Ọgwụ pancreatic mgbu na-efe efe

Ọria oria akwara bụ otu n’ime ọrịa ndị akachasị na-agbari n’ebe nri mmadụ. Ndabere nke ihe banyere njiri mara njiri mara (agbụ mgbu, afọ ọsịsa, ịrị elu nke anụ ahụ) bụ imebi oke ọrụ yana oke enzymes nke ya. Ọtụtụ mgbe, eserese a na-eme mgbe emechara nnukwu oriri site na iji oke mmanya. Ebe ọ bụ na mgbe ụfọdụ ọ na-esiri ike ịgọnahụ onwe gị ihe ụtọ nke ụwa, ọ bara uru ịmara otu esi agwọ ọrịa mbufụt nke ọma.

Principleskpụrụ ndị bụ isi

Nke mbu, ikwesiri ighota na oria a nwere ike ibute ya na oria na-adighi ala ala, nke putara na ogwugwo ya nwere ike di iche. Ejiri nke mbụ site na nnukwu ọrụ nke usoro ahụ wee chọọ ụlọ ọgwụ ozugbo. Ọtụtụ mgbe, mwakpo nke pancreatitis nwere ike ibute ịwa ahụ. Ogologo oge na-emebi ahụ a na-adịkarị mfe karịa oge iwe na mgbaghara, nke a na-eji ọgwụ ndị ịchọrọ.

Nke abuo, enwere echiche ndi ozo banyere ọgwụgwọ oria bu otu ihe n’arita ahu ma tinye uzo ndi a:

• ihe mgbu
• mkpochapu nke nsogbu dyspeptik,
• buso usoro mkpali,
• igbochi nsogbu,
• mmezigharị
• na-eme ka ndụ ndụ ka mma.

Dabere na ọrịa ahụ si apụta, usoro ọgwụgwọ ọgwụgwọ nwere ike ịdị iche.

Ọgwụgwọ nnukwu ọrịa pancreatitis

Dịka e kwuru n’elu, foto nke mbufụt mberede na-apụtakarị mgbe erichara oke nri na mmanya. N'okwu a, ị ga-agharịrị ịkpọ ụgbọ ihe mberede gaa ụlọ ọgwụ. Maka ọgwụgwọ dị mma na ogbo mbụ iji:

1. Oyi na afo n’anu ntu nke aru mebiri emebi. Nke a na - enyere aka imechi arịa ọbara ma belata usoro mbufụt,
2. Izu ike nke pancreas. N'ụzọ dị mfe - ịchọrọ agụụ agụụ opekata mpe ka awa iri anọ na anọ ruo iri anọ na anọ. N'ihi hypersecretion nke enzymes digestive, ọrịa ahụ na-aga n'ihu, ya mere ọ dị mkpa iji belata ihe ndị na - eme ka ịka njọ dị ka o kwere mee na mbido mbụ, na nke a, iri nri,
3. Antakingụ ọgwụ antispasmodic. Ihe dị irè n'oge mwakpo nke ọrịa pancreatic bụ mbadamba No-shpa 2 (0.08 g), Papaverine 2-3 mbadamba (0.08-0.12 g) ma ọ bụ Platifillin 3 iberibe (15 mg) otu oge. Na enweghị ọgwụ anestetiiki, akwadoghị ọgwụ nchịkwa ugboro ugboro n'ihi ohere nke ịmalite imeghachi omume ọjọọ.

Ekwesịrị ịgwọ ọrịa na-esote ahụ n'okpuru nlekọta nke dọkịta n'ụlọ ọgwụ ma rụọ ọrụ n'ụzọ yiri nke ahụ maka mbufụt nke ogologo oge.

Ọgwụ maka pancreatitis na-adịghị ala ala

Ọ dị mma ịba ama ozugbo na usoro ọgwụgwọ maka nsogbu yiri nke ahụ ga-abụrịrị onye ma bụrụ onye zuru oke. Onweghi oria di otua na enweghi ndi otu. Approachzọ a ga-esi gwọọ onye ọrịa ọ bụla chọrọ iburu n'uche akụkụ niile na akụrụngwa nke otu akụkụ ahụ. Ka osi di, enwere otutu ogwu ogwu ndi eji eme ihe mgbe nile.

Nzọụkwụ mbụ bụ iji belata ihe mgbu

Maka enyemaka nke mgbu mgbu tinye:

1. Ọgwụ antispasmodics. Ihe dị n'elu No-spa, Papaverine na ndị nnọchianya ndị ọzọ nke otu ọgwụ a dị mma maka ịbelata ihe mgbu na-adịghị ike ma na-agafeghị oke. Usoro onunu ogwu: 1 mbadamba 1-2 ugboro ugboro tupu nri,
2. Ọgwụ mgbochi mkpali. Nhọrọ kacha mma n'ịgwọ ọrịa ahụ ga-abụ Paracetamol, Analgin ma ọ bụ Baralgin. Ọ dị mfe icheta usoro nke ngwa, ebe ọ bụ otu ihe ahụ maka ọgwụ niile - mbadamba abụọ 2 ugboro atọ mgbe nri. Ha nwekwara akụrụngwa na-alụ ọgụ, nke kwesịrị ekwesi ma ọ bụrụ na ọ bụ ọrịa pịrịkụl.
3. Site na iwe iwe nke usoro na-adịghị ala ala nke nwere oke mgbu, ị nwere ike iji Promedol 25-50 mg (mbadamba 1-2) na ọnụọgụ kwa ụbọchị nke 200 mg ma ọ bụ mbadamba Tramadol 1 mg otu oge iji belata mwakpo ahụ. A ga-akpachara anya n drugs oke ọgwụ ndị a ma hụ na ị gwara ndị dibịa bekee banyere iji ha.

Nzo ukwu nke abuo bu ihe eji eme ka aru mmadu di.

Nzọụkwụ ọzọ na ọgwụgwọ ọgwụgwọ ọrịa pancreatic mbu bu ihe ana - akpo aru oru. Iji mee nke a, jiri:

1. Enzymatic ọgwụ. Ezubere otu ọgwụ a iji nyere ndị mebiri emebi aka na-agbari nke ọma na-esi na mpụga ya. Nke nnukwu ewu ewu n’etiti ndi na - eme akwara:
   • Creon 25,000. Dị na capsules 300 mg. Ikwesiri iwere otu ugboro n’oge nri ọbụla ugboro atọ n’ụbọchị,
   • Pancreatin 25 000. N'ụdị dragees, ịkwesịrị ị drinkụ ọgwụ ọgwụ 2 n'ime nri ugboro atọ n'ụbọchị.
   • Pancytrate 10,000 ma ọ bụ 25,000. Kwa ụbọchị bụ 75,000 nkeji ọrụ (UNITS). Okwesiri iji okpu (1 tys. UNITS) ma obu 2-3 (10 tys. UNITS) nri obula.

Ndị ọrịa a na-agwọ maka ọrịa ogbu na nkwonkwo kwesịrị ịdị njikere maka iji ọgwụ ndị a eme ihe ruo ogologo oge, ebe ọ bụ na ha etolite ezughi oke nke oke ahụ.

1. Antenzyme nkwadebe. A na-eji ha maka nsogbu dị oke njọ na ntọhapụ nke ọtụtụ enzymes na-arụ ọrụ, a na-arụkwa ọgwụgwọ n'ụlọ ọgwụ n'okpuru onye na-eri nri. Iji gbochie mmetụta mbibi nke ihe proteolytic, a na-achịkwa Contrical n'ụzọ arụ ọrụ na nkeji 200,000 yana Gordox 500,000 nkeji nwayọ. Thebọchị kwa ụbọchị bụ nkeji 400,000 na 1,000,000, n'otu n'otu.

Ihe nke ato bu nchebe na mgbochi

Ebe ọ bụ na pancreas na-arịa ihe nzuzo ya na-ekwesịghị ịdị, ọ dị mkpa iji kpuchido usoro nri ma gbochie nsogbu. Maka ebumnuche a, jiri:

1. Antacids. Otu ọgwụ a na-ebelata acidity na afọ ma gbochie mmetụta ọjọọ nke enzymes na-arụ ọrụ nke ukwuu na-abịa ebe a n'ihi mgbatị afọ iri na abụọ. Na mgbakwunye, ha na-enyere aka kpuchido akpụkpọ ahụ mucous ma gbochie mmepe nke ọnya afọ. Omeprazole 2 capsules (0.02 g) otu ugboro tupu nri ụtụtụ bụ ihe a ma ama, mbadamba Nolpaza 1 (0.02 g) n'ụtụtụ na mgbede tupu nri na Fosfalugel na 1 sachet ugboro atọ n'ụbọchị tupu nri,
2. Ihe mgbochi H2. Ndị a bụ ọgwụ na-ejikọta mmetụta analgesic na antacid. A na-eji ha adịkarịghị ala, n'ihi na ha nwere ọtụtụ mmeghachi omume ọjọọ. A naghị atụ aro ka ewere ya na ụmụ okorobịa n'ihi nnukwu ihe egwu nke enweghị ike. Ndị nnọchi anya kachasị ewu ewu bụ Ranitidine na Famotidine. A kara aka, na ibe ya, 1 mbadamba 2 ugboro ugboro tupu nri (ọkacha mma n'ụtụtụ na mgbede). Site na igbochi ndị na-anabata ya, ọgwụ na-ebelata acidity ma belata ihe mgbu.

Featuresfọdụ atụmatụ nke ọgwụgwọ nke ọrịa pancreatitis

Medicine nwere otutu ogwu nke otutu ogwu di iche-iche, mana o ka siri ike ichoo oria ojoo. Onye ọrịa ọ bụla nwere ụdị ọrịa a ga-aghotarịrị na ọ bụrụ na ya onwe ya anaghị eme ike ọ bụla iji lekọta ahụike ya, mgbe ahụ ọgwụ agaghị enyere ya aka. Na mgbakwunye na ị medicationsụ ọgwụ, a ga-ahụrịrị ọnọdụ ndị ọzọ:

• nri - ọ bụ ihe na-achọsi ike ịmachi ihe oriri eghe eghe eghe na anwụrụ ọkụ,
• ịkwụsị ị alcoholụ mmanya na ise sịga. Nke a dị mkpa kachasị mkpa n'oge ọrịa ahụ,
• Gbalịa izere ọnọdụ ndị na-akpata nrụgide. N'ezie, n'ime ụwa nke ugbu a nke a agaghị ekwe omume, mana ọ bara uru ịnwale,
• dosed mmega. Light mmega ahụ na-ewusi ahụ ike ma na-edozi usoro nke usoro ọmụmụ nke oke mmiri niile.

Ekwesịrị iji ọgwụ ndị ọrịa Pancreatitis gwọọ nke ọma site na iji ụzọ niile dịnụ.

General ụkpụrụ nke ọgwụgwọ

O di nwute, pancreatitis bu oria nke apughi iji ogwu gwọ ya. Ya mere, site na mbufụt nke pancreas, a na-eji ọgwụ eme ihe nke ebumnuche ya iji kpochapụ ihe mgbaàmà ahụ na ibelata ọnọdụ nke onye ọrịa ahụ.

Dịka iwu, yana iwe nke ọnya na-adịghị ala ala ma ọ bụ mmepe nke nnukwu ọgwụ, a na-eji ọgwụ antispasmodic na analgesic ọgwụ ndị na-enyere aka belata mwakpo ihe mgbu ma wepụsasịa ọnya mmiri na oke nsogbu nke gland. Enweghị ọgwụ ọ bụla ọzọ ruo mgbe a ga-edozi ọgụ ahụ. N'otu oge ahụ, a na-eji nri agụụ na-agụ, nke na-ahụ na mwepụ nke ibu na pancreas yana mbelata na imepụta ihe ọ pancụ pancụ pancreatic. Ọ bụrụ na agụụ anaghị enyere aka belata mmepụta nke enzymes na mwakpo ahụ na-akawanye njọ, a na-eji ndị na-egbochi enzyme eme ihe.

Ozugbo ewepụrụ ihe mgbaàmà nke oke mgbu, a na-ahapụ onye ọrịa ka ọ rie nri "dị mfe", mana iji belata ibu na sistemụ nri, edepụtara enzyme usoro nke a ga-ewere ogologo oge.

Dabere ogo nrụgide nke usoro mkpali, Dọkịta nwekwara ike ịde ọgwụ ndị ọzọ, dịka ọmụmaatụ, ọgwụ mgbochi ma ọ bụ ọgwụ mgbochi. Ekwesịrị ịmalite ọgwụgwọ n'ụlọ ọgwụ. Ma na mgbe ọnọdụ onye ọrịa kwụsịrị, ọgwụgwọ ahụ nwere ike ịme n'ụlọ.

Kedu ọgwụ ndị a na-eji agwọ ọrịa pancreatitis?

Kedu mbadamba ekwesịrị ị forụ maka ndị nwere ọrịa ogbu na nkwonkwo, naanị dọkịta kpebiri. Nhọrọ nke ụzọ ọgwụ ọjọọ na-adabere n'ọtụtụ ihe:

• ihe ndị na-akpata mmeghachi omume nke usoro mkpali,
• ogo nke mmepe nke ọrịa,
• ọnụnọ nke ọrịa concomitant na onye ọrịa (wdg., ọrịa shuga mellitus, gastritis, cholecystitis, wdg),
• ọnọdụ onye ọrịa,
• onye ọrịa nwere contraindications ụfọdụ ọgwụ,
• afọ nke onye ọrịa.

Ọ bụ ya mere na ọnya isi nke pancreas, tupu ịgwọ onye ọrịa, a na-eme nyocha nke ọma, nke gụnyere:

• ultrasound nke nri diges,
• gastroscopy
• Nyocha banyere mmiri na mmamịrị,
• agbakọrọ tomography (ọ bụrụ na ọ dị), wdg.

Ọgwụ nje

Site na mmepe nke pancreatitis, a dịghị eji ọgwụ nje antibacterial eme ihe mgbe niile, naanị ma ọ bụrụ na egosiri. Dịka iwu, a na-eji ha n'ọnọdụ ebe onye ọrịa nwere ọria ngwa ngwa nke ọrịa na oke ọkụ, na-egosi mmepe nke usoro mgbagwoju anya nke ọrịa ahụ.

A ga-achọ ọgwụgwọ antibacterial mgbe onye ọrịa nwere ụdị ihe ịrịba ama a na ndabere nke ọrịa:

• negirosisi
• ahu otutu
• etuto
• peritonitis
• nsogbu ụrọ.

Site na mmepe nke ọrịa palọ na-agbagha na ụmụ nwanyị na ụmụ nwoke, a na-ede ọgwụ mgbochi ọrịa n'otu n'otu, yana usoro ha. Dịka iwu, mgbe ọrịa a mere, a na-eji ọgwụ nje eme ihe, nke bụ nke otu cephalosporins, phthoquinolones na macrolides.

Ekwesịrị ịchọpụta na ya na nnukwu mbufụt na nnukwu ihe egwu nke nsogbu, dọkịta ahụ nwere ike ikpebi ị antibioticsụ ọgwụ nje dị iche iche nke otu dị iche iche na-ere ọgwụ n'otu oge, ka ha wee nwee ike kpuchie ụmụ nje nje na-amụba na-aba ụba na ngụgụ nri.

Ngwa enzyme

A na-eji ọgwụ ndị a eme ka ibu dị na pancreas nke nwere nsogbu. N'ime ihe ha mepụtara, ha nwere enzyme ihe ndị na-enye usoro ịme nri nkịtị. Mgbe ọkwa ọbara ha ruru oke achọrọ, pancreas na-akwụsị ịkpụzi ha ma na-ezu ike oge niile, nke dị oke mkpa na ọgwụgwọ nke ọrịa a.

Na nnukwu mmepe nke pancreatitis, ekwesịrị ime enzyme naanị n'ime ọnwa ole na ole mbụ mgbe enyemaka nke mgbu ahụ kwụsị. Ọ bụrụ na ọrịa ahụ amalitela ọrụ na-adịghị ala ala, mgbe ahụ, a na-enye ndị ọrụ enzyme iwu maka ndụ. Ọzọkwa, ha chọrọ ka a na-eri ya mgbe ọ bụla a na-arụ ọrụ na pancreas n'oge akụkụ ahụ ma ọ bụ zuru oke nke akụkụ ahụ mere.

Ọzọkwa, nhazi enzyme na -ebelata akara nke mgbaàmà na-eso usoro mkpali na pancreas. Ihe ndị a bụ oge ọgbụgbọ, ọgbụgbọ na ọgbụgba n'oge.

Taa, n'etiti enzyme njikere, ndị kachasị dị irè bụ:

Enwere ike ịzụta ọgwụ niile ndị a na ahịa ọgwụ ọ bụla. Ekwesiri iji ha n'oge nri ma ọ bụ mgbe ha risịrị nri. Tupu i rie nri, ị gaghị a preparationsụ mmanya enzyme, ebe ọ bụ na ha malitere ime ihe ozugbo ha banye n’afọ. Ihe ha na-echebe na-agbasa na mmiri ọgwụ enzymatic na-akpata usoro mgbaze. Ebe ọ bụ na afọ efu, mkpụrụ ndụ ya na-amalite ịgbari.

Ọgwụ antispasmodics

N'ọrịa dị ka pancreatitis, a na-eji ọgwụ antispasmodic mee ihe iji kpochapụ spasms na nsị nke pancreatic na-ebute megide ndabere nke mbufụt ma gbochie mmiri mmiri nke pancreatic nke ọma na duodenum 12. N'ime ha, ndị kachasị nchebe bụ No-shpa na Papaverin.

Dị Mkpa! Ọ bụrụ na mmadụ nwere nkụda mmụọ na mberede, iji wezuga ọnọdụ ya tupu ọbịbịa nke otu ụgbọ ihe mberede, ị nwere ike tinye ntụtụ nke No-shpa. Ọ ga –ewezigharị spasm, si otú a mee ka ikike nke ihe ọ pancụ pancụ nke pensụl kwụsịlata ma belata ogo ihe mgbu.

Anticholinergics

Ọgwụ ndị a na-enyekwa aka belata nza nke oghere akwara ma na-enyekwa iwu inye nsogbu nke eriri afọ. N'ime ha, ihe ndị kachasị ewu ewu bụ:

Ọgwụ ndị a na-enye ọgwụ hydrochloric acid, na-egbochi ya ma na-atụnye ụkpụrụ nke afọ acid. Mgbe o buliri elu, ọ na - aghọ ihe na - ebute oke nrụpụta nke enzymes diges na pancreas, nke a bukwara ibu na anụ ahụ, nke nwere ike ibute usoro mmekpa ahụ njọ.

Na mgbakwunye na eziokwu ahụ bụ na antacids na-enyere aka ịhazi acidity nke afọ, ha nwekwara mmetụta adsorbing na pepsin na bile acid, si otú a na-echebe gland na mmetụta ọjọọ ha.

Ọtụtụ mgbe, ndị dọkịta na-edenye ndị ọrịa ọgwụ antacid ndị a:

Ihe mgbochi H2 histamine blockers

A na-eji ọgwụ ndị a eme ihe maka ọnọdụ dyspeptik siri ike, mgbe mmadụ megide ndabere nke mbufụt nke pancreas ga-emeghe ọgbụgbọ na enwere iyi nke akpịrị mmiri. N'okwu a, a na-eji ha dị ka ndị na - ahụ maka ọgwụ mgbochi, na-enye usoro nke motility nke afọ na duodenum. N'etiti ndị na-egbochi H2 nke ndị na-anabata ọgwụ histamine, ihe ndị kachasị na ọgwụgwọ bụ metoclopramide na cerucal.

Ihe mgbu

N'ikwu okwu banyere otu esi ewepụ ọrịa mgbu nke na-eme na mmepe nke nnukwu ọrịa ọrịa pancreatitis ma ọ bụ nkụda mmụọ nke ọrịa na-adịghị ala ala, anyị enweghị ike ikwu banyere ịdị elu dị ukwuu n'okwu a nke ndị na-egbu mgbu nwere mmetụta analgesic na antispasmodic. Ha na-enye ahụ efe site na mkpọchi ma belata ogo ihe mgbu.

N'ime ọgwụ mgbu ndị a na-ejikarị bụ:

Ọ bụrụ na ọgwụ ndị a anaghị ekwe belata mgbu n'ime nwatakịrị ma ọ bụ okenye, a na-eji ọgwụ ọgwụ ọjọọ eme ihe, n'etiti ndị a bụ Promedol na Tramadol. A na-eji ọgwụ ndị a naanị n'ụlọ ọgwụ, ebe ha nwere ike ibute mmeghachi omume dị iche iche na ahụ.

Sedatives

Ọ bụrụ na iwe nke ọrịa pancreatitis na-adịghị ala ala ma ọ bụ mmepe nke nnukwu na-apụta na ndabere nke oke nchekasị, mgbe ahụ, a na-agbakwunye ọgwụ ndị bụ isi na ọgwụ ọgbụgba. Ha na-enye aka na iwepụ ihe nrịbama na nhazi nke sistemụ akwara. A na-ahụta ihe kachasị dị mma iji ewepụta ihe ọkụkụ sitere na osisi, n'etiti ndị nwere valerian wepụ (na mbadamba) na Novopassit.

Ọrịa Pancreatitis bụ usoro dị oke mgbagwoju anya na ogologo. Ekwesiri ighota na oria a nwere ihe di iche iche sitere na ya, ya mere, a na-aru ya di iche. Yabụ, n'ọnọdụ ọ bụla ịchọrọ ị self were onwe gị ọgwụ ọ bụla, kariekwa ịchọrọ ị yourselfụ ọgwụ ọ bụla. Naanị dọkịta nwere ike ime nke a!