Ukwelashwa kwe-pancreatitis nemithi - izinhlobo eziyisihlanu zemithi yokwelapha kanye nemithi yokwelapha

I-Pancreatitis yisifo esibi esihlotshaniswa nokuvuvukala kwe-pancreas kanye nokungabikho kahle kwenkinga ebangela izinkinga. Ukwelashwa kwe-pancreatitis nemithi kuyisinyathelo sokuqala, njengoba umthetho, ukwelapha kwesifo kuqala ngaso. Kunezidakamizwa eziningi ezikhulula ngokuphumelelayo lesi sifo.

Kulungile kanjani ukuphatha ukuhlukunyezwa?

Ukuvuvukala kwe-pancreas kwenzeka lapho ama-enzyme ahlukanisa asebenza ku-gland. I-Pancreatitis ivela ngezindlela ezehlukene, kunezinhlobo ezimbili zazo: eziyingozi futhi ezingapheliyo. Izinga lesi sifo lixhomeke ekwelapheni kwakhe. Ekutholeni kokutholwa kwe-pathology, izidakamizwa ze-analgesic kanye nama-antiferments anqunywe, futhi amalungiselelo okuphazamiseka okungapheli (okuvilaphayo) afaka ama-agent okuvuselela ukufihla, ama-antispasmodics kanye neqembu lamanye ama-agent. Imithetho emithathu eyinhloko yilezi: ukuhlinzeka ukuthula kwesiguli, ukudla okunomsoco nokubandayo ukukhipha ukuvuvukala.

Ngokusekelwe ezimpawu ezibekwa ngemithi yokwelashwa, hlala izimpawu ezihambisana nazo. Kubalulekile ukulalela (ngenhloso yokuqeda) izifo ze-pathologists eziqala kuso isifo, ikakhulu uma ngabe:

Ukwelashwa kwe-pancreatitis engapheli ngemithi

Uma kutholakala ukuthi i-pancreatitis, kutholakala isifo esicasulayo futhi ukwelashwa kwenziwa kuso, kodwa ngaphandle kokuphumelela, ukukhubazeka kungabhekwa njengengapheli. Kulezi zicubu kwakukhona ukuvuvukala, futhi ukwelashwa okuyinkimbinkimbi okuhloswe ngayo ekususweni kwezimpawu kuyadingeka. Yiziphi izidakamizwa okufanele zithathwe nge-pancreatitis yefomu elingapheli? Uhlelo lwezokwelapha lungokulandelayo:

Ukwelashwa kwe-pancreatitis ejulile nemithi

I-pancreatitis elula kunzima ukuyihlolisisa, kunezinkinga lapho izimpawu zifana nezinye izifo. Isiguli sizwa ukuzwa okungathandeki esifundeni senhliziyo, amahlombe, ihlombe, hypochondrium. Ukuphazamiseka kuya ehlangothini lwesobunxele lomzimba, kukhona ubuhlungu obukhulu. Ngemuva kokudla okunamandla kunesisindo esiswini, isicashu, isifo sohudo . Isimo sibuhlungu, futhi kungenzeka ukuba senze ukwelashwa esibhedlela nase-pancreas ukuhlinzwa. Udokotela ubeka imithi elula isimo sesiguli ngokuphazamiseka okukhulu:

Yiziphi izidakamizwa zokwelapha ukuhlasela?

Ukwelashwa okuphumelelayo kwe-pancreatic pathology kuyinkqubo ende. Ukuze ubuyekeze ukusebenza okujwayelekile kwesiganga kanye nokukhiqizwa kwejusi le-pancreatic, kunezindlela ezehlukene ezisetshenziswayo. Into esemqoka ukuthatha imithi. Ekubuyiselweni kwe-gland, imithi idlala indima enkulu. Ngaphansi kokuqondiswa okusheshayo kwe-gastroenterologist, ukuvuvukala kwe-pancreas kuvinjelwe, ukwelashwa, izidakamizwa kunqunywe ochwepheshe.

Ama-painkillers we-pancreatitis

Esinye sezibonakaliso ezingathandeki kakhulu zesifo yi-syndrome yobuhlungu. Ukungahambi kahle kungenakubekezelelwa ukuthi isiguli siyaphefumula futhi sikhulume ngokubunzima. Ubuhlungu buqinile, bubuyisa emuva, buya emuva kanye nezinye izingxenye zomzimba, okubonisa ukuthi iyiphi ingxenye yomzimba ethintekile. Khona-ke odokotela banikeze izidakamizwa zokwandisa ukwanda kwe-pancreatitis: i-analgesics eqinile, izidakamizwa ezingekho-steroid, ama- analgesics ama-narcotic athathwa ngaphakathi. Ukwelashwa kwe-pancreatitis nge-anesthetics yamaqembu amaningana kwenziwa.

  1. Ama-H2-blockers we-histamine receptors. Ukunciphisa ukukhiqizwa kwama-enzyme e-pancreatic, izidakamizwa ezilawula umsebenzi we-secretory kuthiwa i-Famotidine, i-Ranitidine.
  2. Uma udinga ukukhulula ama-spasms futhi uhlinzekwe ukukhipha i-enzyme, lisela izidakamizwa ze-spasmolytic. Ngezinhlungu ezimbi, uPapaverin, Atropine, Aprofen, No-Shpa asetshenziswa .
  3. Imithi engekho emithwalweni ethathwe ngokuvuvukala nobuhlungu - iParacetamol, i-Ibuprofen, i-Aspirin, i-Nimesil. Bayeka ubuhlungu nomkhuhlane.
  4. Ama-Analgesics. Isibonelo, i-Baralgin, i-Analgin.
  5. I-Buprenorphine ne-Tramadol yizinxusa ezinamandla ezilawulwa nge-intramuscularly.

Izidakamizwa ezivimbela ukuvuvukala ezine-pancreatitis

Phakathi nalesi sifo, ama-pancreas abathintekile agcwele ama-enzyme awo, futhi umzimba uphuzo oludakayo. Izidakamizwa eziphikisayo kufanele ziphakame umgudu wokuzwela ubuhlungu, zikhulise imithwalo yegazi eduze nokugxila kokuvuvukala, futhi uqinise umzabalazo wemvelo womzimba nokuvuvukala. Leli qembu lezidakamizwa livimbela ukwakheka kwe-thrombi futhi linomphumela wokuvimbela. Ukwelashwa kwe-pancreatitis enzima ngemithi ekhaya kungenzeka, kodwa kungcono ukubeka impilo yakho kubachwepheshe.

Imithi yezidakamizwa ezaziwayo:

  1. Ama-cubes amabili ka-Analgin kanye no-3 ml we-Baralgina, ngokungahambisani nalokhu. Inkambo ilungiswa udokotela futhi cishe isonto.
  2. I-Fenicaberan (2 ml / 0.25% r-ra), i-Atropine (i-cube ye-1% isisombululo) ne-Papaverine (4/2%).
  3. Ukwamukelwa kwe-intramuscular No-shpy no-Platifillin (1 ml ekuseni nakusihlwa). Ukuphathwa okungeziwe okungenzeka kwe-Prostanone.
  4. Lapho lesi sifo siqhubeka, ama-antibiotics angabekwa: I-Cefuroxime, i-Ampiox, i-Levomycetin nezinye.

Amalungiselelo e-antitiferment for pancreatitis

Ngemva kokubopha ukuhlaselwa ubuhlungu nokuphela kwesikhathi esiyinkimbinkimbi, ukwelashwa kwe-pancreatitis nemithi kuhilela ukuthatha imithi equkethe i-amylase, i-lipase, ne-trypsin. Amalungiselelo enzyme nge-pancreatitis: i-Creon, i-Pancitrat, i-Penzinorm, i-Mezim, amavithamini anamafutha amaningi kanye neminye imithi. Kwezinye izimo (futhi uma i-syndrome iyinhloko) misela izidakamizwa ezilwa ne-enzyme ngaphakathi. Bavimbela umsebenzi wamanye ama-fermentation agents, kodwa anemiphumela emibi emibi kakhulu. Kumalungiselelo athathe:

Ama-Antacids ekudleni

Ngaphandle kwama-enzyme agents, amalungiselelo aphikisanayo anqunyelwe ukuphatha ukungezwani, okwandisa ukuphumelela kwesenzo sabo. Ukuze unciphise i-asidi esiswini, kusetshenziselwa ukuxubana kwe-alkali, isibonelo, i-Almagel, i-Fosfalugel nokunye okunjalo. Lezi zidakamizwa ziqeda ukungasebenzi kahle kwe-exocrine, okuholela ekwephukeni kokusebenza kahle kwe duodenum, futhi izinga le-asidi yesiphuzo se-pancreatic esiswini sisinciphisa.

Amalungiselelo okuqothulwa kwe-panlagogue for pancreatitis

Ukufeza imiphumela enjengokunciphisa umthwalo wemfihlo emaskreas, ukuqeda i-edema nokuhlaselwa kwe-bile, ukuthuthukisa indawo yokugaya ukusetshenziswa kwe-cholagogue. Uma imithi ihlinzekwa nge-pancreatitis, imithi ibhalwa udokotela futhi, ngokuvunyelwa kwayo, isithombo singakwazi ukwesekwa ngamakhambi anezinto ezinjenge-vitamin C, amafutha abalulekile, ushukela wamagilebhisi, i-tar, i-menthol, i-flavones, i-flavonoids, i-tanins, njll. Amaphilisi amaningi asetshenziswa kakhulu yi-pancreatitis, izidakamizwa ezifana nalezi:

Ukwelashwa kweSikimu yokuphazamiseka kwezidakamizwa nemithi - izidakamizwa

Emithi yesimanje, kunezindlela eziningi namasu asetshenzisiwe, ngosizo lokuhlaselwa kwe-pancreatitis. Indima ebalulekile kuyo idlalwa ngamagunya ezemithi. Kodwa kubalulekile ukucabangela ukuthi i-pancreatitis yisimo esiphuthumayo, ukwelashwa okwenziwe esibhedlela. Ngokuvamile, iziguli zihanjelwe esibhedlela, zifaka umxhasi, zisekela umsebenzi wezinhlaka ezihlukene nezinhlelo, zibeka imithi yokudambisa izimpawu zesifo. Izindlela zokunakekelwa ngokweqile zandisa izidakamizwa ekuphefumuleni, okuvimbela ukubhujiswa kwamathiskriki e-pancreatic futhi abulale ukutheleleka.

Ukwelashwa kwe-pancreatitis enzima ekhaya - izidakamizwa

Ukwelapha ukuvuvukala kwamaphakhamathi nemithi kungenzeka ekhaya, kodwa esimweni sokuthi isiguli sizoxhumana nodokotela, futhi sekuphelile kakhulu. Lokhu kuyiqiniso ikakhulukazi ngesimo esiyinkimbinkimbi sesifo. Kubalulekile ukuqinisekisa ukuthula okuphelele, ukulandela ukudla. I-syndrome yesisu isusiwe nge-analgesics namagciwane. Uma ukuhlaselwa akuyona eyokuqala, umuntu angathatha imithi:

Izinjongo zokwelapha izifo ezimbi zivimbela izinkinga zesistimu, i-necrosis nokutheleleka. Ukwehla okukhulu kwe-pancreatitis kungaholela kwezinye izifo, futhi uhlelo lwezokwelapha luxhomeke kubo. Uma isimo singazinzile, ingcindezi iqhuma, udokotela ubeka imithi yokwenza isimiso:

Ukwelashwa kwe-pancreatitis enzima nemithi esesibhedlela

Ezimweni eziningi, uma lesi sifo sitholakala ngesimo esibucayi, kudingeke ukuba esibhedlela. Ukwelashwa kungaphansi kokuqondiswa odokotela esibhedlela. Ezinsukwini zokuqala zokuhlala esibhedlela kunqunywe ukudla okuqinile, ngisho nendlala. Ukuze ususe ukudakwa, inqwaba yamanzi, kuhlanganise ne-glucose ne-saline, ifakwa ku-dropppers, ngezidakamizwa ze-pancreatitis zinikezwa futhi ziyi-intramuscularly, futhi nge-intravenously. Ngokuya ngobukhulu bezimpawu, imithi ehlukene imisiwe:

  1. I-Spasmolytics (i-Ketanov, i-Spazmalgon) isuse ubuhlungu esiswini.
  2. Izidakamizwa ze-enzyme zinciphisa umsebenzi we-pancreas (izidakamizwa ezifana neSandostatin, Contrikal).
  3. Ukwamukela okungenzeka ama-analgesics ezinambuzane, kodwa ngaphansi kokulawulwa okuqinile kukadokotela (Hydromoron, Meperidin).

Kunoma yiluphi uhlobo nesifo sesifo, ukwelashwa kwe-pancreatitis nemithi kufanele kube ngaphansi kokuqondiswa udokotela owazi kahle umlando wesifo futhi uyazi izimbangela zokuthuthukiswa kwezifo. Kunconywa ukuqala ukwelashwa ekuqaleni, kuze kube yilapho lesi sifo sibangela izinkinga futhi singahambi esigabeni esingapheli.