Ukulungiselela ama-pancreas

I-pancreatitis yisifo esibucayi lapho i-pancreas ikhanyelwa khona. Imbangela yokushesha yokuvuvukala ukusebenza kwangaphambi kwesikhathi kwama-enzyme aqala ukugaya izicubu zezitho. Ama-enzyme asebenzayo awonakalisi kuphela amaseli we-pancreatic parenchyma, kodwa futhi alungisa nezindonga zemithambo. Sesingenile igazi ngale ndlela, zithwalwa emzimbeni wonke futhi zithinta izitho ezibalulekile - inhliziyo, izinso, isisu nobuchopho.

I-pancreatitis ingenzeka ngesimo esibi nesingamahlalakhona. Ngokuhlasela okungazelelwe noma ukwanda kwe-pancreatitis engapheli, ukwelashwa kwenziwa esibhedlela. Imisebenzi esemqoka ukukhululeka kwezimpawu ezibucayi, ukubuyiselwa kwenqubo yokugaya nokunxephezela ukungapheleli kwe-exocrine. Ukwenza kube ngokomsebenzi umsebenzi we-pancreatic, kusetshenziswa amaqembu amaningana emithi.

I-Cramping ne-Anesthesia

Umuthi wokuzikhethela we-pancreatitis yiParacetamol, ngoba awunawo umphumela wokuhlukumeza ulwelwesi lwama-mucous wethambo lesisu. Kodwa-ke, iziguli ezinesifo sesibindi kufanele zithathwe ngokuqapha, futhi njengoba kuqondiswa udokotela kuphela. Ukuphambana ngokuphelele kokuthatha iParacetamol yi-hepatitis ne-cirrhosis, kanye ne-pancreatitis yotshwala.

Ama-salicylates kanye ne-acetylsalicylic acid - i-Aspirin, i-Asfen, i-Askofen, i-Excedrine, i-Citramon isiza ukudambisa izinhlungu. Ukuqeda i-pain syndrome, Analgin, Baralgin, Pentalgin, Dexalgin, Ketorolac, Pentazocine kungasetshenziswa. Izidakamizwa ezingezona ze-steroidal anti-inflammatory (NSAIDs) ezivela kumanyikwe zisetshenziswa ezimweni ezingandile ngenxa yemiphumela ecasulayo kulwelwesi lwama-mucous.

Isibonakaliso esiholayo sezifo ze-pancreatic sibuhlungu, sibangela ukuhlupheka okukhulu kubantu; odokotela be-gastroenterologists bebelokhu besebenzisa i-No-spa yokukhululeka kobuhlungu iminyaka engaphezu kwengu-50, banciphisa iziguli zokuhlushwa

Njengoba imbangela yobuhlungu ku-pancreatitis ingumgogodla wemisipha ebushelelezi, ukusetshenziswa kwama-antispasmodics kunobulungiswa kakhulu. Izidakamizwa zesimanje ze-antispasmodic zinomphumela ohlala njalo, ukusebenza ngempumelelo okukhulu, kanye nokungabikho kwemiphumela emibi kakhulu.

Izidakamizwa ezidume kakhulu yiNo-shpa, uPapaverine, iDrotaverina Hydrochloride, Spazmol, Mebeverin. Izinkomba zokusetshenziswa kwe-antispasmodics ingukuqina kwemisipha okubangelwa yi-hypermotor dyskinesia ye-bile duct, kanye nokuphazamiseka kokusebenza emsebenzini we-sphincter we-Oddi. Kungukuzenzakalelayo kwemisipha ebangela izinkinga ngokuphuma kwe-secretion ye-pancreatic kusuka kumanyikwe kuya kwi-duodenum.

Ngosizo lwe-antispasmodics, i-pain syndrome yokuqina okuhlukahlukene nemvelo iyaqedwa - ukuqaqamba, ibhande, bukhali. Konke kuya ngokuthi iyiphi ingxenye yama-pancreas eye yashiswa. Ukuze kubuzwe ubuhlungu obulinganiselayo, amalungiselelo ekwelashwa kwama-pancreas abekwe ezibhebheni. Uma isiguli sinezindlela zokuhlanza kaningi, khona-ke uPatverine noBaralgin balawulwa indlela yabazali (yokudonsa).

Ama-enzymes nama-antiferments

Okwenziwe i-enactivation kwama-enzymes esikhathini esibuhlungu kakhulu, kusetshenziswa ama-ejenti anciphisa ukugcinwa kwamanyikwe - I-Contrical, Gordox, Pantripin, Ingitrile. Kwezinye izimo, kunqunywe umuthi wehomoni uSomatostatin, onomthelela ekufakweni okwanele kwama-monosaccharides asuka emathunjini ukungena ekuhlelweni kwe-systemic, anciphise ukukhiqizwa kwe-gastrin, wehlise ukuhamba kwegazi emgodini wesibeletho nasesiswini se-gastrointestinal motility.

Ama-enzyme inhibitors asetshenziswa ikakhulukazi esibhedlela futhi ahanjiswa ezigulini nge-Drip. Njengoba ukwelashwa ngezidakamizwa zaleli qembu kuvame ukuhambisana nokuphendula okwenziwa yi-allergic, ama-antihistamines adonswa ngokufana.

Ngemuva kokukhululeka kwezimpawu ezinzima, kwenziwa i-enzyme replap therapy. Ukubuyiswa komsebenzi we-exocrine kusiza izidakamizwa eziqukethe ama-enzyme. Ukukhetha kukhulu ngokwanele, kepha isisekelo sezidakamizwa eziningi yi-pancreatin. Lokhu akusho ukuthi zonke izidakamizwa ziyefana: ukwakheka kwamacwecwe namaphilisi kungafaka inani elihlukile lamayunithi ento esebenzayo.

Ngaphezu kwalokho, izingxenye ze-bile zingangezwa kubo. Ezinye izidakamizwa zinokwakheka okufanayo, kepha zitholakala kubakhiqizi abahlukahlukene. Ngakho amagama ahlukahlukene okuhweba. Ngokunikezwe okungenhla, akunconywa ukwelapha ngokuzimela i-pancreatitis, ngoba udokotela kuphela ongakhetha ikhambi lesiguli esithile.

Uhlu lwamalungiselelo we-enzyme wokuthuthukisa ukusebenza kwamanyikwe limi kanje:

• IPancreatin, uCreon, iMezim, iLycrease, iZimet, iVestal, iPangrol;
• IPanzim Forte, iPanzinorm Forte N, iPancreasim, iPancrealipase;
• I-Pancreal Kirchner, iPankrenorm, iPancreon, iPancreoflat;
• I-Pancytrate, i-Penzital, i-Prolipase, i-Tritorment.

Ukwelashwa Kwe-pancreatic Herbal

Kusho ukufaka izingxenye ze-bile:

• Festal, Enzipalmed, Enzistal;
• Forte Enzyme, Forestal, Tagestal;
• I-Rustal, Panstal, Panolez, Pankral;
• Normoenzyme, Menzim, Ipental;
• I-Digestal Forte, i-Digestal.

Kuyaqapheleka ukuthi ukuntuleka kwe-enzyme akuyona kuphela nge-pancreatitis. Ukuntuleka kwe-enzyme kungaba ukuzalwa kabusha, okuyisisekelo nokuyisisekelo, okuphelele nokuhlobene. Ukuntuleka okuyinhloko kwenzeka ezifweni ze-gland uqobo (i-steatosis, umdlavuza), bese kuthi eyesibili ikhule ngokumelene nesizinda se-pathologies yezinye izitho zokugaya.

I-histology ye-exocrine lobe ye-pancreas imelwe yi-acini (kusuka esiqeshini "samagilebhisi sesiLatini) - amayunithi wesakhiwo akhiqiza ama-enzyme. Kukulezi zingqamuzana lapho kwakhiwa khona i-trypsin, chymotrypsin, lipase, amylase namanye ama-enzymes ambalwa.

Kungakhathalekile ukuthi ibangelwa yini i-lesion, ukusebenza kwe-acini kukhubazekile, futhi ukwenziwa kwezinto ze-enzyme kuyancipha. Ukunxenxa ukusilela, i-lipase, i-proteinase kanye nama-amylase akhona kuwo wonke amalungiselelo ngezindlela ezihlukile.

Ama-antacid

Ama-antacid anqunyelwe ukwenza i-hydrochloric acid yesisu ibe muncu, ngoba ivuselela ukwakheka kwejusi le-pancreatic. Kulokhu, enye yezindawo zokwelapha ukuqedwa kwe-acid acid factor. Ku-pancreatitis ebukhali, ama-antacid asetshenziswa ngokuhambisana nama-secretion inhibitors - ama-antienzymes, ngenxa yobude besikhathi namandla namandla womphumela we-acid-okwehla.

I-Maalox inomphumela wokufaka futhi wokumboza, ngemuva kokuthatha lesi sidakamizwa, i-hydrochloric acid ngokushesha futhi ingathathi hlangothi kahle, futhi umsebenzi wejusi esiswini uncishiswe kakhulu

Ukwelashwa kwe-pancreatitis engalapheki ngemithamo emikhulu yama-enzyme akusebenzi njalo, ngoba i-acid esiswini inika izingxenye zezidakamizwa - i-trypsin ne-lipase ngokushesha okukhulu. Umphumela wama-enzyme ungancishiswa ngenxa yezinye izizathu - umthamo onganele noma ukungahambelani kohlobo lomthamo olunconyiwe.

Kodwa-ke, imvamisa ukwentuleka kwemiphumela oyifunayo kungumphumela wokungasebenzi kahle kwe-antacid. Amalungiselelo amaningi asekela i-acidity yesisu esidingekayo aqukethe usawoti we-phosphoric acid, i-magnesium ne-aluminium hydroxide, i-magnesium stearate ne-alginate (ekhishwe olwandle). Kungcono kunabanye abanokulimala kumanyikwe yizidakamizwa ezifana neAlmagel, iMaloalox, i-Almagel-Neo neFosfalugel.

Lapho zithathwa, umphumela wokungathathi hlangothi kwenzeka ngokushesha ngokwanele futhi uthatha amahora angama-2,5 kuye kwayi-3. Ngokuya ngemithamo enconyiwe, izidakamizwa ze-antacid empeleni azinamphumela ohleliwe nemiphumela emibi engathandeki.

Ama-antibiotic

Ezigulini zepancreas, ama-antibiotics asetshenziswa zombili ze-prophylaxis nasekwelapheni okuyinkimbinkimbi lapho kuvela izimpawu zokutheleleka ngegciwane. Ukutheleleka kutholakala cishe kwengxenye yesithathu yeziguli futhi kungasakazeka ngegazi, i-plasma kanye nezitho zomakhelwane - i-duodenum 12, uhlelo lwe-bile ne-portal vein.

IClithithycin ingesinye sezidakamizwa ezintsha kunazo zonke eqenjini lama-macrolide angabhubhisa amagciwane ngaphakathi kumaseli.

Ukwelashwa okubulala amagciwane ngezinhloso zokuvimbela (zokuvimbela) akuvamile. Kodwa-ke, uma kwenzeka kuvela izimpawu zesimilo - isicanucanu, ukugabha, umkhuhlane - ukuthatha imishanguzo kuyadingeka.

Njengoba kungenakwenzeka ukuphenya i-microflora ye-pancreatic ngendlela engahlaseli (ngaphandle kokulimala) ngenxa yendawo ejulile yesitho, ama-anti-spectrum wokubulala asetshenziswa. Kulokhu, ukumelana okuncane kakhulu kubo kwama-bacterium adume kakhulu kuyabhekwa.

Njenge-prophylaxis, ukwelashwa okulwa namagciwane kwenziwa uma isiguli sinesifo esibi kakhulu, esithi:

• Isifo sengculaza kanye ne-HIV;
• i-hepatitis yegciwane;
• isifo sofuba samaphaphu;
• isifo sikashukela mellitus;
• isimila.

Imvamisa, imithi elwa namagciwane ibekelwa i-pancreatitis ye-biliary, ehambisana nomonakalo wesibindi kanye ne-gall bladder futhi kutholakala ukuthi unamacala angama-40-57%. Izidakamizwa zokukhetha zingabenzeli be-macrolide, ikakhulukazi, i-Clarithromycin kanye ne-analogues yayo - iKlabaks, i-Fromilid, iKlacid, njll.

Ngokungeziwe emisebenzini eminingi ebanzi, ama-macrolides anenye inzuzo - akhishwa emzimbeni kanye ne-bile. Ngenxa yalokhu, ukugxila okuphezulu nomphumela we-antimicrobial odaliwe wenziwa.

Ukukhetha kwama-antibiotic kuncike ohlotsheni lwesifo nasezingeni lokutheleleka. Ukugxila okuncane kunikezwa ngemithi yochungechunge oluvikelwe lwe-penicillin (Timentin), cephalosporins yesizukulwane se-3 ne-4 - i-Medocef, Cefobid, Kefsepim, Movizar.

Isenzo esinamandla nesithembeke kakhulu senziwa:

• i-fluoroquinolones - I-Ciprolet, i-Pefloxabol, i-Abactal, i-Ciprinol;
• carbapenems - Jenem, Mepenem, Grimipenem, Tienam;
• metronidazole (Trichopolum, Efloran) kanye nokuhlanganiswa kwayo nama-cephalosporins izizukulwane ezi-3-4.

Ngokweqile, kunconywa ukubulawa yindlala izinsuku ezingama-1-3, bese ngokungenisa kancane kancane ukudla okulu-ketshezi ekudleni - okusanhlamvu, amasobho e-mucous kanye nama-decoctions wemifino. Esikhathini esizayo, lapho izimpawu zokuphola zidlula, ungadla ngokuphelele, kepha ngokulinganiselwa.

Uhlu lwemikhiqizo enqatshelwe liqukethe utshwala, okunamafutha nokudla okuthosiwe, ukudla okulula neminye imikhiqizo eyingozi. Izimiso eziyisisekelo zokudla okunempilo zichazwa ekudleni uNo. 5, okunconyelwe bonke abantu abane-pathologies yesisu.

Kubalulekile futhi ukuqaphela ukuthi kuvame ngokwanele ukushintsha imikhuba yokudla ukuze ukululama okugcwele kwenzeke. Kodwa-ke, isisekelo sokwelashwa okuphumelelayo ukuhambisana nezincomo zezokwelapha nokuthatha izidakamizwa ezinqunyelwe. Yiba nempilo!