucaka be-pathology futhi anikeze ukwelashwa okufanele.
Uma ngaphambili ukwelashwa okuyinhloko kwe-pancreatic kwenziwa ngosizo lokungenelela kokuhlinzwa, namuhla kunenqwaba yemithi engaselapha lesi sifo - ingaba yithebhulethi noma isixazululo .. Kaningi kakhulu, odokotela banquma i-Gordox yokuthola i-pancreatitis yanoma yiluphi uhlobo nobunzima.
Incazelo yesidakamizwa
IGordox ingumuthi osesimweni sesisombululo somjovo, onemvelo eyi-hemostatic. Iphakethe lama-ampoules amahlanu we-10 ml lingathengwa ekhemisi. Umuthi uphathwa ngokuhlinzwa ngokuya ngohlelo olunqunywe ngudokotela.
Into esebenzayo yesidakamizwa i-aprotinin, nayo i-benzyl alcohol, i-sodium chloride, amanzi afakiwe umjovo. Ukusetshenziswa kwalesi sidakamizwa kuhlinzekwe ngezindlela eziningana - kuphatha i-pancreatitis eyingozi futhi engamahlalakhona, futhi futhi ikuvumela ukuthi uvikele ukukhula kwenqubo yokuvuvukala ngesikhathi sokuvuselela umzimba.
Ukwelashwa kwe-pancreatitis Gordoksomzaklyuchitsya ekusakazweni kwezinto ezisebenzayo zesixazululo emzimbeni wonke, ukugcwala okuphezulu kakhulu kwezidakamizwa egazini kungabonakala amahora amahlanu kuya kwayishumi.
Uma kuqhathaniswa nezinye izidakamizwa ezifanayo, umuthi awuthinti ubuchopho, futhi futhi awungeni kwi-placenta. Into esebenzayo ilwa nama-protein - izakhi ezonakalisa amaprotheni.
Ukufaka umuthi kufaka isandla ku:
- Yehlisiwe imisebenzi ye-pancreatic enzyme;
- Yehlisa amazinga e-kallikrein;
- Ukuqiniswa kwenqubo ye-fibrinolysis;
- Ukuyeka ukopha okungenzeka.
Umuthi usebenza, kuya ngokuthi iyiphi inkambiso yokwelashwa udokotela ayibalile nokuthi uyini umthamo.
Isixazululo singathengwa kunoma iyiphi ikhemisi lapho wethulwa incwadi kadokotela. IGordox iku-B kuhlu.
Gcina isidakamizwa ekushiseni kwama-degree angama-15-30, kude nezingane kanye nelanga eliqondile. Impilo yeshelf ayikho ngaphezu kweminyaka emihlanu.
Uboniswa ngubani umuthi
IGordox yi-ejenti eyinkimbinkimbi yokwelapha, ngenxa yalesi sizathu ibekelwa izifo ezahlukahlukene. Imvamisa, isixazululo sisetshenziselwa ukumisa ukopha ngemuva kokuhlinzwa kuma-pancreas, anobuthi, obuhlukumezayo kanye nokulimala kokulimala.
Umuthi ubekelwe ifomu lesifo esibi, ukwanda kwesifo esingalapheki, i-necrosis enengxenye yezicubu ze-pancreatic, ukungasebenzi kahle kwesitho sangaphakathi kanye nokukhula kwe-pancreatitis ngenxa yokulimala. Futhi, umuthi uyasetshenziswa esikhathini sokululama ngemuva kokuhlinzwa, ngokubuyela njalo kwesifo, ukuze uvuseleleke.
Ngaphambi kokuthatha umuthi, imiyalo yokusebenzisa ne-Gordox pancreatitis kufanele ifundwe. Njengoba isixazululo sithathwa njengesidakamizwa esiqinile esisebenzayo, singasetshenziswa kuphela ngemuva kokubonisana nodokotela ohambelayo. Ukwelashwa kwenziwa esibhedlela, ngaphansi kokuqashwa kodokotela.
Kodwa-ke, kubalulekile ukucabanga ukuthi i-Gordox ku-pancreatitis eyingozi nezinye izifo zingaba ne-contraindication. Ikakhulu, isixazululo asikwazi ukusetshenziswa:
- Ngesikhathi sokuqunjelwa;
- Esikhathini sokuqala nesithathu sokukhulelwa;
- Lapho kukhona ukusabela komzimba kuma-aprotinin nezinye izingxenye zomuthi;
- Uma kwenzeka wehlise izinga lokushisa ngaphansi kwezinga elijwayelekile;
- Uma kwenzeka ukuphazamiseka kokujikeleza;
- Uma isiguli sisanda kwenziwa ukuhlinzwa kwamaphaphu nokwenhliziyo.
Ngokuvamile, iziguli ziyawubekezelela kahle umuthi, kepha ezimweni ezingandile, umphumela oseceleni kungenzeka ngohlaselo lokucanuzelelwa kwenhliziyo, ukuqaqamba kwamalunga omzimba, ukubonwa kwezimpawu, ukusabela komzimba ngendlela ye-urticaria, ukushaqeka kwe-anaphylactic.
Iziguli eziningi ngemuva kokusebenzisa i-Gordoks zishiya ukubuyekezwa okuhle nge-pancreatitis yezimo ezahlukahlukene, naphezu kwezindleko eziphakeme zekhambi.
Ukusetshenziswa kwezidakamizwa
Imiyalo esetshenziswa nge-Gordox pancreatitis inemininingwane ephelele okufanele uzijwayele ngayo. Ngaphambi kokuqala ukwelashwa, kufanele kwenziwe ukuhlolwa okukhethekile, okukuvumela ukuthi unqume ukuthi ama-antibodies angakhiqizwa yini lapho edalulwa izinto ezisebenzayo zomuthi.
Lapho welapha i-pancreas, ukugxila kufanele kufakwe kwisiphuzo nge-0.9% sodium chloride solution noma ngo-5% isisombululo se-glucose ngesilinganiso okungenani esingu-500 ml. Umuthi othosiwe usetshenziswa emahoreni amane alandelayo.
Udokotela ujova umthamo wokuhlola we-0,1 ml wezibilini ukuze uthole ukuthi umzimba uzwelana kangakanani nomuthi. Okulandelayo, ikhambi liza ne-dropper.
- Isiguli sisesimweni esiphakeme futhi siphumule ngangokunokwenzeka.
- Umuthi uphathwa kancane, uqaphela, emithanjeni eyinhloko.
- Omunye umuthi awuvunyelwe ukufakwa endaweni efanayo ngesikhathi sokwelashwa ngezidakamizwa neGordox.
Umthamo ngqo ubalwa ngudokotela ohambelayo, egxile ezimweni ezithile zomzimba nokuba khona kwezifo ezincane. Kepha imvamisa kakhulu umuthi usetshenziswa ngokuya ngohlelo olulandelayo oluvame ukwamukelwa:
- Ukwelashwa kwabantu abadala, i-0.5-2 ml yesisombululo isetshenziswa njalo emahoreni amane kuya kwayisithupha.
- Ekwelashweni kwezingane, i-Gordox isetshenziswa kumthamo omncane wansuku zonke we-0,2 ml nge-1 kg yesisindo sengane.
Uma umuthi ungabekezelelwa kahle, udokotela ubeka umuthi we-analogue onomphumela ofanayo emzimbeni, kufaka phakathi i-Ingitril, Contrical, Trasilol.
Uma kwenzeka kweqisa ngokweqile, isiguli singathola ukusabela komzimba, kanye nokushaqeka kwe-anaphylactic. Nganoma yiziphi izimpawu ezisolisayo, ukusetshenziswa kwomuthi kuyamiswa.
Uma isiguli sine-hyperfibrinolysis futhi sisabalalisa ukusatshalaliswa kwe-intravascular, isixazululo sisetshenziselwa izinjongo zokwelapha kuphela ngemuva kokuba zonke izimpawu ezingathandeki sezisusiwe.
Ngokuqapha ngokweqile, ngesilinganiso senzuzo nengozi, umuthi ungasetshenziswa uma isiguli:
- Ukuhlinzwa kwe-Cardiopulmonary kwenziwa, i-hypothermia ejulile iyabonakala, futhi kukhona nengozi yokuboshwa kokujikeleza ngenxa yokuthuthukiswa kokuhluleka kwe-renal;
- Phambilini bekukhona izinkomba zokwelashwa nge-aprotinin, ngoba ukuphathwa okuphindaphindiwe kwekhambi kuvame ukudala ukungazweli okukhulu kanye nokushaqeka kwe-anaphylactic. Uma umuntu enikezwe umuthi ezinsukwini eziyi-15 ezilandelayo, udinga ukwenza isivivinyo usebenzisa umthamo wokulingwa.
- I-Allergic diathesis yatholakala, kulokhu, ukwelashwa kwenziwa ngokuqinile ngaphansi kokuqondisa udokotela. Ukuze ugweme ukusabela okungafuneki, kusetshenziswa umthamo owodwa okungenani ukuqinisekisa umphumela womuthi.
Ukuhlonza i-hypersensitivity engenzeka, ukuhlolwa kwenziwa imizuzu eyi-10 ngaphambi kokuqala kokwelashwa okuyinhloko.
Uma ngemuva kokufakwa komthamo wecala noma yikuphi ukuvela kokuvela komzimba kuvela, uGordox kufanele alahlwe, uma kungenjalo kungaqhamuka ukushaqeka kwe-anaphylactic.
Ukuxhumana neminye imithi
Into esebenzayo yesidakamizwa ikhulisa i-heparin. Uma i-Gordoks ingeniswa egazini elihlangene, isikhathi sokukhula siyenyuka.
Uma iDextran ne-aprotinin zihlanganiswa ndawonye, zombili lezi zidakamizwa zizoba ukuziqinisa. Ukuze ugweme ukuthuthukiswa kokuphendula kwe-hypersensitivity, noma kunjalo kufanele usebenzise ukwelashwa ngalezi zidakamizwa ngasikhathi sinye.
I-Aprotinin iyakwazi futhi ukuvimba izidakamizwa ze-thrombolytic, ezibandakanya ama-urokinases, ama-alteplases nama-streptokinases. Endabeni yokuthatha ukuphumula kwemisipha ezinsukwini ezintathu ezilandelayo, kubalulekile ukuxwayisa udokotela oholayo ngalokhu, ngoba lokhu kungadala imiphumela engathandeki. Uma kutholakala izimpawu, ukwelashwa ngezidakamizwa kufanele kumiswe ngokushesha.
Ungayiphatha kanjani i-pancreatitis ezochazwa ngochwepheshe kule vidiyo ekulesi sihloko.
