Ọkpụkpụ pancreatic maka pancreatitis

A na-akpọ mbufụt anụ ahụ pancreatic. Acdị nnukwu ọrịa a na sclerotic, mkpali na mmebi akụkụ necrotic. Ihe kpatara ọnọdụ a bụ isi mmiri ọperụperụ na-ekwesịghị ekwesị n'ime duodenum. Mgbe ahụ enwere mmụba nke nrụgide na ducts, mebie mkpụrụ ndụ nke anụ ahụ. Nke a na - eduga na akpukpo ahụ na akwara nke anụ ahụ gland.

Isi ihe a na-egosi n’ọrịa a bụ akwara mgbu n’akpa afọ. Ọ na-enwufere sternum ma ọ bụ mpaghara mpaghara obi. Ike nke ọnya mgbu na-abawanye site na mmụba nke ụdị hemorrhagic ụdị mmeghachi omume nke ọrịa ahụ. Mgbe necrosis kpuchiri ngwụcha akwara ndị ahụ, ihe mgbu ahụ na-ebelata.

Gịnị bụ ihe dị ize ndụ pancreatitis

Site na mmepe nke ọbara ọgbụgba na akwara ọbara, ihe na-egbu egbu na-apụta n'ime awa 24 mgbe mmalite nke mgbaàmà mbụ. Ọ bụrụ na onye ọrịa ahụ chọrọ enyemaka ozugbo, enwere ike ịkwụsị mgbaàmà ya na oge 1. Mgbe ọrịa ahụ na-aga n'ihu, enwere nsogbu nke ịmalite:

  1. Peritonitis.
  2. Ọkpụkpụ afọ nke afọ.
  3. Imeju imeju.
  4. Edema GM.
  5. Odida ntaramahụhụ.

Ihe puru omume onwu n’azu udiri oria a bu 15%. Na mkpokọta necrosis, onye ọrịa ahụ nwụrụ na 70% nke ikpe. Mgbe ụfọdụ na ndabere nke pancreatitis, usoro oncological ma ọ bụ ọrịa shuga na-amalite.

Enyemaka ahụike maka pancreatitis

A na-eme ọgwụgwọ nke ọrịa a n'ụlọ ọgwụ. Mgbe emesighachi ọnọdụ onye ọrịa ahụ, dọkịta ahụ wepụrụ ọrịa na-akpata ọrịa. A na - ewepụ ihe mgbu na - enweghị isi site na nyocha. Iji weghachi ahụ mgbe ọgụ anụrị gasịrị, a na-enye onye ọrịa ahụ ọgwụ mmiri ara ehi. Nke a na - enyere aka izere ịkụda anụ ahụ n'oge mmiri.

Tupu ụgbọ ihe mberede erute, onye ọrịa ahụ kwesịrị itinye akwa mpịachi na afọ nke elu. Oyi na - ebelata ihe mgbu, na - enyere aka belata mmezu nke enzymes nke anụ ahụ. Ọ bụrụ na mgbu ahụ enweghị atụ, a na-ahapụ ya ka ọ buru 1-2 okpu. nitroglycerin. N'ime intramuscularly, ị nwere ike banye No-shpa ma ọ bụ Papaverine.

Ọgwụ antispasmodic

Ojiji nke antispasmodic injections na nnukwu pancreatitis bụ naanị ọ bụghị naanị na mmetụta analgesic ha. Ha na - enye aka na izu ike nke akwara dị n'ime ahụ. Oge ịgba ọgwụ mgbochi n'oge a na-ewepụ ihe ize ndụ nke necrosis. Ọtụtụ mgbe, a na-enye onye ọrịa ahụ inje injection:

Nlekọta nke injections nke Nitroglycerin na-enye aka na izu ike nke sphincter nke hepatic-pancreatic ampoule.

Ọgwụ na injections nke nyocha

Exacerbation nke pathology gụnyere nhọpụta nke Paracetamol, Baralgin, Analgin. Ndị inje ndị a na-enye aka na nkwụchi nke nza site na nsị nke ahụ na mpụta ihe ọ ofụ ofụ n'ime mmiri ahụ.

A na-ejikọ ọgwụ ndị a na antihistamines. A na-atụ aro iji Diphenhydramine, Suprastin, Tavegil. Ha nwere mmetụta ogwugwo na ọgwụ mgbochi.

Iji welata ihe mgbu ma belata ahụ mmadụ, a na-enye onye ọrịa ahụ Sandostatin injections. A na-achịkwa ọgwụ ọgwụ na subcutaneously, ọ dịghị ihe karịrị oge 3 / awa 24. Ọ bụrụ na onye ọrịa na-ata ahụhụ ihe mgbu na-enweghị ike ịche ya, enyere ya ọgwụ iji Tramadol ma ọ bụ Promedol. Ọgwụ ndị a nwere mmetụta ọgwụ ọjọọ. Ogologo oge ọgwụgwọ bụ ụbọchị 3.

Ngwaahịa Pancreatic

A na-enye ọgwụ mgbochi maka mmepe nke ọrịa pancreatitis ọ bụghị naanị maka ebumnuche ịkwụsị ihe mgbu. Site n’ogologo oge, ọrịa ahụ na-agbanwe ka ọ bụrụ nke na-adịghị ala ala. Nke a na - enyere aka belata mkpụkọ insulin n'ime ọbara, emesịa ọrịa shuga amalite.

Ọrịa na-adịghị ala ala na-emetụta nchịkwa nke injections insulin. N'oge ọrịa nke ọrịa, a na-enye onye ọrịa ọgwụ nje. Ọgwụ kachasị ike bụ Gentamicin. A na - etinye ya n’ime akwara ugboro 2-4 / ụbọchị. Ebumnuche nke ọgwụ a na-enyere aka izere ọdịdị nke nsogbu ndị purulent.

Oge ntinye nke Contrycal for pancreatitis

Kontrikal bụ nkwadebe nke ụlọ ọrụ ọgwụ na Croatian Pliva Khrvatsk doo. Ntinye ya na-emetụta arụ ọrụ nke enzymes pancreatic. Ngalaba ọgwụ ọgwụ mejupụtara ọgwụ na-egbochi ndị na-egbochi proteinolysis na ndị na-elekọta hemostatic.

A na - enweta ego dị n'ụdị nsị nke lyophilisate maka ihe edozi maka injections. Aha a kacha mara bụ Counter-ampoule. Edere ya maka pancreatitis. Akụkụ ike nke ọgwụ ahụ bụ aprotinin, ma ihe ntinye aka bụ mannitol. Nchikota ha na-enye lyophysilate. Ejiri mbuze ya were were mee ya, a gbanye ya na akwara nke onye oria.

Ihe analogues na-ewu ewu gụnyere Gordoks, Pantripin, Respikam. Gordox dị ọnụ ala karịa nke Contrikal, mana ọ na-akpata nfụkasị. A na-eji Pantripine egbochi gbochie neisrosis.

Ihe ngosi na contraindications

Kontrikal bụ ọgwụ pụrụ iche eji eme ihe na ọgwụgwọ nke mgbochi ọrịa pancreatitis:

  • mgbu na-ala ala
  • pancreatic necrosis,
  • nnukwu pancreatitis,
  • hemorrhagic ujo,
  • mmebi anụ ahụ dị omimi.

Edere ọgwụ a ka ọ kwụsị igbuze onwe gland. Ọzọkwa, a na-enye onye ọrịa ọgwụ mgbochi iji gbochie ọrịa pancreatitis postoperative.

Ọgwụ a na contraindicated bụrụ na nke uche ka aprotinin. Enweghị ọgwụ ịgba ọgwụ edenye na ọnwa nke mbụ na oge ịra agba. Mmetụta dị oke njọ bụ nfụkasị nfụkasị.

Etu esi eji ogwu a?

Edere onye ọrịa ahụ ka ọ nwee nkụ ma ọ bụ inje nke Contrikal na nnukwu pancreatitis. The usoro onunu ogwu nke ọgwụ nwere ike ịtọ dabere na nkezi ụkpụrụ. Ogologo oge, a na-enye onye ọrịa ọgwụ ọgwụ dị ukwuu, nke bụ 300,000 ATPE. Mgbe ahụ ọ dara ka 30,000 ATPE.

Na nnukwu ọrịa pancreatitis, usoro ọgwụgwọ mbụ dị iche na 200,000 ruo 300,000 ATPE. A na-ahụ maka otu mmezi, nke belatara ugboro iri, kwa awa. Site na mkpochapụ ụdị ọrịa ahụ na-adịghị ala ala, usoro ọgwụgwọ ahụ dịgasị site na 25,000 ruo 50,000 ATPE / awa 24. Usoro ọgwụgwọ bụ ụbọchị 3-6.

Site na ọbara ọgbụgba nke nne na –ọkpụ nwa, usoro ọgwụgwọ ahụ bụ 1,000,000 ATPE. Mgbe ahu enyere onye oria ihe ntuputa, nke n’enye ego na osote 200,000 ATPE / 60 min.

A na-enye ọgwụ ahụ mgbe onye ọrịa nọ n'ọnọdụ kwụ ọtọ. Ọnụego nchịkwa nke ọgwụ mbụ nke ọgwụ ahụ dịgasị n'etiti 5-10 ml / m. A na-ahụ maka ndozi ya site na iji dropper. N'oge usoro ọgwụgwọ, ọ dị mkpa iwebata 7,000,000 ATPE nye onye ọrịa. Ndị ọrịa na-enwekarị nsogbu nfụkasị ahụ, n'otu oge ahụ kwesịrị ị takeụ Zyrtec ma ọ bụ Suprastin.

Nri oriri

N'ime ụdị ọrịa ahụ, a na-ahapụ onye ọrịa ka ọ rie nri naanị ụbọchị 4-5. Tupu nke a, ị nwere ike ị drinkụ mmiri ịnweta mineral na-enweghị mmanụ. Achọrọ onye ọrịa ịgbaso usoro nri. Erimeri ihe oriri nke nwere protein di ndu ngwa ngwa.

Na ụdị adịghị ala ala, a na-agbaso nri ahụ ruo ọtụtụ afọ. Efere, ofe ofe, ofe ọkụkọ, mmanya ọkụ anaghị apụ apụ. Nwere ike iri azụ, anụ, inine.

Ọgwụ antispasmodic

A na-eji ọgwụ mgbochi antispasmodic sitere na pancreatic pancreatitis n'ihi ihe ndị a bara uru:

  1. Ọgwụ ndị a so na-akpata ihe mgbu mgbu. N’ihi ya, onye ọrịa bidoro nwewa ahụ ọfụma.
  2. Ọzọkwa, nkwadebe nke ụdị a na - enyere aka ime ka uru ahụ dị n’ahụ ike ghara ịdị, n’ihi nke a ga - eme ka usoro nke mmiri nke pancreatic ihe ọ intoụ intoụ banye n’ime usoro nri.

N'ọnọdụ ka ukwuu, a ga-eji ọgwụ ndị metụtara spasmolytic na-emeso pancreas:

Platyphyllinum. A na-eji ọgwụ a naanị n'ọnọdụ ọnụnọ ya na nlekọta nke dọkịta. Iji mee ka ahujeju ajuju. A na-atụ aro onye ọrịa ahụ ka ịgbanye 1-2 mililirs nke usoro 0.2% subcutaneously. Oge etiti ọnụ ụzọ kwesịrị ịdị awa 12.

Odeston. Ogwu a na - akwalite otite na mkpochapu nke bile, na - eme ka Oddi ghara iru ya, wepu ogwugwu ma wepu ihe mgbaàmà dika mgbu, vomiting, ọgbụgbọ, afọ ọsịsa na flatulence. Nke a na - enyere aka igbochi mmepe nke ụdị nsogbu a na - akpata pancreatitis dịka cholecystitis.

Metacin. Otu kachasị na ọgwụ a bụ milligram abụọ. Agaghị eji ihe karịrị nde milligram abụọ nke ọgwụ kwa ụbọchị maka onye ọrịa. N'ihi ya, n'oge ụbọchị, ọnụọgụ nke inje kacha karịa enweghị ike ịgafe atọrị.

Atropine A na-atụ aro iji ọgwụ 0.1% na ampoules mee ihe. Enwere ike ịnye ya onye ọrịa subcutaneously. A na-ejikọ ụdị ọgwụgwọ a n'ọtụtụ oge yana nchịkwa nke ọgwụ analgesic ọgwụ. Otu ọgwụ Atropine bụ naanị otu ampoule nke ọgwụ. Ọ bụrụ na ọ dị mkpa, enwere ike imeghari ihe ntụtụ ahụ mgbe awa 3-4 gachara.

Enweghị-Shpa. A na-ahapụ ya, ma n'ụdị nke azịza maka nsị intramuscular, yana maka nchịkwa intraven. Osisi vaịn ọkọlọtọ nke ọgwụ bụ 2 mililiters. Ọ bụrụ na ọ dị mkpa ịbanye n'ime akwara, a na-etinye ihe dị ka milili 8-10 nke mmiri. Iji mee ka ọbara mgbali elu daa, a na-eji ọgwụ ahụ nwayọ nwayọ maka 5 nkeji.

Papaverine. Ojiji nke onye na - eme ihe a na - eche na mwepụ nke eziokwu ahụ, na - eme ka nrụgide dị n'ime pancreas, belata spasm nke sphincter nke Oddi, ma na - emekwa ka mmetụta ọgwụ ụfọdụ ọgwụ ndị ọzọ dị mma.

A na-ejikarị ọgwụ mgbochi akwara na ọnya na-agwọ ọrịa ọgwụ ndị dị n'elu n'ụdị ngwọta nke injections intramuscular na subcutaneous.

Isi iyi nke analgesic

Iji ọgwụ NSAIDs tụzie ọrịa pancreas n'ihi usoro mkpali dị n'ime ya na ọnọdụ ọrịa ahụ, a na-atụ aro ya site na enyemaka nke NSAIDs.

Paracetamol Treatmentgwọ ụdị mbufụt nke pancreas site na ụdị ngwa ọrụ a bụ n'ihi nsonaazụ ya na mbenata ahụ ọkụ dị elu, iwepụ ihe mgbu na ibelata ogo mmepe nke usoro pathological na ahụ. A na-eme ọgwụ mgbochi nke pancreatitis na ọgwụ a site na iji azịza ya na usoro onunu ogwu nke 10 milligiter nke ihe na-arụ ọrụ kwa milliliter.

Baralgin. Ngwá ọrụ a na - enyere aka ịgwọ ọrịa n'ihi ọtụtụ ihe bara uru. N'etiti ha, ọ bara uru ịkọwa anesthesia na-egbu egbu, iwepu spasm nke eriri akwara, na-ewepu mbufụt na wedata ahụ ọkụ. Onye okenye nwere ike iji ngwọta nke 2.5 na milliliters 5, ma ntụtụ ma maka ndị na-ebu mmiri. Ejikọtara ọgwụ a na ọgwụ ndị ọzọ nwere ike ịkwụsị mbufụt.

Analgin. Dịka ọtụtụ ọgwụ ndị ọzọ, ọgwụ a nwere mmetụta ọgwụgwọ atọ dị oke mkpa: analgesia, ahụ ọkụ dị ala na mbelata ogo nke mbufụt. Ọgwụ dị na ampoules nke 1-2 milliliters nwere ihe ngwọta nke 0.25% ma ọ bụ 0,5% nke ihe na-arụ ọrụ.

Sandostatin. O bu anaatototi nke otatostatin. Emere ogwu dika udiri uzo isi ogwu ma obu ijiji. N'ime otu ampoule ọgwụ, nke olu ya bụ 1 milliliter, enwere ike ị nweta ọgwụ 0.05 mg ma ọ bụ 0.1 milligrams nke ihe ahụ na-arụ ọrụ. Sandostatin nwere ike inyere pancreas aka n'ihi eziokwu ahụ na ọ na-egbochi ogo nke ihe a na - egbochi, nke a na - emepụta ihe ọ pancụ pancụ pancreatic na obere ego. A na-enyekarị ndị ọrịa ụdị ọgwụ ahụ mgbe ha mechara ya. Ihe fọrọ nke nta ka ọ bụrụ nyocha niile gbasara iji ngwa a na Internetntanetị dị mma.

Ọ bụ naanị dọkịta onye ọrịa ka achọrọ ka ịgba ya maka ọrịa na-areatụ nke ọria.

Amachibidoro ịme ọgwụ n'adabereghị na ya, ebe ọgwụ ọ bụla nwere ndepụta nke contraindications yana mmetụta ya.

Ihe ndi ozo

N'ọnọdụ ụfọdụ, na mgbakwunye na analgesics na antispasmodics maka ọrịa pancreatitis, a na-ejikwa ọgwụ ndị ọzọ.

Insulin homonụ. Ojiji nke akụrụngwa a bụ n'ihi eziokwu ahụ na iji ogologo oge ọ na - arịa ọrịa pancreatitis, mbelata insulin n'ime ọbara onye ọrịa na - eme. Ọtụtụ mgbe, ọrịa a na - eduga na mmepe nke ọrịa shuga.

Gentamicin. A pụrụ iji ntuziaka a na-egbochi ọbara iji mee ihe maka ka ọrịa ahụ ka njọ, mgbe mmadụ malitere usoro mkpali siri ike na pancreas. A ga-elekọta Gentamicin site na ugboro abụọ ruo ugboro anọ n'ụbọchị. Ebumnuche nke ọgwụ a ka na-ezere mmepe nke ọrịa purulent dị iche iche, nke na-emetụta ya na ọrịa ọrịa ụfọdụ.

Odiche. Ngwá ọrụ a na-emetụta ọrụ nke enzymes pancreatic mmadụ. A na-eme nkwadebe n'ụdị nke lyophilisate maka ihe edozi maka agịrị. Isi ihe dị n'ọrụ ọgwụ ahụ bụ Aprotinin. Ekwesịrị ịgbanye ngwaahịa ahụ tupu ejiri ya, wee tinye ya na akwara nke onye ọrịa.

Ọ dị mma ị payinga ntị na aha ọgwụ edepụtara, ebe ọ bụ na iji ọgwụ na-ezighi ezi nwere ike ibute ọrịa ahụike mmadụ.

A na-ewere oria pancreatitis dị ka ọrịa na-adịghị efe efe, yabụ, ịgba ọgwụ mgbochi enweghị ike ichebe nwatakịrị na ọrịa a. A naghị atụ aro ya ka ịgba ọgwụ mgbochi megide ọrịa ndị ọzọ na oke nke ọrịa ahụ n'ihi eziokwu ahụ bụ na ọ gaghị enwe ike ịgbakọ mmetụta ọ bụla nwere ike ịdị na mgbatị ahụ.

Ọkachamara na vidiyo dị n'isiokwu a ga-ekwu maka ọgwụgwọ nke ọrịa ọrịa pancreatitis.

Ọgwụ pancreatic mgbu na-efe efe

Na nnukwu ọrịa pancreatitis, a na-a drugsụ ọgwụ ọgwụ intravenously, intramuscularly ma ọ bụ subcutaneously na-eji droppers na injections..

Mbadamba ụrọ ka edobere n’usoro ịkagbu ọrịa ahụ na ọgwụgwọ nke ọrịa ọria na-arịa.

Ofdị irè nke ọgwụgwọ na-adabere n’ihe ọgwụ ị ga-eji na-agwọ ọrịa oji. Ọgwụ ndị a họọrọ nke ọma belata oge ọgwụgwọ, gbochie nsogbu na ibughari ọrịa ahụ n’ụdị na-adịghị ala ala.

Dị Mkpa! A na - ekewa ọgwụ maka pancreas na ọgwụgwọ nke ọrịa ọrịa pancreatitis na ọnọdụ isi na otu inyeaka.

Isi otu gụnyere:

  • antispasmodics
  • nyocha
  • enzyme nkwadebe
  • Antenzyme nkwadebe
  • antacids
  • Ihe ngbochi H2-histamine,
  • ọgwụ nje
  • detoxifiers.

Otu inyeaka mejupụtara:

  • ọgwụ choleretic
  • ihe ndị na-enye vitamin
  • ogwugwo
  • nkwadebe ogwu.

Ọgwụ antispasmodics

Ama-spa, Papaverine, Spasmalgon na-eme ka akwara dị mma, belata nrụgide na dupon ma si otú a wepu ihe mgbu. N'ihe banyere nnukwu ọgụ, a na-enye onye ọrịa ahụ intramuscularly ma ọ bụ intravenously. Buscopan, Meteospasmil nwere ike iwere n'oge iwe ọkụ nke ọrịa pancreatitis na-adịghị ala ala. Ọ ka mma ime nke a ozugbo nri.

Ogbugbu

Analgin, Baralgin, Pentalgin eji mee ihe maka ihe mgbu, ihe ngwọta maka ịgba ntụtụ kachasị adaba. Mmetụta ọgwụ na-enwe mmetụta ngwa ngwa.

A na - eji ọgwụ ọjọọ eme ihe Promedol, Tramadol iji kwụsị mwakpo nke oke ihe mgbu n'ime ndị okenye. A na-eji painkillers ndị otu a nọ n'ụlọ ọgwụ.

Enzyme nkwadebe

Usoro mbufụt na-emebi mmepụta nke enzymes pancreatic. Iji nyere aka na pancreas na usoro nri, a na-enye usoro enzyme. Ọtụtụ mgbe, a na-eji ha na mgbaghara, ma ha niile n'otu n'otu. Ndị a kacha mara amara bụ Mezim, Festal, Panzinorm, Creon. Ọgwụ na usoro onunu ogwu ka dọkịta nyere. Ekwesịrị iji nri enzymes mee nri.

Dị Mkpa! Mgbe ihe mgbu na-eme mgbe nri sitere na nkụchi, ị gaghị enwe ike ịhazi enzyme - nke a nwere ike ime ka usoro mkpali ahụ ka njọ. Ọ ka mma ịnara-shpa ma ọ bụ mbadamba baralgin.

Antenzyme nkwadebe

Kontrikal, Trasilol, Gordoks, Tsalol. Withgwọ ọgwụ ndị a bidoro n’ụbọchị mbụ ọrịa ahụ. ma gaa n’ihu ruo mgbe ọnọdụ onye ọrịa ahụ ga-adị mma. A na-ewebata sodium chloride na usoro isotonic site na iji dropper.

A na-atụ aro ya maka mbufụt pancreatic iji were antacids mee ka hydrochloric acid kwụsị. Ejiri ya na nkwadebe ya na nkwadebe antienzyme. Ndị a bụ Almagel, Alumag, Fosfalugel, Maaloks, ndị ọzọ.

Ihe mgbochi H2-histamine

Ọgwụ antisecretory ọgwụ na-egbochi ọnya site na ibelata mmepụta hydrochloric acid. Ndị ọrụ a gụnyere ranitidine, famotidine, nizatidine. N'ime ọgwụgwọ nke nnukwu ọrịa pancreatitis, a na-eji ya malite ụbọchị mbụ nke ọrịa n'ụdị injections. N’ụdị ọnya na-adịghị ala ala, ha na-a 2-3ụ ihe ọ timesụ 2-3ụ 2-3 ugboro n’ụbọchị ruo ụbọchị 14-20.

Ọgwụ nje

Onweghi nkwekorita obula banyere ogwu eji ogwu n’egwo oria. E kenyere iji gbochie ọrịa cholangitis, ọrịa ọnya, ngwụcha nke ọkpọ. A na-ejikarị ọgwụ nje eme ihe na usoro penisilini (Amoxiclav, Amoxicillin), ma ọ bụ na njikọta, dịka ọmụmaatụ, penisilini na streptomycin.

Usoro a ga - eji gwọ ọrịa pancreatitis

A na-arụ ọgwụgwọ ọrịa n'ọtụtụ ụzọ:

  • ị toụ mmanya,
  • na-agbaso nri dị obere abụba (ọ bụghị ihe karịrị 80 g kwa ụbọchị). Iri obere nri ugboro 5-6 kwa ụbọchị,
  • ihe mgbu
  • ọgwụgwọ enzyme erughi,
  • ọgwụ vitamin
  • ọgwụgwọ pathologies nke endocrine, ọrịa ịba ọcha n'anya na usoro nri.

Dị Mkpa! A na-emezi usoro ọgwụgwọ maka ọrịa ọgwụ pancreatitis na ọgwụ ọgwụ dabere na njirimara onye ọrịa, dabere n'ụdị mbufụt ya na ogo ya.

Ihe mmachi nke usoro ọgwụgwọ ọrịa pancreatitis:

  • detoxification site na intravenous infusion nke electrolyte na colloidal ngwọta (Lactosol, saline). Ighachite sorbents Reosorbilact, Sorbilact, rheological መፍትሔ Reopoliglyukin, Refortan, Heparin, glucose ngwọta 5%, 10%, hepatoprotector,
  • ọgwụgwọ ọgwụgwọ ka ụbọchị 2-3,
  • analgesia na analgesics, antispasmodics, ọgwụ ndị ọzọ,
  • ọchịchọ nke afọ ma ọ bụ nhọpụta nke antacids,
  • mgbochi nke mgbochi gastric na-eji H2-blockers (Ranitidine, Cimetin). Ejiri ma ọ bụrụ na afọ dị n'ime afọ agaghị a cannotụ ya,
  • prophylaxis ọbara ọgbụgba: infusion nke plasma, ndị nọchiri plasma,
  • ihe pancreatic zoro ezo inhibitors na proteolytic enzyme inhibitors,
  • enzyme nnọchi ọgwụ. A na-eme ya n'ọtụtụ ọnọdụ nke ọrịa ahụ,
  • ọgwụgwọ hormone - Somatostatin, Sandostatin, Glucagon, ndị ọzọ. Studiedzọ amachaghị nke ọma, mana iji ego ndị a nwere mmetụta na-akụda mmụọ n'ihe nzuzo nke afọ na akwara. N’ihi ya, mgbu na ahụ ọnyị na-agafe ọsọ ọsọ.

Usoro ọgwụgwọ enyere nyere nkọwa nke ọma etu esi ewepụ ọgwụ mgbu a na-a pancụ ọgwụ. Oge ọhụhụ nke dọkịta nile ga-eme ya!

Ọgwụ maka ọgwụgwọ

Ọgwụ nke ọgwụgwọ endurorinologist, gastroenterologist, dọkịta na-awa ma ọ bụ therapist na-ede ọgwụ maka ọgwụgwọ ndị okenye. N'otu oge ahụ, a na-enye ọgwụ maka ọgwụgwọ nke ọrịa na-efe efe na mkpochapu ihe mgbaàmà nke ọrịa ahụ.

Ndị ọrịa Pancreatitis na-agbada ngwa ngwa n'ihi ọgbụgbọ na ọgbụgbọ. Cerucal ọgwụ antiemetic ewepụtala onwe ya dịka ọgwụgwọ nke ọrịa pancreatic. A na-ahapụ ọgwụ ahụ n'ụdị ihe ngwọta maka injection na ampoules nke 2 ml. Banye ya na intramuscularly, ọgwụ kachasị ụgwọ kwa ụbọchị bụ 80 mg.

Ọgwụ a na-agwọ ọrịa pancreatitis, ọnya afọ nke afọ na duodenum, mbufụt nke esophagus. Ọgwụ na-ebelata acidity nke afọ, na-ebelata mmepụta ihe ọ juiceụ gastụ gastric, n’ihi nke ọnya ahụ na-ebelata, ihe mgbu ahụ na-apụ. Isgwọ usoro nke dọkịta ka enyere ya.

Ngwá ọrụ a adịbeghị ọhụrụ. A na-enyekarị ya ike iji belata acidity nke afọ na pancreatitis, ọnya duodenal na afọ, mbufụt nke esophagus na ọrịa reflux. A na-ekepụta ha n’ụdị ihe ntụtụ mmiri nke 2 ml na ampoule na mbadamba 150 na 300 mg.

Ọgwụ ahụ na-ebelata afọ ntachi na-eme n ’usoro ọgwụgwọ ọgwụ. Ọgwụ nwere mmịcha dị ala adịghị akụda ụda olu nke eriri afọ. A na-enweta ya n'ụdị sirop.

Novocaine nwere ọrịa anestetiiki, mgbochi mkpali na ọgwụ na-egbochi onye ọrịa. Na mgbakwunye, ọgwụ ahụ na-ebelata mmepụta ihe ọ juiceụ pancụ na-egbu mgbu ma na-ebelata spasm nke akwara dị mma.

A na-edozi 100 ml nke 0.25% ngwọta intravenly ugboro abụọ n'ụbọchị.

Ọgwụ sitere na otu NSAID. Ọgwụ mgbu dị irè. Oge anaghị ebute nsonaazụ, mana anaghị akwadoro maka ndị ọrịa nwere ọnya afọ.

Sandostatin

A na - eji somatostatins - ọgwụgwọ nke ọrịa pancreatitis na akwara na postoperative na - eme ka Sandostatin, Octreotide.

Sandostatin na-ebelata ihe nzuzo pancreatic n'otu ntabi anya, a na-eme ọgwụgwọ na ọgwụ ahụ site na ụbọchị mbụ nke ọrịa ahụ. Tinye subcutaneously na 100 mcg ugboro atọ n'ụbọchị maka ụbọchị 5 ma ọ bụ karịa. Ọgwụ na-enye ahụ efe ma belata mbufụt.

Dị Mkpa! Iji zere ọrịa dị ka ọgwụ pancreatitis ọgwụ, ị nweghị ọgwụ onwe gị!

Ime nkwadebe enzyme, dochie anya ihe ọ pancụ pancụ pancreatic. Dabere n'ụdị shei abụọ ahụ. Uru nke ọgwụ a bụ na a na-enyefe ihe na-arụ ọrụ na duodenum. Site na pancreatitis, edepụtara ya iji kwụọ ụgwọ ụkọ pancreatic enzyme.

Trypsin Inhibitor (enzyme pancreatic). Na-ekere òkè na hematopoiesis, na-abawanye ihe nchebe nke anụ ahụ. Were mbadamba 1-2 ugboro atọ n'ụbọchị mgbe nri gasịrị. Ogologo oge ọ nọ na nnukwu ọrịa pancreatitis bụ izu abụọ, na ọrịa na-adịghị ala ala na ọkara na ọnwa abụọ.

Ọgwụ ịgwọ ọrịa nke pancreatitis na-adịghị ala ala na nnukwu ọrịa gụnyere iji nkwadebe antienzyme. Site na ọrịa ọria palọ, mwepụ nke ihe ọ pancụ pancụ na-apụta na-apụta. Ntinye ego na - egbochi ọrụ enzymes nri, ọ na - egbochikwa mbibi onwe ya. A na-enye ọgwụ ahụ mgbe a na-etinye ọgwụ n'ụlọ ọgwụ.

Ọgwụ nwere mmetụta choleretic, na-egbochi ịmepụta okwute, na-akpali imepụta bile, yabụ edepụtara ya maka mbufụt nke pancreas na imeju na mgbaghara. Were mbadamba 2 ugboro atọ n'ụbọchị.

Ọgwụ maka mwakpo nke pancreatitis

Mwakpo nke pancreatitis na-ebutekarị na mberede, na nri ma ọ bụ mgbe minit 20-25 gasịrị. Obere oge, mwakpo nke ọrịa ahụ na-amalite awa 2 mgbe nri gasịrị. Ihe mgbu ahụ dị oke njọ nke na mmadụ nwere ike tufuo onwe ya ma ọ bụ nwụọ n'ihi ujo mgbu.

Na-arịa ọrịa pancreatitis na-adịghị ala ala ga-enwe ike belata mwakpo nke pancreatitis n'ụlọ. Ọ dị mkpa iji zoo ọgwụ na mmalite nke mwakpo ahụ.

Ọgwụ na antispasmodics ga-eme nke a nke ọma. Ọgwụ ndị dị ọnụ ala Analgin na No-shpa nwere ike ịkwụsị mgbu ahụ na mbido. Ha na-abanye ọgwụ ọjọọ n’agha.

Ọ dị mkpa ka a gbaa ntụtụ mbido mbadamba, ebe ọ na-eme ngwa ngwa. Na mgbakwunye, onye ọrịa na-ata ahụhụ site na ọgbụgbọ na ọgbụgbọ, ọ siri ike ị aụ ọgwụ.

Ọgwụgwọ dị mma maka ọrịa ọgwụ mgbu ọfụma bụ Baralgin. Nke a bụ ọgwụ a jikọtara ọnụ, ọ gụnyere analgesic na antispasmodic. A na-enye ọgwụ ahụ nwayọ, intramuscularly. Ọ bụrụ na ọ gaghị ekwe omume ịgba ọgwụ, drinkụọ ihe dị na ampoule ma jiri mmiri sachaa.

Papaverine bu mmanu mmanu site na mmanu nke 2% ma obu 3 ml. Ọgwụ ahụ na-ebelata akwara nke akwara dị jụụ nke akụkụ ahụ dị n’ime.

Nitroglycerin 1-2 tụlee ka akwadoro maka mgbu na oke obi.

Ọgwụ anti-steroidal na-egbochi mbufụt na-ebelata mbufụt. Site na ọrịa pancreatitis site na mbufụt, a na-enyekarị Paracetamol ọgwụ. Ogwu nwere contraindications, edeghị ya maka ọrịa imeju, ọnya afọ.

Dị Mkpa! A na-etinye mkpọ ice na amụma nke pancreas, ọ bụ ihe amamihe dị na ya ịtọ onye ọrịa ahụ. Ekwesịrị ịgwa dọkịta ambulance banyere iji ọgwụ ọjọọ, ma gosipụta nke.

Ọtụtụ ndụmọdụ ndị dọkịta na-agbadata n’otu ihe: igbochi ọrịa ọ bụla dị mfe karịa ịgwọ ya. Ọ dị mkpa igbochi ọrịa.

Na-atụ aro:

  • n'imesochi ọrịa afọ na ọrịa afọ,
  • debe ubochi niile - rie nri n’oge, rie ezigbo ụra,
  • ta ata nri nke ọma, emela ọsọ maka nri,
  • rie obere nri
  • hapụ àgwà ọjọọ.

Ọgwụ kachasị mma agaghị enyere aka ma ọ bụrụ na onye ọrịa anaghị eso nri ma alcoholụbiga mmanya ókè. Usoro ndị a dị mfe nwere oke igbochi mbufụt nke pancreas.

Ojiji nke ahihia

Eledala ọgwụ ọdịnala. Ọ bụ ezie na site na njuputa nke pancreatitis, adighi eji ogwu, mana na ọgwụgwọ nke pancreatitis na-adịghị ala ala, ha ga-eweta abaghị uru ọ bụla. A na-atụkarị aro ka ị decoụọ ihe ọ ofụ herbsụ nke herbs ọkara otu awa tupu nri. Ndị isi nke mkpá akwụkwọ na-agwọ ọrịa na ọgwụgwọ nke ọrịa pancreatitis bụ chamomile, anwụghị anwụ, calendula, hips rose.

Ọria oria ojoo: mmepe nke oria

Isi ọrụ nke pancreas bụ mmepụta nke enzymes nke na-eme nri nri, na-emebi ọtụtụ ihe. Ọrịa gland na-amịpụta mmiri ọgwụ areatụ, nke nwere enzyme ya n'ụdị arụghị ọrụ. A na-agbanye ha n'ime duodenum. Ọ bụrụ na ọpụpụ ha na - akpata nsogbu n'ihi ihe ọ bụla, rụọ ọrụ nke enzymes na - apụta na anụ ahụ gland n'onwe ya: mbibi nke akụkụ ahụ amalite. Ọrịa na-akpata ọrịa na-akpata:

  • nnọchi mkpụrụ ndụ ndị na-arụ ọrụ na anụrị adipose ma ọ bụ njikọ,
  • na nnukwu okwu, oke necrosis (ọnwụ) nke mkpụrụ ndụ akwara.

Ejiri ọrịa akwara ma ọ bụ ọrịa na-adịghị ala ala na ọkwa ahụ nnukwu ọgụ nke ihe mgbu na-esonyere mbibi sel na gland. A na-ahụ onyonyo nke yiri ya na ọrịa pancreatitis. Ọ na - aputa ihe ma ọ bụrụ na mọstad ma ọ bụ akụkụ ndị ọzọ nke sistem na -akwu nri. Lenwe cholecystitis bụ ọrịa na-akpatakarị imeghachi omume na pancreas. Na ngosipụta ya, ọ dị ka ọgụ nke nnukwu ọrịa ụjọ.

Mgbu ahụ na-amalite n'akụkụ aka ekpe ma kee ya oke dịka, na-agbadata n'ọnọdụ supine na mgbe o risịrị nri ma ọ bụ mmanya.

Na mgbakwunye na nnukwu ihe mgbu, ọrịa na-esonyere: ọgbụgbọ,

  • Vom na-enweghị isi nke na-adịghị eweta nnwere onwe,
  • afọ ọsịsa (nnukwu mmanụ afụ nke nwere nri ezighi ezi),
  • oke okpomoku.

Spasmolytic ụdị ịgba dị iche iche

Ọ bụrụ na enwere ike ịme ka ọnọdụ ahụ bụrụ ọfụma na-enweghị ịwa ahụ, usoro ọgwụgwọ ọzọ na-arụ ọrụ na ngalaba eriri afọ ma ọ bụ ọgwụgwọ. Ejiri ọtụtụ ọgwụ ọgwụ nwere usoro dị iche iche iji weghachi ọrụ akwara. N'ime ha bụ ọgwụ antispasmodics, nke enwere ike ịbanye na intramuscularly ma na ubu na nchiaka:

Ha nwere mmetụta myotropic (mụbaa lumen nke arịa ọbara, meziwanye mgbasa ọbara) ma belata spasm nke akwara ndị dị larịị.

Papaverine - ọgwụ nwere aha nke isi ihe ya na - arụ ọrụ. Na-ezo aka na antispasmodics nwere ike. A di ya n ’udiri ogwu di iche-iche, otu n’ime ha bu uzo 2% maka irighari. A na-achịkwa ya intramuscularly, mana nchịkwa ya dị ka akụkụ nke ngwakọta lytic siri ike ga-ekwe omume. Iji dozie ọgwụ n'ụzọ dị irè, a na-eji ụzọ mgbapụta na-ewebata ụdị edozi ahụ. Usoro nke ihe a dabere:

  • na normalization nke mpụta nke bile na pancreatic ihe ọ juiceụ ,ụ,
  • na mbenata nrụgide dị n'ime ahụ emetụtara.

  • glaucoma
  • ngagharị nke ọnụnọ (otu n'ime ụdị ọgba aghara na-emetụta obi),
  • hypotension akwara,
  • ọrịa imeju
  • mmadu anabataghi ya.

  • ime
  • duringmụ nwanyị n'oge a na-enye ara,
  • ụmụaka na-erubeghị afọ 1.

Maka ha, enwere ike ịkọ ọgwụ a n'otu n'otu maka ihe ngosipụta pụrụ iche naanị site n'aka dọkịta n'ihi nsonaazụ ndị ọzọ:

  • mmeghachi omume nfụkasị ahụ
  • ọgba aghara ọgba aghara
  • na-ebelata ọbara mgbali elu
  • obi ọgba aghara,
  • ọsụsọ
  • eosinophilia na usoro ọbara (ọ na-ejikarị ihe akwara ahụ akpọrọ).

Mgbe ị na-ede akwụkwọ ọgwụ ahụ, a na-eji nlezianya nyochaa ntụziaka ahụ. A na-eji ya iche iche, na-eburu n'uche ọrịa niile a na-ejikọ ọnụ.

Ọkpụkpụ pancreatic maka pancreatitis

Na nkụda mmụọ siri ike ma ọ bụ usoro dị oke njọ, yana ịtọhapụ ọtụtụ enzymes, a na-eji nkwadebe antienzyme n'ụdị nkuzi intravenous drip infusions:

  • Gordoks - narị puku ise,
  • Contrikal - narị puku abụọ na narị abụọ.

Thebọchị kwa ụbọchị bụ 1 nde nkeji yana narị puku anọ, iche iche. Ha na - egbochi mmetụta mbibi nke enzymes proteolytic. Ọ na-atụ aro itinye ndị na-ebutu akwụkwọ naanị n'ụlọ ọgwụ.

Kvamatel na-ejikarị (ihe eji arụ ọrụ - famotidine) - ihe mgbochi N2- Ndị na - anabata Histamine. Histamine na-akpalite ịba ụba nke mmiri ọ gastụ gastụ afọ, si otú ahụ na-emebi usoro mkpali. Kvamatel (onye na-egbochi ọgwụ nke ọgbọ H)2Ndị na-anabata ya (histamine) na-enye ezumike akwara dị iche iche:

  • n'ụzọ na-ebelata njikọta enzymes proteolytic,
  • na-akpali mmepe nke anụ ahụ jikọrọ ọnụ na saịtị nke necrosis.

Ọgwụgwọ na-amalite site na ntapu intravenal ma a na-ebugharị ya n'ụlọ ọgwụ.

Dalargin bụ ọgwụ antiulcer, mana a na-ejikwa ya na ọgwụgwọ nke pancreatitis:

  • na-egbochi mmepụta nke enzymes,
  • na-eweghachi anụ ahụ mebiri emebi.
  • jiri mkpụrụ ndụ zuru ezu dochie ebe necrotic.

Edere ọgwụ ahụ dị ka injections maka mbufụt nke pancreas intramuscularly ma ọ bụ intravenously.

Sandostatin (Octreotide) - a na - eji belata ihe mgbu na-arịa ọrịa na - adịghị ala ala ma ọ bụ nnukwu ọrịa. Ọ na - emetụta nzuzo nke pancreas, na - egbochi ya. Ọgwụ abụghị maka iji ụlọ. Edere ya na dọkịta ka ọ bụrụ ntụtụ n'ụlọ ọgwụ dịka akụkụ nke ọgwụgwọ zuru oke. O zuru ezu iwere ntakịrị inje ọ bụla site na pancreatitis nke na amylase dị n'ọbara wee dajụọ na nkịtị. Ndị dọkịta na-eji ya eme ihe na nnukwu ọrịa pancreatitis.

Trental na solcoseryl na obere doses (2 milimita) ya na nchịkwa ọgbụgba na - eme ka nhazi mgbasa nke ọbara na ahụ metụtara. Nke a dị mkpa na mmalite nke ọgwụgwọ nke nnukwu ọrịa pancreatic mbufụt iji meziwanye mmetụta nke ọgwụ ndị otu ndị ọzọ.

Ahapụ Gị Ikwu