Ihe mgbu Pancreatitis: akara na ọgwụgwọ

Ihe omume nke ọrịa mgbu na-egbusi ike bụ ihe kacha mara njirimara nke mbelata arụmọrụ nke pancreas, nke gosipụtara site na mmepe nke nnukwu ọrịa akwara. Ngosiputa ya n’egosiputa otutu ihe nwute na enwekwa obi uto, na-ebelata ogo ihe akara di nkpa. Iji mee ka adịchaghị mma kwụsịlata ịdị mma nke izugbe, ọ dị gị mkpa ịmara ihe ndị a: otu esi ewepụ mbuso agha ma welata ihe mgbu na pancreatitis n'ụzọ ziri ezi. N'ime ihe a, anyị ga-atụle n'ụzọ sara mbara nke enwere ike iji ọgwụ mgbu mee ihe iji belata ihe ndị na-adịghị mma, yana ihe kpatara ọnọdụ ha na ụdị ngosipụta ahụ.

Ihe na - akpata ihe mgbu

Mmepe nke ihe mgbu na-apụta n'ihi ọtụtụ ihe na-akpata ọgba aghara, nke bụ isi bụ:

  • ihe eji eme nri nke achicha site n’iri oku ma nwee oke oke abụba, ya na nri ndi n’esi oke ike, ndi a smuru ura na elu nnu.
  • ị alcoholụbiga mmanya ókè
  • a intoụ mmanya na-egbu ahụ,
  • nhikosi nke oria ndi nke afo, imeju na obara iri na abuo,
  • ịgba ọsọ helminth,
  • ekpughere ọnọdụ ndị na - akpata nrụgide.

Ọtụtụ mgbe, ọnya bidoro ịpụta ọkara elekere mgbe ị risịrị nri. Nke a bụ n'ihi eziokwu ahụ bụ na ọ na-ewe oge dị ukwuu mgbe ericha nri tupu ọnụọgụ zuru oke na pancreas, nke na-amịpụta ọkwa ụfọdụ nke enzymes dị mkpa iji hụ na ọkwa kachasị mma nke usoro nri.

Ngosipụta ihe mgbu na mpaghara epigastric na-adabere kpọmkwem nbibi nke akụkụ ahụ parenchymal, nke ụdị ọrịa na - esote:

  • nguzobe nke usoro mbu ngwo na ihe nzuzu na akwara nke pancreas,
  • enweghi ike ime ihe dị na gland, nke na-eso akpata oge igbu mmiri ihe ọzụ enụ enzymatic na pancreas n'onwe ya na mmeghari nke usoro ngwu.
  • ezughi oke obara inye ahu mmadu,
  • agụụ oxygen
  • mmepe nke mgbanwe dystrophic na gland.

A na-eji ụzọ dị njọ nke ọrịa pancreatitis si dị ike nke usoro mkpali, na-eme ka ọkụ na-ekpo ọkụ, ihe omume nke ọzịza, ihe mgbu na ọrịa na-efe efe nke ọkwa kachasị mma nke arụ ọrụ gland. Mgbasa nke nsogbu dystrophic na pancreas nwere ike ịbụ ihe kpatara mmalite nke mmepe nke necrosis. Site na nnukwu ọnya ọgbụgba nke ọnya parenchymal nke nwere ihe ọ pancụ pancụ pancreatic, mgbasa nke ihe mgbu na-amalite na ngosipụta dị ukwuu na mwepụ nke enzymatic mmiri n'ime oghere ahụ na mgbakasị anụ ahụ.

Ihe ngosiputa ihe ngbu nke ihe mgbu n’uzo ihe banyere ogwu akuko

Naturedị ihe mgbu na mpaghara nke ihe omume ya na nguzobe nnukwu ọrịa akwara na-esite na ntinye nke usoro mkpali na mpaghara mgbasa ya. Ihe mgbu kachasị ukwuu ma dị nkọ na-esonye n ’usoro ịrịa ọrịa ọrịa akwara, iwere ọrịa na-adịghị ala ala gosipụtara site na ịdị nkọ na ogo nke ọrịa mgbu.

N'ụzọ bụ isi, mgbu na-enye nsogbu na pancreatitis na-apụta n'etiti epigastrium ma ọ bụ na hypochondrium n'akụkụ aka ekpe ma nwee usoro oke.

Mgbe ụfọdụ ihe mgbu na nnukwu ọrịa pancreatitis nwere ike ime na mpaghara sternum n'akụkụ aka ekpe ma nwee agwa radiating na ntụgharị nke ọnya na mpaghara nke olu, yana mpaghara scapular na mpaghara nke nkwonkwo ụkwụ ala. Ihe ngosipụta yiri ya nke pancreatitis yiri nke ọma na akara Symptomatic nke angina pectoris. Yabụ, na nke a, a na-ekenye onye ọrịa ahụ ka ọ bụrụ usoro nyocha ọzọ na nchọpụta ọdịiche iji wepu ọrịa nke akwara obi wee kwado mmepe nke ọrịa ọrịa na akwara.

Mwepu nke oke nziputa nke ihe mgbu mgbu, ọkachasị ma ọ bụrụ na mgbaama ya nwere ngosipụta dị nkọ na ọnya na-enweghị ike ọfụma, bụ akara aka doro anya maka mmepe nke ọnya ọgbụgba akwara nke oke oke, na nke onye ọrịa ahụ kwesịrị ime ihe ịwa ahụ ngwa ngwa iji wepu mpaghara ọnya ahụ metụtara. . Ma ọ bụghị ya, ihe ọnwụ nwere ike ịbawanye mgbe ụfọdụ.

Kpochapu ọnwu n'ụlọ

Guzoputa oke ihe mgbu nke ihe di nma n'oge mmalite nke mbuso agha nke akwara puru iche gosiputara onwe ya na eleghi anya, na isi, aghaghi ime ihe mbu n’ulo ma obu n’ebe oru. Otu n'ime ọnọdụ ndị kachasị maka otu esi ewepụ nkụchi ma debe onye ọrịa ahụ bụ nnabata na ndụmọdụ ndị a:

  • Inye onye ọrịa ahụ izu ike zuru ezu na ahụ ike na nke mmetụta ahụ,
  • nkuchi nke ọdụ a na-anọ ọdụ, na-agbatị ntakịrị chere ihu na ikpere, ma ọ bụ ọ bụrụ na mwakpo ahụ mere n'ụlọ, nkuzi nke ọkpukpu nke 'ẹmbrayo',
  • Igha obere oge iku ume na iku ume iku ume ga enye aka belata imaputa.
  • mwepu zuru oke nke iji ngwa nri ọ bụla,
  • ọ bụrụ n’ọchịchọ iwepu ọgbụgbọ na ọgbụgba, ịkwesighi iji ọgwụ na ụzọ dị iche iche mee ihe iji sachapụ eriri afọ. Ọ dị mkpa iji mee ka ọ bido ọfụma site na ịpị mkpịsị aka abụọ na mpaghara ntọala nke ire,
  • Ejila ọgwụ ogwu emepụtara na ntọala nke ihe na - eme ka ọ bụrụ ọgwụ ọgwụ ọgwụ na ọgwụ na - eme ihe. Ebe ọ bụ na omume ndị dị otú ahụ anaghị ekwe ka ọkachamara ambulance nyochaa ogo nke ọnọdụ ahụ ma mee nchọpụta nyocha ziri ezi.
  • Ọ dị mkpa iji hụ na mmiri mgbe ọ bụla na-abanye n'ime ahụ onye ọrịa n'ụdị ihe ọkalụkalụ alkaline ma ọ bụ ihe ọ teaụ teaụ tii na-adịghị ike nke 50 ml kwa ọkara elekere,
  • a na-atụ aro itinye paịlị na-ekpo ọkụ ma ọ bụ karama plastik na ice na mpaghara nke ngosipụta kachasị mgbu. Oyi ga enyere aka belata nza nke akwara nke gland,
  • site na ọnụọgụ ọgwụ ọ na-atụ aro ka ị were mbadamba ọgwụ ụlọ ọgwụ Drotaverinum. Na iji wepu ihe mgbu ozugbo enwere ike, na iweliekwa ọdịmma onye ọrịa ọ bụla, ọ dị mkpa iwebata No-Shpu site na ntụtụ intramuscular,
  • ihe ikpe azu ime bu “03” ma kpọọ oru kwesiri ekwesi.

Mgbe emechara onye ọrịa n'ụlọ ọgwụ dị egwu ma ọ bụ ịwa ahụ wee chọpụta nyocha ọfụma - “nnukwu ọrịa a na-ahụ maka ọrịa”, a na-agbasa atụmatụ maka iji gwọọ ọrịa na oge izizi na nkwụsi ike n'ihe ụra.

Iji belata ihe mgbu, ndị ọkachamara nwere ike ịkọ otu ọgwụ ndị a

  • Promedol
  • Novocaine maka igbochi novocaine,
  • Ketones
  • Tramadol.

A na - ewepụ ọgwụ mgbochi ọrịa na - egbu mgbu na ihe niile na - egbu mgbu nke ngosipụta ya site na iji ọgwụ ọjọọ dịka ọgwụ antidepressant, tranquilizer, antipsychotics, antiseptics, wdg.

Iji welata ihe mgbu dịka o kwere mee, ekwesịrị ịgwọ ndị na - eme ihe mgbu megide nzụlite nke antispasmodics, ọgwụ mgbochi, yana ọgwụ inhibitory-spectrum nke na - enye aka na mkpochapụ nke mmiri enzymatic na pancreas. Na mgbakwunye, a na-eme ntụtụ saline, protein na detoxification.

Naanị usoro ọgwụgwọ zuru oke iji kpochapụ ọrịa pancreatitis dị ala ga-enwe ike inye nsonaazụ dị mma ma mee ka ahụike onye ahụ dum dị obere n'oge.

Na-ebelata ihe ngbu n’oge ọrịa ahụ na-adịghị ala ala

Site na mkpochapụ nke usoro mkpali na mpaghara nke parenchymal akụkụ ahụ, enwere ike iwepụ ọnya site n'enyemaka nke ndụmọdụ ndị akọwapụtara maka belata ihe mgbu na nnukwu ọrịa pancreatitis.

N'ọnọdụ nke mmadụ ji n'aka na ọ na-echegbu onwe ya banyere njọ nke ọrịa na-adịghị ala ala nọ n'akụkụ ahụ parenchymal ahụ, wee nyere aka na ozugbo enwere ike belata ọnọdụ ahụ, ị ​​nwere ike were mbadamba ọgwụ ọgwụ dịka:

  • Paracetamol
  • Diclofenac
  • Ibuprofen
  • Ma ọ bụ Metamizole.

Enwere ike ime ihe mgbu n'oge mmepe nke ụdị ọrịa a na - adịghị ala ala site na ị medicationsụ ọgwụ ndị ọzọ, isi ọgwụgwọ ọgwụgwọ nke ebumnuche iji kpochapụ ihe ndị na - akpata oke iwe nke pathology.

Ọ bụ naanị ndị ọkachamara ruru eru ga-eme nhọpụta nke ọgwụ ndị a, n'etiti ndị enwere ike ịkọ ndị ọbịa:

  • ndị na-egbochi: Gordox, Cortical ma ọ bụ Contriven,
  • ọgwụ homonụ: Somastotin ma ọ bụ Octreotide,
  • enzymes pancreatic n'ụdị Creon, Mezim na Pancreatin,
  • proton pump inhibitor n'ụdị Ezokar,
  • ọgwụ diuretic: Diakarba ma ọ bụ Triampura,
  • antispasmodics: No-Shpy, Drotaverina, Papaverina ma ọ bụ Platifilina,
  • ụdị ọgwụ mgbochi antihistamine, nke Suprastin, Diphenhydramine, Peritol na Pipolfen kachasị arụ ọrụ.

Ọzọkwa, ịgbaso usoro nri pụrụ iche ga-enye aka ọ bụghị naanị iwepu ọrịa mgbu, kamakwa igbochi nlọghachi nke ọrịa dị oke egwu.

Usoro ihe mgbu na pancreatitis

Usoro mbufụt na degenerative na-eme na pancreas ka ana-akpọ pancreatitis. Usoro ndị a na - eme na pancreas na - emetụta usoro nke ọdịdị nke mgbu:

  • Mbibi (mgbochi) nke sistemụ nke gland n'ihi nnabata nke ihe ọ pancụ pancụ nke pancreatic na bile n'ime akwara ndị ahụ. Aggba ume na-apụta n'ihi mmụba dị ukwuu nke akụkụ ahụ gland, mgbanwe na-agbanwe agbanwe (viscosity mụbara site na ị alcoholụbiga mmanya ókè, nsị nke anụ ahụ) nke ihe ọ pancụ pancụ pancreatic ma ọ bụ n'ihi ọdịdị nke etuto ahụ, okwute, ọrụ duct (nje ndị ọzọ (nje) n'ime akwara).
  • Imebi microcirculation nke anụ ahụ. Mgbe ọrịa pịkụl na-eme, mbelata nke ọbara na-asọ n'ime gland, sel ndị a na-enye ọbara nke ọma.
  • Mgbanwe dystrophic na pancreas. A na-emechi nsị ahụ n'ime enzymes pancreatic, nke na-agbakọ n'ọtụtụ buru ibu karịa ka ọ dị mkpa.
  • Usoro mgbasa ozi nke na - eme ka akụkụ ahụ na-eto ọzịza na ụkwara (na - akwado akwara) nke gland na - eme. N'ihi ya, mmụba na ọzịza nke pancreas na-apụta.

Ihe na-akpata iwe

Ndị ọkachamara na-achọpụta ọtụtụ ihe kpatara mmalite na ọganihu nke pancreatitis. Dabere na ọnụ ọgụgụ, na 30% nke ndị ọrịa enweghị ike ikpebi ihe kpatara mmerụ ahụ na-efe efe. Enwere ike ibute ọrịa ụjọ na pancreatitis:

  • Ihe ọ alcoholụ inụ mmanya na-aba n’anya. Mmanya na-egbu egbu bụ otu n'ime ihe kpatara ọrịa pancreatitis, ị drinkingụ ihe ọ ironụ ironụ ọ regularụ regularụ mgbe niile na-akwụsị ịrụ ọrụ nke ọma, nke kachasị njọ maka ahụike nke akụkụ ahụ dum.
  • Njehie na ihe oriri. Nri dị ụtọ, nke e ghere eghe, na oseose, ị systemụbiga mmanya ókè na-eduga n'ịmepụta ihe ọ juiceụ gastụ na-egbu egbu ma mebie gland.
  • Anomalies na ọrụ nke gallbladder (ọrịa gallstone). A na - eme pancreas na gallbladder nwere otu ebe ihe ana - eme nghocha na - abanye na duodenum. Ọ bụrụ na okwute na-egbochi okwute, ọsụsọ na-eme ngwe, nke na-ebute mbufụt ma ọ bụ mbibi nke gland.
  • Ọnọdụ ndị na-akpata nrụgide, nsogbu ụjọ.
  • Mgbu ahụ, arụ ọrụ nke afọ, mmerụ nke afọ, oghere ime, ebe akwara ahụ nwere ike imebi.
  • Ọrịa shuga mellitus.
  • Ọrịa Hormonal.
  • Ọrịa (flu, mumps, oyi, nje ịba ọcha n'anya).
  • Neoplasms dị na peritoneum.
  • Akpachapụ anya ketara eketa.
  • Ọbara mgbali elu.
  • Ọrịa oria na eriri afọ na akwara afọ. Ọnya afọ, duodenitis, ọnya nwere ike imetụta nke ọma na mwepu nke mmiri afọ.
  • Mmetụta ọjọọ nke ngwaọrụ ọgwụ. Ọtụtụ ọgwụ nwere ọgwụ nje, homonụ, ọgwụ mgbochi na - abụghị steroidal nke nwere mmetụta na-adịghị mma na pancreas ma nwee ike ibute ọnya.

Naturedị na ịkọwa ihe mgbu na pancreatitis

Ahụ ihe mgbu pancreatitis dị iche iche, nwee nwughari kwa ụbọchị ma dabere na ọnọdụ anatomical nke ebe a na - elekwasị anya - mpaghara nke ọnya akwara ahụ (isi, ahụ, ọdụ), ụdị usoro mkpali. Ofdị ihe mgbu na pancreatitis dị iche:

Na pancreatitis na-adịghị ala ala, enweghị nkọwa doro anya nke ihe mgbu, ọ nwere ike ịbụ nke dịgasị iche iche, na-eme kwa oge (ụdị dị egwu). Ike na-egbu mgbu n’abali. Na mgbu na-adịghị ala ala nke gland, ihe mgbu ahụ dị na:

  • elu na etiti afọ,
  • mpaghara lumbar, n'ụdị eriri ma ọ bụ elekere zuru ezu - n'akụkụ aka ekpe,
  • azu azu
  • obi dị ala (mpaghara ọgịrịga ala).

Na nnukwu pancreatitis, ndị ọrịa na-enwe ihe ndọpụ, ekweghị ekwe, nnukwu, mkpokọta, nnukwu ihe mgbu na ihe mgbu, bụ nke dị n'ime:

  • aka ekpe n’afọ
  • azu
  • aka ekpe hypochondrium,
  • eriri afọ.

Etu esi amata nnukwu pancreatitis

Na mwakpo kpụ ọkụ n'ọnụ, pancreas amaliteghị ime nri, mana onwe ya. Ọ bụrụ n’ịchọghị enyemaka ahụike n’oge, amalitela ịgbaso iwu nke oriri na-edozi ahụ, enwere ọrịrị na mbufụt nke eriri ahụ n’akụkụ akwara. N'okwu ndị dị elu, necrosis nke gland nwere ike ịmalite. Ihe mgbaàmà nke nnukwu pancreatitis dị mfe ịchọpụta:

  • ọgbụgbọ
  • bloating
  • obi palp,
  • mbelata nke ọbara mgbali elu,
  • mmiri, mmiri ọ drinkingụ andụ,
  • anya ntughari
  • oke mgbu n'okpuru ọgịrịga aka nri,
  • flatulence
  • na mkpụrụ ndụ ihe nketa na adịghị njọ nke bile,
  • icha mmirimmiri acha
  • nnukwu ihe mgbu na-egbu mgbu na pancreatitis, nke na-agbadata n'oche ma ọ bụ n'ọnọdụ ụgha, ọ bụrụ na ikpere ikpere gị.

Etu ị ga - esi belata ihe mgbu na nnukwu ọrịa pancreatitis

Ọrịa mgbu nke pancreas na-apụta na mberede, mgbe mgbe onye ọrịa ahụ kwesịrị ibute enyemaka mbụ na ọrụ ma ọ bụ n'ụlọ. A na-agwọ ụdị ọgwụgwọ a nke pancreatitis naanị na ụlọ ọgwụ n'okpuru nlekọta dọkịta. N'ihe banyere nnukwu ihe mgbu, ọ dị mkpa ịkpọ ambulansi wee rụọ ọrụ ndị a:

  • Nye onye ọrịa udo - ma anụ ahụ (mmegharị mberede na-akpata ihe mgbu), na mmetụta uche.
  • Wepu ma ọ bụ meghee akwa na-egbochi iku ume nkịtị ma ọ bụ na-egbochi afọ.
  • Iji belata ihe mgbu, ọ dị mkpa idobe onye na-arịa ọrịa ahụ site na ịmegharị ahụ gaa n'ihu, ma ọ bụ ịkwado dina n'ụkwụ nke ẹmbrayo.
  • Onye ọrịa ahụ kwesịrị ị drinkụ mmiri ọ bụla dị na nkeji iri na ise nke iko mmiri ma ọ bụ mmiri ịnweta na-enweghị gas.
  • Oyi na-ewepu ihe mgbu.Ruo minit 10-15, ị nwere ike itinye mmiri oyi, ngwugwu gel jikọtara ọnụ ma ọ bụ karama mmiri jụrụ oyi na afọ gị (na mpaghara ebe mgbu mgbu).
  • Nye onye ọrịa ka ọ takeụọ ọgwụ antispasmodic - No-shpa, Papaverine ma ọ bụ Drotaverin, ọ bụrụ na ọ ga-ekwe omume, nye otu ọgwụ ọgwụ intramuscular.

Naanị ndị dọkịta nwere ike ikpebi ụdị mbufụt ahụ. Iji ghara ime ka ọnọdụ ahụ ka njọ, ọbụna tupu ndị dọkịta abịarute, na mwakpo ọjọọ, a machibidoro onye nwere nsogbu a:

  • Mee ume miri emi - ha na - eme ka ihe mgbu dịkwuo ike.
  • Rie nri.
  • Were ọgwụ mgbu (Spazmalgon, Analgin, Baralgin) - ha na-agbatu mgbu ahụ ma nwee ike igbochi ndị ọkachamara ịchọpụta ọrịa ahụ n'ụzọ ziri ezi.
  • Were nhazi enzyme (Mezim, Creon, Festal), nke nwere ike ịka njọ ọnọdụ onye ọrịa.
  • Mgbe ị na-anyụ ọfọ, ejila ihe ngwọta ma ọ bụ ọgwụ mee ka afọ gị dị ọcha.
  • Ikpo mpaghara apịtị - nke a nwere ike bute ọzịza na sepsis.

Ọrịa inpatient

Mgbe ọ gachara ụlọ ọgwụ, iji chọpụta ihe mgbaàmà nke ọrịa ọrịa pancreatitis, a na-enye onye ọrịa ọgwụ nchoputa, nke gụnyere:

  • nnwale ọbara dum
  • X-ray na ultrasound nke peritoneum,
  • nnyocha ọbara bioche,
  • fibrogastroduodenoscopy (ụda),
  • laparoscopy
  • gụpụtara tomography.

Iji belata ihe mgbu, ndị dọkịta nwere ike ịkọwa ọgwụ analgesics, na n'ọnọdụ ndị siri ike, a na-agbakwunye atụmatụ anesthesia na nhọpụta nke ọgwụ mgbochi, antispasmodics, ọgwụ nje, ọgwụ mgbochi, antidepressants. Ndị ọkachamara na-ekwukarị:

A na-ahọrọ ọgwụgwọ maka nnukwu pancreatitis iche iche maka onye ọrịa ọ bụla. Na mgbakwunye na ị medicinesụ ọgwụ, onye ọrịa ahụ ga-agbaso ezigbo nri. N’ụbọchị mbụ mgbe ụlọ ọgwụ gachara, ndị dọkịta depụtara:

  • Ezumike ụra. Out si n’elu akwa na ịkwaga ga-adi nwayọ, mgbe enyere dọkịta.
  • Agụụ - oge ndị ọkachamara na-ekpebi afọ ole ọ ga -eme, oge ọ gafere nri, ọ gbasaa nwayọ.

Ihe enyemaka mbu maka iwepu ala nke aru ala

Thedị nke ọrịa pancreatitis na-adịghị ala ala, onye ọrịa nwere ọrịa yiri ya - dịka ọ na-efe efe, mana anaghị ekwupụta ya. Na mbido, ihe mgbu ahụ dị paroxysmal na mbepụ, mgbe ahụ ọ ghọrọ ahụ mgbu na nkụda mmụọ. Ọtụtụ mgbe enwere agụụ na-egbu mgbu na pancreatitis, nke a na-enweta ahụ mgbe ha risịrị nri, mana anaghị ewepụ kpamkpam. N'ọtụtụ oge, mgbaàmà nke ọrịa pancreatitis na-adịghị ala ala na-apụta mgbe:

  1. imebi nri
  2. ụjọ ụjọ
  3. ị alcoholụbiga mmanya ókè
  4. oké anwụrụ.

Ọ bụrụ na ọnya na-adịghị ala ala pụtara, ịkwesighi ịgwọ onwe gị - ị ga-akpọ dọkịta ozugbo. Tupu ọbịbịa nke ụgbọ ihe mberede ahụ, ịkwesịrị inye onye ọrịa ahụ ihe enyemaka mbụ (otu ahụ ka ọ na-efe efe) wee nye ọgwụ ndị a:

  • Ihe mgbu (Paracetamol, Ibuprofen, Metamizole, Dicloberl, Spazmalgon, Baralgin, Ibufen). Enwere ike iburu ya naanị ma ọ bụrụ na onye ọrịa ahụ ejide n'aka na ọ bụ ihe mgbu nke nkụpịaka na-akpata ihe mgbu ahụ. Usoro onunu ogwu na udiri ogwu a dabere na ntinye nke onye okacha amara n’oge mbuso agha mbu.
  • Mbadamba mbadamba abụọ nke Allohol tinyere ọgwụ antispasmodic (Drotaverin, No-spa). Ọgwụ nwere ike iwere na-enweghị gallstones, ọ na-enyere aka hazie ihe mpụta nke bile na gastric secretion si gland.

Ọgwụgwọ maka mgbu na pancreatitis na-adịghị ala ala

Ofgwọ ọrịa mbufụt na-adịghị ala ala bụ iji mee ka ahụ mmadụ kwụsị, iwepu ihe mgbu, belata usoro mbufụt, yana ịmeze mgbaze. Mgbe nyochachara nke peritoneum na ọnụọgụ nsonaazụ nyocha, onye na-ahụ maka eriri afọ maka onye ọrịa ọ bụla na-etolite usoro ọgwụgwọ nke gụnyere ị theụ ọgwụ, nkwadebe antienzyme, vitamin, na nri. N'ime ọgwụ ndị ahụ, ndị dọkịta na-enye iwu:

  1. A na - eji pancreatic secretion inhibitors - eji maka mgbochi nwa oge (mmechi) gland. Ọgwụ ndị otu a gụnyere Gordoks, Kontrikal, Kontriven, Aprokal. Ọgwụ ndị a:
    • jiri nwayọ rụọ ọrụ nke ihe nchekwa ndụ nke plasma na ọbara,
    • igbochi egbochi a necrosis,
    • belata usoro kinin-kallikreinovoy (KKS).
  2. A na-eji ọgwụ homonụ Somatostatin ma ọ bụ analogues (Octreotide) mee ihe iji belata ihe mgbu na pancreatitis na-adịghị ala ala, ma na-ebelata nzuzo nke serotonin na gland.
  3. Ọgwụ Enzyme (Panzinorm, Mezim, Festal, Pancurmen, Creon, Enzistal Pancreatin) - nwere mmetụta ndị a na ahụike nke onye nwere nsogbu a:
    • mee ka nhazi nri,
    • belata ike ihe mgbu
    • normalize ọrụ ma belata ibu na pancreas,
    • na-enye aka na nnabata kwesịrị ekwesị nke ihe ndị dị ndụ.
  4. Ejiri H2 histamine receptor blockers (Famotidine, Nizatidine, Cimetidine) - emebere iji gbochie nzuzo ahụ gland site na igbochi mmepụta hydrochloric acid na eriri afọ.
  5. Ndị na - egbochi ụgbọ mmiri (ndị na - egbochi) nke mgbapụta proton - Ezokar, Omeoprazole, Rabeprazole. Ebumnuche bụ isi nke ọgwụ ndị a bụ iji hụ na mgbochi nke mwepụta nke hydrochloric acid site na igbochi mgbapụta proton na sel sel.
  6. Ọgwụ Diuretic - Diakarb, Triampur, Furosemide.
  7. Edere Antihistamines (Pipolfen, Suprastin, Peritol, Diphenhydramine) - iji belata ọria nke anụ ahụ.
  8. A na - eme ọgwụ antacids (Fosfalugel, Palmagel, Maalox, Altacid) - iji wepu hydrochloric acid, nke afọ na-ekpuchi.
  9. Antispasmodics (Drotaverin, Papaverine, Eufillin, No-shpa, Riabal, Spazmolin) - enyere iwu maka ibelata ihe mgbu.
  10. A na - eji ọgwụ nje antibacterial (Amoxilav, Azithromycin, Abactal, Sumamed) mee ihe iji kpochapụ microflora nje, nke nwere ike ibute ọrịa. Ọgwụ nje mebiri microflora ahụ niile n’ime eriri afọ, yabụ ejiri ya na probiotics (Linex) na-eme ihe.
  11. Cholinolytics - Chlorozin, Metacin, Platifillin, Antopit. Ọgwụ nke otu a na-ahụkarị ọrụ nri nri.
  12. Ọgwụ Antisecretory - Omeprazole, Lansoprazole, Omez. Ọgwụ na-ebelata ihe mgbu, na-egbochi mmiri hydrochloric acid, ma belata usoro mbufụt.

Mgbochi

Ihe mgbochi maka ụdị ọrịa ọ bụla nke pancreatitis dị mfe. Iji gbochie omume mbufụt, ị ga-agbaso iwu ndị a:

  • Wepụnụ àgwà ọjọọ. Belata ma ọ bụ hapụ ị abandonụ mmanya, kwụsị ise anwụrụ.
  • Na-eduga ndụ na-aga n'ihu, na-egwu egwuregwu dị mfe (dịka ọmụmaatụ, mmega iku ume).
  • A na-ahapụ ndị hụrụ kọfị ka ha ghara ị drinkụ ihe karịrị iko 1 kwa ụbọchị. Ekwesịrị inye ngwaahịa ngwaahịa.
  • Leruo usoro nke ụbọchị ọgụ, erila nri n'abalị na tupu ịlakpu ụra.
  • Ọ bara uru igbochi iji nri ngwa ngwa, abụba abụba, aokedụrụma, anụ oriri, nke e ghere eghe.
  • N'ihe dị ntakịrị, jiri efere nwere shuga.
  • Needkwesiri iri obere nri, n'obere akụkụ, e nwere nri ndị a kwadebere.
  • Tupu oriri ahụ, ọ dị mkpa ị medicinesụ ọgwụ enzyme (Pancreatin, Mezim, Festal).

Ihe mgbu Pancreatitis: akara na ọgwụgwọ

Malfunctions na arụ ọrụ nke pancreas na-eme ka mmadụ nwee ọtụtụ nsogbu, na-egbochi ndụ nkịtị. A na-achọpụta ọrịa Pancreatitis n'ụdị ma ọ bụ nke na-adịghị ala ala. Mgbu na pancreatitis nwere ike iru ike dị ukwuu, a na-esonyere ha na agụụ, oke belata, enweghị ike ịnọ ọdụ dịka ọ bụla, ịga ije. Ọ dị mkpa ịmata otu esi achọpụta ọrịa pancreatitis ma nwee ike ịnagide ihe mgbu n'ụlọ na ụlọ ọgwụ.

Kedụ ka esi belata ihe mgbu na pancreas?

Onye ọ bụla na-eche ọnọdụ ọjọọ a kwesịrị ịmara na ọ gaghị ekwe omume igbu oge ọgwụgwọ ahụ n'ọnọdụ ọ bụla. E kwuwerị, mgbu na pancreas nwere ike ime maka ebumnuche dịgasị iche. Maka ọrịa ọ bụla, nke mbụ, nyocha ọgwụ dị mkpa.

N'okwu a, ọ gaghị enwe ike ịgwọ ndị mmadụ. Nwere ike tufuo oge dị ukwuu, n'ihi ọrịa ndị siri ike nwere ike ịka njọ, ọgwụgwọ nke ga-ewe otu ọnwa, ma oge ụfọdụ karịa otu afọ. Usoro niile na-emetụta pancreas na-emetụta usoro nri na eriri afọ.

Mgbaàmà nke ọrịa ahụ doro anya: a na-ekwupụta ya. Karịsịa, a na-ahụ ihe mgbu dị njọ na ndị ọrịa ahụ na-arịa ọrịa pancreatitis. Ọtụtụ mgbe ihe mgbu a ga-abụrịrị mpaghara mpaghara, yana - ịgbasa n'azụ.

Ndị ọrịa rịbara ama na mgbu ahụ na-akawanye njọ mgbe e risịrị nri, drinkingụọ mmanya. Na mgbakwunye na ọdịdị mgbu, a na-ahụ ịdị arọ nke afọ n'ime afọ, ọtụtụ mgbe - na-agba ume, yana ọgbụgbọ. Ọ bụghị otu oge, mana ọgbụgbọ na-apụta. Ọzọkwa, ọ dịghị eweta nnwere onwe. Onye ọrịa ahụ kwuru na ụfụ na akwara na-akawanye njọ.

Ọ bụrụ n’ikpebie ka a gwọọ gị n’onweghị gị, cheta na n’ụzọ dị otu a ị nwere ike imerụ ahụ ike gị. Tupu ịmalite ọgwụgwọ na-enweghị dọkịta, tụọ ihe egwu niile. Mana akwadoro ka ị gaa hụ dọkịta gị.

Kedu otu esi ewepụ mgbu na pancreas ngwa ngwa?

Iji kpochapụ ihe mgbu ahụ ọsọ ọsọ, were-shpu. Nke a bụ ngwaọrụ a na-ahụkarị naanị nke anaghị emetụta usoro nri nri. Ọ bụghị naanị na ọ na-alụ ọgụ ka ọ lụwa ọgụ, kama ọ na-agbasawanye ebe ndị na-eme ahụ. You nwere mmetụta mgbu na pancreas mgbe nri ụtụtụ gasịrị? Mgbe ahụ, buru ụzọ, gbapụ afọ site na ị drinkingụ nnukwu mmiri mmiri.

Kedu otu esi ewepụ mgbu mgbu?

Ọgwụ ndị a na-arụ ọrụ zuru oke: Festal, Mezim na Pancreatin. Naanị otu mbadamba ụbọchi otu ụbọchị iji meziwanye ọdịmma gị. Mgbe ejiri ya, pancreas kwụsịrị imerụ ahụ, ebe ọ bụ na ihe mejupụtara ọgwụ ahụ nwere enzymes pụrụ iche ọ na-emepụta.

Iji wepụta ihe mgbu dị ngwa, ọ dị mkpa iji akwa nhicha na ice. Ọ bụrụ na akwa adịghị n’ụlọ ahụ, mgbe ahụ ị nwere ike ị nweta akwa nhicha n’ime mmiri oyi ma tinye ya n’ime friza ruo nkeji iri na ise ruo nkeji iri abụọ. Mgbe nke ahụ gasị, kegide n'akụkụ aka ekpe.

Kedu otu esi ewepụ mgbu na pancreas n'ụlọ?

Ndị dọkịta na-atụ aro ịgbaso usoro pụrụ iche, na-ahapụ ọtụtụ ngwaahịa. Daysbọchị mbụ ọ na-atụ aro iju nri kpam kpam, ma onlyụọ naanị mmiri ịnweta. Jụ nri maka otu ụbọchị, abụọ, atọ, nke ahụ bụ, maka ọtụtụ ụbọchị ahụ gị nwere ike iguzogide.

Mgbu na pancreas ga-agafe oge ụfọdụ mgbe nri gachara. Egbula onwe gị wee gaa na nke dọkịta, gafere ultrasound nke usoro nri. Ọgwụ ndị ọzọ, yana ụzọ ọgwụgwọ, ka dọkịta kwesiri irubere ya. Ọ bụrụ na nke a bụ nnukwu pancreatitis, mgbe ahụ ọgwụgwọ ahụ kwesịrị ịmalite n'ụlọ ọgwụ.

Etu ị ga - esi belata mgbu na pancreatitis

Ihe mgbu na-eso ọtụtụ ọrịa na ahụ: ọdịdọ, usoro mkpali. Agbaghara ha siri ike ma ọ dịghị mkpa. Acdị ahụike yana njikọ ya kwekọrọ chọrọ inye nlekọta ahụike ngwa ngwa ozugbo. Na usoro ọrịa na-adịghị ala ala, enwere ike igosipụta oge nke ma ọ bụ usoro nhazi nke ọrịa ahụ. Kedụ ka esi wepu mgbu na ngwa ngwa nke pancreatitis? Kedu ọgwụ ndị kwesịrị ịdị na -eme ngwa-ngwa enyemaka nke onye ọrịa?

Tinyere sel diges, akụkụ ahụ nwere agwa ndị a na-akpọ agwaetiti Langerhans na-emepụta insulin. Oge ụfọdụ, ọnya afọ na-emetụtakwa ha. Ọrụ Hormonal nwere nkwarụ, onye ọrịa na-arịa ọrịa shuga mellitus. Ọrịa a chọrọ ojiji nke hypoglycemic elekọta mmadụ.

Enwere ike ekewa ihe na-akpata ọrịa a na-akpata ọrịa a.

  1. na mbu, oria a na akpo nke obia ya n’abuo warawara n’ime ya, n’ihi nke a, ihe mgbochi nke mmiri onunu,
  2. Nke abuo, oria aru nke aru aru ma obu anatomically metụtara pancreas (gastric na duodenal ọnya, cholecystitis, cholelithiasis),
  3. Nke ato, nri adighi nma.

N'okwu abụọ ndị mbụ, ọgwụgwọ ọrịa dị mkpa, enwere ike ịwa ahụ. Na nke ikpeazụ, mmadụ ga-enwe ike idobe ihe oriri ya. Nwe ọrịa pancreatitis na-agafeghị oke n'ụlọ, nagide ọrịa ahụ n'onwe gị.

Mmebi nke stool na ọgbụgbọ na-eso mgbu, nke dị na mpaghara hypochondrium nke aka ekpe. Ọ bụ shingles ma na-alaghachi oge ọ bụla onye ọrịa merụrụ nri ma ọ bụ mebie abụba, nri e ghere eghe, mmanya na-egbu egbu.

Ọgwụ Ọgwụ

Ike mgbu n'ime ọgụ nke pancreatitis ikekwe site na ịba ụba acidity nke ọdịnaya nke afọ. Redubelata ọdịnaya nke hydrochloric acid na ihe ọ juiceụricụ gastric nwere ike ịbụ antacids (Fosfalugel, Maaloks, Almagel). Were ha kwa awa 2-3.

Ndị na - egbochi H2 na - ebelata ọrụ nzuzo nke pancreas, na - enyekwa gị ohere iwepụ mwakpo nke ọrịa pancreatitis, na - eme ka ahụ daa gị ahụ. Rhinitidine (ihe ruru 450 mg kwa ụbọchị) na-enye ahụ mmadụ izu ike. Nkọwa na - abụghị ọgwụ ọjọọ nke mkpụrụ osisi Analgin ma ọ bụ Baralgin, yana ọgwụ antispasmodic (Papaverine, No-shpa), kwụsị ihe mgbu ahụ.

Kedu ọgwụ ndị dọkịta na-edekarị? A na-akpọ ọgwụ mgbu kachasị ewu ewu maka ọrịa pancreatitis bụ Analgin. Ihe eji eme ihe eji eme ihe eji eme ihe nwere otutu ogwu nwere:

    analgesic, mgbochi mkpali, antipyretic.

Maka ndị okenye, usoro ị ofụ ọgwụ Analgin bụ 0.25-0.5 g ruo ugboro atọ n'ụbọchị. Oke kachasị otu bụ 1 g, kwa ụbọchị - 3 g. Increasedba ụba ịrationụ ọgwụ na ọbara na-eduga na mgbochi nke hematopoiesis, anaemia. A na-agbakọ ụmụaka na-adabere nha ahụ: 5-10 mg kwa 1 n'arọ, mgbe nri gasịrị, ruo ugboro anọ n'ụbọchị. Site na ọgbụgbọ na-enweghị ike, a na-eme ọgwụ ahụ intramuscularly.

Ngwakọta a na-ejikọ ọnụ Panzinorm-forte, n'ụdị dragee, nwere amino acid, pancreatin, pepsin, na cholic acid. Na shei ahụ na-eme ka ọgwụ ahụ gbazee naanị eriri afọ, na-aga n’ihu n’enweghi enzymes diges. Na ngwụcha ngwụcha, Panzinorm-forte na-eme ka usoro ihe omume ya dị, na-eme ka mgbaze zuru oke na iri nri kwụsịlata.

A na-ewere ntụpọ n'ime usoro nke 1-2 iberibe, na-enweghị ata ata, ugboro atọ n'ụbọchị, n'oge nri dị mma. Ojiji nke ogwu nwere otutu mmachi:

    ọrịa ndị dị adị (gastritis nwere acidity dị elu, ọrịa ịba ọcha n'anya nke ọrịa na-efe efe), ịba ọcha n'anya protein protein (anụ ehi, anụ ezi), lactation, afọ ime, ndị ọrịa shuga chọrọ mmezi dose n'ihi ọdịnaya shuga. Iji gbochie nsogbu ọrịa, dọkịta na-ede ọgwụ mgbochi (Ampioks, Cefuroxime).

Kedu ihe ọzọ ga - enyere ahụ aka na mgbu?

Oge ekebere na mkpochapu ọgụ bụ ịjụ nri ruo ọtụtụ ụbọchị. Dabere na nri Nke 5, a na-enyefe nri dị mma naanị mgbe ọ nwesịrị. Thatzọ nke na-ebelata ihe mgbu na pancreatitis ejedebeghị na ị .ụ ọgwụ.

A na-anabata ihe mgbu n'ụzọ dị mfe karị n'oche ma ọ bụ dina n'ụkwụ. Mgbe ụfọdụ, ọkachasị ndị ọrịa ebum-n’uche (ndị na-arịa ọbara mgbali ala), ọ na-ada ka ụkpụrụ dị oke mkpa, ọnụego obi na-abawanye. Mmadu nwere ike daa.

N'okwu a, a na-atụ aro onye ọrịa ka ọ bụrụ onye na-ezighi ezi. Ọ ga - enyere gị aka izu ike nke afọ ma mee ka ọnọdụ gị ka mma: ụkwụ na - ehulata ikpere ma na - agbanye ahụ aka ọ bụla. Otutu mgbe, a na-ewere onodu mmacha uche.

Should kwesịrị iku ume nwayọ, na-eme iku ume zuru oke.Mgbe ị na-agwụ ike - iji mgbidi niile nke ime - "ife". Masshịa aka n'ahụ, nwayọ nke akụkụ nri. Mgbu a n'oge ọgụ na - esochi ọgbụgbọ, n'ihi na nri kwesịrị ekwesị n'akụkụ eriri afọ. Ihe ama ama nke akparamagwa oria na pancreatitis bu na otutu.

Mmebi nke nri na - enweghị isi anaghị ewetara mmadụ ahụ efe, na - eme ka ike gwụ, ma na - eme ka ahụ ghara isi ike. Onye bu mmalite nke ọgbụgbọ bụ ọgbụgbọ, ikekwe ejikọtara ya na mmalite nke ngosipụta.

Ọ na - enyere aka belata ahụ erughị ala na eriri afọ nke elu ahịhịa, nke gụnyere ọgwụ valerian, chamomile ọhịa, pepemint. Ya mere, 2 tbsp. l nnakọta wunye 200 ml nke esi mmiri, na-esi ọnwụ 1 awa. Gwọ tii, temel nke ụlọ, halfụọ ọkara iko. Ọ bụrụ na mmadụ enweghị ihe nfụkasị maka ngwaahịa ịkpa a ,ụ, tinye 1 tsp n’ihe ọ drinkụ .ụ ahụ. mmanụ a honeyụ.

Water Dụ mmiri ịnweta ịnweta n'ụzọ pụrụ iche na-enyere aka belata ihe mgbu na pancreatitis. A na-eji mmiri ọkụ (Smirnovskaya, Essentuki Nke 4, Slavyanovskaya, Borjomi) mee ka mmiri na-ekpo ọkụ. Mepee karama ahụ ka mmanụ ga-esi na ya pụta, maa ya jijiji ọtụtụ oge. Were mmiri nke sitere n'okike nke 1-2 tbsp. l Kwa minit 30-40. A na-etinye mmiri na-ekpo ọkụ na pancreas.

Etu ị ga - esi belata mgbu na pancreatitis

Ọbụna n'oge ochie, ndị dọkịta Gris mbụ ghọtara na ọ dị mkpa nke pancreas. E kwuwerị, ọrụ nke akụkụ a dị n'ime na-emetụta ọrụ nke akụkụ ahụ niile. Isi ọrụ nke pancreas bụ imepụta enzymes nke a na-agbari.

Enzymes ndị a bụ akụkụ nke ihe ọ pancụ pancụ pancreatic ma bido ịrụ ọrụ mgbe ekpughere ihe ọleụleụ bile na enzymes nke eriri afọ na-emepụta iji mebie nri n'ime abụba, protein na carbohydrates. N'ihi usoro a, ahụ mmadụ na-eme nri ma na-agbari nri, yana vitamin bara uru nke na-esite nri na-abanye n'ụzọ dị n'ọbara.

E kwuwerị, ijigide glucose dị mkpa n'ọbara (nke a bụ ihe na-eme site na enyemaka nke insulin na glucagon nke pancreas mepụtara) bụ ihe dị mkpa maka mmadụ ọ bụla, ebe ọ na-arụ ọrụ dị mkpa na usoro metabolic niile.

Aria aria puru iche nke aru mmadu n’agha, dika o n’enweghi ihe nri obula, ma weputa otu ma obu ozo ozo nke ihe puru iche. Yabụ, idozi na ileba ahụike a anya dị oke mkpa.

Gini bu ogwu akporo?

Ọria oria ojoo bu oria akwara n’aru obia n’aru ma bulie n’otutu. Ndị ọkachamara na-ekesa ụdị ọrịa abụọ a: nnukwu na-adịghị ala ala. N'okwu nke mbụ, ọrịa ahụ na-etolite ngwa ngwa na ihe a na-atụghị anya ya, na-akpata ọtụtụ ahụ erughị ala ma na-achọ nlekọta ahụike ozugbo, na nke abụọ, pancreatitis na-etolite ogologo oge na ntabi anya, chọrọ ọgwụgwọ ọgwụ, na-akpata obere ahụ erughị ala maka nnukwu oge.

Ihe ịrịba ama nke Pancreatitis

Mmetụta ihe mgbu. Mmetụta ihe mgbu na pancreatitis dị irè. Nnukwu nrịanrịa siri ike, nke na-adịgide adịgide nke akwara. Ndị ọrịa nwere ọrịa a na-eme mkpesa banyere ịsụ oke na igbu mgbu n'ime afọ.

Ọ bụrụ na ịgakwuru onye ọkachamara na oge, ị nwere ike ịnweta ujo mgbu, nke nwere ọtụtụ nsonazụ ya. Ọ dị mma ịmara na nnukwu ọrịa, pancreatitis na mberede, onye ọrịa na-enwekarị ihe mgbu na mpaghara epigastric na akụkụ aka ekpe ya, na nnukwu ọrịa ọrịa pancreatitis, onye ọrịa ahụ nwere oghere dị elu na etiti, obi ala, lumbar, azụ (azụ azụ). n’enweghi ihe ozo n’ahu ahu).

    Okpomoku di elu, elu ma obu ume ala. Site na mbufụt ngwa ngwa, ọnọdụ mmadụ na-akawanye njọ ma nwekwaa mgbali elu na ọnọdụ okpomọkụ. Odighi aru adighi nma. Site n'ụdị ụdị ọrịa ọ bụla, mmadụ na-adịzi ụcha, cheeks na-apụta, ọnya na-acha odo odo na-apụta n'okpuru anya. Hiccups, ọgbụgbọ, vomiting, belching, akpịrị ịkpọ nkụ. Ọrịa afọ ọsịsa / afọ ntachi. N'ihi metabolism na nri nri na-ezighi ezi, ọrụ nke eriri afọ na-agbagha, nke na-akpata afọ ọsịsa ma ọ bụ afọ ntachi. Ihe mkpuchi edo edo na ire.

Ihe na-akpata Pancreatitis

Enwere ike inwe ọtụtụ ihe na - akpata ọrịa ogbu na nkwonkwo, n'ihi na mbufụt nke pancreas na-aputa ihe nfe, ma isi ihe bu ihe ndi a:

    nsogbu ọgbụgbọ na-adịghị ala ala (autoimmunity, usoro ahụ na - alụ ọgụ megide mkpụrụ ndụ nke ya) ọrịa gallbladder, ọkachasị, okwute na ntanetị nke mọbụ ma ọ bụ ọnya ọgbụgba na - egbochi mmebi nke ọrịa akpịrị site na gburugburu ọnọdụ ọjọọ na ọnọdụ adịghị mma nke ducts na pancreas elu. triglycerides (abụba) n'ime ọbara, mgbasa na akwara: mmerụ ahụ nke pancreas na ọnya ọnya, ihe ọghọm Tory ada ka emeghasịkwa nke pancreatic nsogbu nke cystic fibrosis, hyperparathyroidism Kawasaki ọrịa Reye si syndrome nsogbu mgbe ọgwụgwọ na ọgwụ ụfọdụ (estrogens, corticosteroids, thiazide diuretics), malitere ịrịa ọrịa na (ụkwara nta, ịba ọcha n'anya, mycoplasma) mmetụta mgbe ọnyá, enteritis, afọ, enterocolitis, diverticula

Nchoputa nke pancreatitis

Nchọpụta nke pancreatitis na-enye ma onye ọrịa ma ndị dọkịta nnukwu nsogbu, n'ihi na n'ihi ọnọdụ na-adịghị mma nke pancreas, ọ na-esiri ike inyocha. Mana nke a dị ezigbo mkpa, n'ihi na ọgwụgwọ oge niile nke ọrịa a agaghị ebute ihe ọ bụla dị mma, ọgwụ ndị a na-eji belata ihe mgbaàmà mgbu na-emetụta ọrụ nke imeju na akụkụ ndị ọzọ nke oghere afọ, na ọria anaghị agwọ onwe ya.

Enwere ọtụtụ nhọrọ maka ịchọpụta ọrịa a, otu n'ime ha nwere mmetụta. Nsonaazụ dị iche iche mgbe enwechara mmetụta na-egosi nchọpụta dị iche iche, ya bụ, ụdị dị iche iche. Ihe akaebe nke oria a bu:

    agaghị ekwe omume ịpịpụta aorta na mpaghara n'okpuru obi; imepụta ọnya ọnya na mgbidi nke afọ, ọnya na ogwe; ihe mgbu na mmetụta nke akwara; ihe mgbu na-adịghị mma na inwe mmetụta mpaghara n'etiti spain na ọgịrịga aka ekpe.

A na-ekpebikwa pancreatitis site na iji nyocha ụlọ nyocha, dịka:

  1. Nyocha biochemical banyere ọbara mmadụ (na nsonaazụ nke ọmụmụ a, enwere ike ịba ụba na ụfọdụ enzymes nke gland, nke na-abụghị ihe a na-ahụkarị, mmụba nke lipase, ọkwa glucose dị ala, ya bụ, ọkwa insulin dị ala, ọkwa protein dị ala, oke urea n'ọbara)
  2. Nyochaa nguzobe ọbara-electrolyte. Site na nyocha a, ọ ga-ekwe omume ikpebi nchịkọta ezighi ezi nke mmiri n’ahụ mmadụ, nke na-egosi ọrịa dị iche iche
  3. A na-eme nyocha ọbara n'ozuzu iji chọpụta ọkwa nke mkpụrụ ndụ ọbara uhie, sel ọbara ọcha yana akụkụ ndị ọzọ nke ọbara mmadụ, ihe ndị na-egosi na ọnụnọ ọrịa dị iche iche

Urinalysis, ọkwa dị elu nke alfa-amylase na mmamịrị na-egosi mbufụt, nke bụ ihe a na-ahụkarị maka ndị ọrịa nwere ọria. A na - ahụkarị nyocha nke ngwaike: nyocha nke ultrasound nke pancreas, nyocha X-ray, tomography, laparoscopy na endoscopy.

Suzọ kachasị mma iji gwọọ ọrịa pancreatitis bụ ịkpọtụrụ onye ọkachamara na oge ka ọ ghara ịmalite ọrịa a, n'ihi na nsogbu mgbe ọ nwesịrị ike ịnwụ.

Na-ebelata mgbu pancreatitis

Na nrịanrịa ọnya na-egbu mgbu na-egbu mgbu, ihe mgbu bụ otu n'ime ihe na-eduga n'ọrịa. Ọ bụ ọrịa mgbu na-eme ka mmadụ nwee nnukwu nsogbu na ọ na-eme ya gakwuru dọkịta. Nhọrọ dị iche iche iji belata ihe mgbu n'ụlọ na n'oge ịbanye n'ụlọ ọgwụ bụ otu n'ime ihe ndị kachasị mkpa maka ịgwọ ọrịa a.

Na nnukwu ụdị

Ọrịa mgbu akwara na-akpata site na ọzịza nke Wirsung duct na anụ ahụ glandular. Ọtụtụ mgbe ihe na-akpata ihe mgbu bụ spasmodic sphincter nke Oddi, na-egbochi mwepu nke enzymes bile na pancreatic. Ya mere, ọ dị mkpa iji belata spasm. Na mgbakwunye, na nnukwu ọrịa pancreatitis, iron na-emebi ya site na enzymes nke ya, yabụ, ọ dị mkpa iji belata mmepụta nke enzymes.

Iji mee ka ihe mgbu kwụsị, a na-eji ọtụtụ ọgwụ ọgwụ:

  • Narcotic na ọgwụ ọjọọ na-abụghị ọgwụ ọjọọ na mgbakwunye na antihistamines.
  • Myotropic antispasmodics, anticholinergics.
  • Ihe mgbochi Calcium.
  • Ndị na-egbochi mkpụrụ ndụ nzuzo - Omeprazole, Ranitidine, Dalargin.
  • Ndị na-egbochi ndị na-egbochi enzyme pancreatic - Gordoks, Kontrikal.
  • Hormone somatostatin - Octreotide, Sandostatin.
  • Antipsychotics, antidepressants, tranquilizer.
  • Antihypoxants.

Ngwọta maka ihe mgbu kwesiri ịdị na ụlọ ọgwụ ọ bụla bụ Papaverine ma ọ bụ Drotaverin (No-shpa). Nke a ọgwụ antyopasmodic nke myotropic na-egbochi enzyme reflux n'akụkụ Wirsung, na-eme ka ha nwee ohere gaa duodenum site na sphincter nke Oddi.

N'ụlọ, jiri mbadamba 2 nke No-shpa. Thelọ ọgwụ ahụ na-agbanye Drotaverine intramuscular, ma na-agbakwunyekwa nfuli na dropper na sodium chloride.

Cholinolytics belata nzuzo nke enzymes, ma belata spasms. Tinye Buscopan, Atropine.

Ndị na-egbochi Calcium, dị ka Nifedipine, Amlodipine, na-eme ihe dị ka antispasmodics, na-eme ka mgbasa ọbara kawanye mma.

Nkọwa na - abụghị ọgwụ ọjọọ - Ketorolac, Analgin - dị ike nke ukwuu na ọgụ a na - ebuso mgbu na - egbu mgbu. Agbanyeghị, ha anaghị edochi nyocha ahụike na nlekọta nlekọta ahụike. Na mgbakwunye, ọ dị mkpa ijide n'aka na ihe kpatara mgbu ahụ na pancreas, ọ bụghịkwa na ọrịa ndị ọzọ na-arịa ọrịa afọ (na-abanye ọnya afọ na -akpata ma ọ bụ perforated ọnya, appendicitis, mgbochi nke eriri afọ). A na-eji Diphenhydramine eme ya, ọ na-egbochi mmeghachi ahụ nfụkasị ahụ, na-eme ka akụkụ ahụ ekpenta kọọ, ma na-enye onye ọrịa ohere ihi ụra.

Nnyocha ọgwụ ọgwụ na-arụ ọrụ siri ike karịa ndị na-abụghị ọgwụ ọjọọ. Ha na - emetụta ndị na - anabata opiate, na - ebelata ihe mgbu. A na - enweta nsonaazụ ngwa ngwa ma sie ike na ngwakọta nke opioids (Fentanyl, Promedol, Tramal) na ọgwụ mgbochi, antidepressants.

Omeprazole na-ebelata mmiri mmiri hydrochloric acid site na afọ, nke ga-akwụsị imepụta enzymes n'ime ya.

Ndị na-egbochi protin pump (Omeprazole, Lansoprazole), ndị na-egbochi H2-histamine na-egbochi mkpo mmiri hydrochloric acid site na afọ, nke na-egbochi ike mmepụta enzymes n'ime ya. Dalargin na - ewedata njikọ nke trypsin na pancreas, na - eweta ahụ efe nke ihe mgbu.

Sandostatin ma ọ bụ Octreotide - homonụ nke mkpụrụ ndụ pancreatic delta nke na-ebelata ihe nzuzo ya. Na-egbochi necrosis.

Ndị na - egbochi enzymes proteolytic - Trasilol, Kontrikal, Gordoks - na - egbochi ọbara ọgbụgba nke trypsin na - eme, na - ebelata nnukwu mgbu mgbu na hypochondrium ekpe.

Antihypoxants - Mexidol, Reamberin - na - egbochi ọnwụ cell n'ọnọdụ ọjọọ.

Site na iwe

Ọnwụ nke pancreatitis na-adịghị ala ala nwere ike ịmalite na mberede, na-egosi ihe mgbu n'akụkụ aka ekpe nke obi.

Ọtụtụ mgbe nke a na-eme mgbe ị na-eri nri eghe na anụ na-atọ ụtọ, na-echegbu onwe. Ojiji nke ọgwụ antispasmodic - Drotaverin, Platifillin maka enyemaka mgbu na-egosi.

Abụba abụba, nri na-ekpo ekpo, amachibidoro mmanya. Nkwadebe enzyme dị mkpa iji belata ibu dị na gland - Cholenzym, Mikrasim, Mezim.

Na mgbaghara

N'oge mgbaghara, isi ihe abụghị kpasuo iwe nke oke abụba ma ọ bụ nri na-ekpo ọkụ.

Iji meziwanye ọrụ nke sphincter nke Oddi, a na-eji ọgwụ eme ihe - Gepabene, Odeston, No-shpu, Urolesan.

Iji gbochie iwe mgbe ị na-eri nri na-agbari agbari, a na-eji nhazi enzyme ememme.

Ọdịdị mgbu

Ntugharia ya na udi ihe mgbu na pancreatitis bu ihe di nkpa, n’aka nke ozo, kpebiri site na udiri usoro nke mkpali. Na nnukwu mgbanwe nke pancreatitis, ihe mgbu na-apụta obere oge ka ihe nke ahụ na-akpalite ihe oriri.

Ka mgbanwe ndị a na - enwe na - aga n’ihu, oke ihe mgbu na - abawanye, mmadụ na - awagharị n’elu akwa na - achọ ihe na - eme ka ọ kwụsị.

Ọtụtụ mgbe, ụkwụ adịghị ewetara n'afọ (“ẹmbrayo nwa nwoke”), ma ọ bụ dina n'akụkụ otu akụkụ, ma ọ bụ ijide ọkara na-eweta enyemaka achọrọ. Ekpesa oke ihe mgbu bụ ihe akọwapụtara n'ọnọdụ mmụọ.

Ọtụtụ mgbe, ihe mgbu na-eme ka ọ bụrụ ihe na-eme ka mmadụ nwee nsogbu na elu afọ. Na-abụkarị nke a bụ etiti mpaghara mpaghara epigastric, mgbe ụfọdụ ihe mgbu na-agafe na hypochondrium ekpe. N'ọnọdụ ndị a na-adịghị ahụkebe, mgbu mgbu ahụ na nnukwu ọrịa nke pancreatitis na-enweta atụmatụ ndị yiri ya na nke angina pectoris. Ahụ mmadụ na-enwu ọkụ ma ọ bụ na-eme ihe mgbu dị na sternum, na-agbasa na aka ekpe nke azụ, ogwe aka ma ọ bụ aka ekpe nke mgbada ala.

Na ụdị dị iche iche nke pancreatitis na-adịghị ala ala, ihe mgbu ahụ enweghị nkọwa doro anya dị otú a. Mmadu nwere ike inwe ihe ngbu di iche-iche:

    na mpaghara elu ma ọ bụ etiti, na mpaghara nke ala ala azụ, ya bụ, naanị na mpaghara nke obi dị ala, n'azụ na-enweghị irradiation na mpaghara ndị gbara ya gburugburu, mpaghara mpaghara lumbar n'ụdị nke a na-akpọ "bel-bel ekpe" ma ọ bụ "eriri zuru ezu".

Imirikiti ndị mmadụ na-ata ahụhụ site na mbufụt nke pancreas na-achọpụta ọdịdị oge nke ihe mgbu na-ebilite, ụdị a na-akpọ ụdị nzuzu. Mgbu na pancreatitis nwere ike ịnwe ike dị iche, mana ọ na - abụkarị ihe dị elu, ruo na oge nsogbu uche.

Mgbu ahụ na-amalite ọkara otu awa mgbe ị risịrị nri. Ọdịdị ọnya na-egbu mgbu ka a na-ahụkarị, ya bụ, na afọ efu. Oge ụfọdụ oge mgbanwe ụfọdụ na-agbanwe oge ihe mgbu na-arịwanye elu.

Ihe mgbu na-apụ n'anya, ọkachasị ma ọ bụrụ na ihe mgbu ahụ jọrọ njọ, bụ akara na-adịghị mma, ebe ọ na-egosi mmepe nke necrosis nke akụkụ dị mkpa nke gland.

Otu esi amata pancreatitis

Ọria pancreatitis bụ mbufụt nke pancreas ebe ọnọdụ enzymes na-eme. Nke a na - eduga n’ịkpụ akpụ na iwe, na - ebute ihe mgbu.

Site na okike ya, ọrịa ahụ nwere ike ọria na-adịghị ala ala. Na ụdị dịgasị iche iche, ọrịa anụahụ na-eduga ná mmebi na mbibi nke pancreas.

  1. Mgbu Ọ nwere ike ịbụ paroxysmal ma ọ bụ nke na-adịgide adịgide, mgbu, ọkụ na nkọ. A na-ahụkarị ya na elu aka ekpe, na hypochondrium, mana ya na ọrịa nke gallbladder, ọ nwekwara ike ịnọ n'akụkụ aka nri, nye aka azụ ma nwee ụdị edozi.
  2. Ọrịa aghara, ọnya na-arịa ọrịa shuga.
  3. Ibu ibu. Dịka iwu, jiri ogologo ọrịa.
  4. Ihe ọgbụgbọ na ọgbụgbọ na-adịghị ewetara onye ọrịa ahụ efe.
  5. Mgbe ị na-afanyekwa duct ahụ, ụzụ nke anya na mucous membranes (jaundice).
  6. Mmụba nke okpomọkụ na-egosi usoro mkpali, nke bụ ihe ịrịba ama dị oke egwu.

Ihe mgbaàmà ndị a niile na-egosi nzụlite nke nnukwu ọrịa pancreatitis, nke chọrọ ọgwụgwọ ngwa ngwa na nke zuru oke, ma ọ bụghị ya, ọrịa ahụ nwere ike ịghọ ihe na-adịghị ala ala ma ọ bụ na-egbu egbu.

Ihe enyemaka mbu maka mbuso agha nke pancreatitis

Ọ na --eme mgbe ọ bụla na mbuso agha na - ejide mmadụ n’ụlọ, n’ebe ọrụ, n’ebe dị anya site n’ụlọ ọgwụ. Thezọ ndị a ga - enyere aka belata mgbu na pancreatitis ma nyekwa enyemaka mbụ tupu ọbịbịa nke ndị dọkịta:

  • Ọ dị mkpa ịmepụta udo zuru oke maka onye ọrịa.
  • Ọ na-atụ aro ka mmadụ nọrọ ọdụ ozugbo, na-ahụ na ọ dọbara akụkụ ahụ. Amachibidoro ịgha ụgha, n'ihi na nke a nwere ike ime ka ihe mgbu ahụ ka njọ.
  • Site n'enyemaka nke iku ume na-enweghị ume na oge ọ na-egbu oge, belata ihe mgbu.
  • Tinye ice cream na pancreas, ọkacha mma site na azụ. Can nweghị ike iji akwa na-ekpo ọkụ na paịlị na-ekpo ọkụ - nke a ga - eme ka ọnọdụ ahụ ka njọ.
  • Erila ya. Ọ bụrụ na enweghị ọgbụgbọ mmiri, drinkụọ mmiri nwere mmiri na-enweghị mmanụ gas ma ọ bụ ofe anụ ọhịa na-esighi ike.
  • Gaghị enwe ike ịme larịị afọ, ị nwere ike iji mkpịsị aka abụọ wee pịa mkpụrụ asụsụ.

Pụtara iji belata mwepu anụ a na-eme n'ụlọ

N'ụlọ, ị nwere ike:

  1. Leruo anya amanye ọnụ na obubu elekere 24.
  2. Were ọgwụ mgbu Spazmalgon ma ọ bụ Baralgin, mana ọ ka mma ịghara ime nke a tupu ụgbọ ihe mberede abịarute, naanị n'ọnọdụ mgbu na-enweghị atụ.
  3. Iwere No-shpa ma ọ bụ Papaverine bụ ọgwụ antispasmodic. Enwere ike iji ha mgbe mwakpo kpalitere ọrịa nke ọnya biliary. Ọ ka mma ị drugsụ ọgwụ ọjọọ.
  4. Mgbe mgbu ahụ kwụsịrị, ịnwere ike iji nri enzyme Festal, Mezim, Creon.

Zọ ọgwụgwọ

Ofgwọ ọrịa ndị na-efe efe nwere ike ịchekwa ma baa ya arụ, n'ụlọ ọgwụ yana n'ụlọ.

N'ọdị siri ike nke ọrịa ahụ, yana ọgwụ mgbu na ọgwụ antispasmodic, ndị na-achọ ọgwụgwọ, ọgwụ mgbochi na-edenye ya, ebe ọrịa ahụ na-emetụtakwa ọnọdụ mmetụta uche nke onye ọrịa. Ọ bụrụ na ọrịa ọrịa pancreatitis bụ ọrịa na-efe efe, mgbe ahụ, a na-enye ọgwụ mgbochi abụọ. A na-agbakwunye ọgwụgwọ site na ntụtụ nke saline na ngwọta protein.

Mgbe ụfọdụ ọ na - eme na ọrịa ahụ anaghị achọ ụlọ ọgwụ. Mgbe dọkịta nyochachara ya nke ọma, ọ na-ahapụ onye ọrịa n'ụlọ ma nye ya ọgwụ. Ọ dị mkpa iji hụ na setịpụrụ ọgwụ dị mkpa mgbe niile na ụlọ ọrụ ọgwụ maka ịkwụsị ọgụ mberede. A na-atụ aro iri nri siri ike.

E kwesịrị ịkụtu ma ọ bụ ghaa nri, na-enweghị mgbakwunye nke ngwa nri.

Onye ọrịa ahụ kwesịrị iso ndụmọdụ atọ:

  1. Agụụ. A ga-ahapụrịrị akwara nri iji belata ọnọdụ nke pancreas.
  2. Chill.
  3. Udo zuru ezu. Leghachi anya ụra.

Usoro ọgwụgwọ ọzọ

Medicinezọ usoro ọgwụgwọ ọzọ gụnyere iji:

  • tinctures ahịhịa, extracts, decoctions na teas,
  • ọgwụ homeopathic
  • ịkpa a productsụ na ngwaahịa,
  • na - akuzi sisitemu nke aru,
  • hirudotherapy (ọgwụgwọ na leeches).

N'ihe banyere mwakpo, jelii sitere na otite ahụ na-amị amị na-enyere aka nke ọma, nke a bụ ala iji mee ya, gwọ ya na mmiri wee sie ya ruo minit 1-2. A na-eji ngwá ọrụ ahụ eme ihe naanị n'ụdị ọhụrụ, 150 g tupu nri.

Enwere ike ịgwọ ọrịa mgbu ugboro ugboro site na iji tinctures nke calendula, eleutherococcus ma ọ bụ echinacea maka 1 tsp tupu nri ugboro 3-4 n'ụbọchị.

Ezigbo usọbọ bụ mgbọrọgwụ calamus, nke a ga-adịrị bekee na 1 tbsp. l wunye otu iko esi mmiri, weta okpomoku na nje. Were a teaspoon, saa ala na infusion nke centaury.

A choction nke nkpuru osisi barberry nwere ihe nyocha. 1 tbsp. l wunye otu iko mmiri esi esi ọnwụ ruo 15 nkeji. Na-a 1ụ 1 tbsp. l ugboro atọ n'ụbọchị.

Ngwá ọrụ soothes na ọgụ nke ọrịa gallstone, nke bụ satịlaịtị nke pancreatitis.

Veryzọ dị irè iji belata ihe mgbu na ọgwụgwọ ọzọ nke pancreatitis bụ infusion ma ọ bụ ofe nke kryptei. Ngwongwo na-agwọ ọrịa nke ihe ọkụkụ ahụ na-enyere aka ịhazi acidity nke afọ ma kwalite ịmụgharị anụ ahụ, nke bụ ihe dị mkpa maka mmerụ ahụ. A na-ewere Tincture 20 tụlee ugboro 3 n'ụbọchị 20-30 nkeji tupu nri. Usoro ọgwụgwọ ya bụ ọnwa 3. Tinyegharịa n'otu ọnwa.

Ihe ọiceụ fromụ sitere na Brussels puo, letus, carrots na agwa akwụkwọ ndụ akwụkwọ ndụ nwere mmetụta dị mma na mgbu. Nyefee ihe niile dị na nha dịgasị iche iche. Na-a 1/ụ 1/2 tbsp. Nkeji 30 tupu nri n'ụtụtụ. Usoro ya bụ ụbọchị 30.

Mkpụrụ flax nwere ezigbo ọfụma n'ahụ akwara ma wepụ ihe mgbu. Ejiri ya n'ụdị jelii na decoctions. Iji nweta jelii ịchọrọ 1 tbsp. 1 liter nke mkpụrụ wunye 1 iko mmiri ma esi nri maka nkeji 10. Ka ọ na ime biya 1 awa. Mgbu ma drinkụọ n'ụtụtụ n'ụtụtụ afọ. Iji nweta decoction, ịchọrọ 80 g nke flax mkpụrụ. Wunye ha 1 lita mmiri wee simmer n'okpuru mkpuchi. Na-a inụ n'ụtụtụ na afọ efu. Usoro ọgwụgwọ ya bụ ọnwa 2.

Tupu iwepu ihe mgbu na pancreatitis site na iji usoro nri, ọ dị mkpa iji nyochaa dọkịta gị ma ọ bụrụ na enwere ike iji ya. Mgbe ị na-a medicụ ọgwụ, ọ dị mkpa ka ị ghara imerụ onwe gị ahụ.

Na-ebelata ihe mgbu n'ụlọ

Na nnukwu nje nke pancreatitis, iwepu ihe mgbu mberede nwere ike inwe nsonaazụ na-adịghị mma. Ọ bụ dọkịta na-awa vivo ka ọ nwere ike ịchọpụta ma gosipụta onyunyo ahụ dị 'nnukwu afọ'.

Na usoro mkpali na-egbu egbu n’akwara anụ ahụ, ụzọ izizi akachasị iche. Achọpụtala nchọpụta nke ọrịa ahụ, ebumnuche nke ọgwụgwọ bụ ime ka ndụ onye na-ata ahụhụ ka mma. Mmetụta nke ahụike nke onwe gị, ikike ibute ibi ndụ ọ bụla nwere ihe metụtara ya na enweghị ihe mgbu.

Nsonaazụ ọgwụgwọ dị mma na-amalite site na nri ị na-eri. Ọnụnọ nke mgbakasị ahụ na-akpali akpali nke na - akpali mmetụta enzymes na - enye gị ohere iji naanị ma ọ bụrụ na ịchọrọ iji ọgwụ mgbu mgbu kachasị dị ala.

Site na mbelata nke mmetụta analgesic, a na-atụ aro ịhọpụta NSAID ọzọ (diclofenac, ibuprofen). Naanị n ’oke oke ihe mgbu ị nwere ike iwelata ihe mgbu site na iji mmetụta NSAIDs rụọ ọrụ na ọgwụ mgbochi ma ọ bụ izu ike.

Na usoro ọgwụgwọ siri ike nke ụdị ọgwụ na-adịghị ala ala nke pancreatitis, a gụnyere ìgwè ọgwụ ndị a:

    Panzreatic enzymes Pancreatic enzymes, ya bụ, pancreatin, n'otu aka, melite usoro nri, belata ibu dị na anụ ahụ glandular. N’aka nke ọzọ, ibelata ibu ọrụ na-arụ ọrụ nwere ike iwepụ ihe mgbu na oge na-aga, ma ọ bụ opekata mbelata ike nke ihe mgbu. Hormone somatostatin na ihe ndị mejupụtara ya

Somatostatin nwere ihe nke ibelata ihe mgbu na ahụ mmadụ niile na oke ihe mgbu na pancreatitis ọkachasị. Nkọwapụta ana-eme ya, octreotide, nwere ogologo oge, yabụ, usoro dị mkpirikpi (ụbọchị atọ) ga-enye gị ohere inweta nsonaazụ na-adịgide adịgide. O bu ihe nwute, otutu uzo ihe ndi ozo apughi igabiga ekwenyeghi iji somatostatin yana analogues na otutu ndi oria. Na-egbochi ndị na-ewekọ akụkọ ihe mere eme

Ihe omuma nke ihe anakpo “dormancy dormancy” maka oria a ga - ekwe omume obughi na imechi ihe nzuzo site na enzymes nke puru Ido. Ikekwe mmetụta na - apụtaghị ìhè na usoro a na iji ọgwụ mgbochi ndị na - egbochi ma ọ bụ ihe mgbochi proton. N'ime ndị na-egbochi ndị na-anabata H2-histamine, famotidine bụ ihe kachasị ewu ewu.

Ọ nwere ọrụ antioxidant, na-eme ka ọbara dị ọcha nke ọbara dị mma, nweekwa obere nsonaazụ ya. Famotidine nwere ike belata ọrụ nzuzo nke akụkụ nke pancreas, ebe ọ na - egbochi ngwa ngwa hydrochloric acid na afọ. Ihe ndị na-egbochi protin pumping (lansoprazole, esomeprazole, rabeprazole) nwere ntakịrị ihe ọghọm nke mmetụta ndị ọzọ, nke na-eme ka ikike ha belata ihe nzuzo nke hydrochloric acid dị n'ime afọ nke ọma. Ikekwe, iji ọgwụ ndị a zuru ezu were ogologo oge ahọpụtara maka usoro ọgwụgwọ.

Ahụ mgbu mgbu ụlọ ọgwụ

A na-arụ ụlọ ọgwụ nke onye ọrịa nwere ọrịa ọrịa pancreatitis ma ọ bụrụ na enwere nnukwu ọrịa ahụ. Enwere ike iji ọgwụ mgbu mee ihe, ebe ọ bụ na ihe mgbu ahụ siri ezigbo ike. A na-ejikarị:

    promedol, omnopon, tramadol, ketans.

Ihe kpatara na usoro nke mmepe nke ihe mgbu na pancreatitis

Ọrịa mgbu pancreatitis na-etolite n'ihi ọtụtụ ihe. Enwere ike ịkpọ ya:

  1. Ihe oriri, nzu, nke e ghere eghe, nke na-atọ ụtọ, ma ọ bụ ihe oriri na-atọ ụtọ;
  2. Alcoholụ mmanya na-egbu egbu
  3. Nsi
  4. Ọnọdụ nke afọ, duodenum ma ọ bụ imeju,
  5. Ọnọdụ ndị na-akpata nchekasị.

Ọtụtụ mgbe, ihe mgbu na-apụta nkeji iri atọ mgbe erichara nri, n'ihi ọ bụ mgbe oge dị otú a gasịrị ka pancreas bidoro na-enweta nnukwu izu nzuzo. Usoro mmepe nke ọrịa mgbu ahụ na-esite n'ụkpụrụ nke mkpali ahụ yana mgbanwe dịgasị iche iche na akụkụ a:

    Ọbara na nsị nke anụ ahụ, mwepu nke akwara ndị ahụ, mmụba dị na akwara ndị ahụ, ọbara ezughi oke na pancreas, ụkwara Oxygen, mgbanwe Dystrophic.

Na ọrịa akwara na-adịghị ala ala na akwara akwara, a na-akpọkarị usoro mkpali, nke na-ebute oke ọbara, ọzịza, mgbu na ahụ ike. Dabere n'ike ya, mgbanwe dystrophic na-etolite, na-eduga na pancreatic necrosis.

Na pancreatitis na-adịghị ala ala, mbufụt na-adịwanye ala, ihe ịrịba ama nke ọbara ezughi oke maka akwara anụ ahụ. A na-ejikwa anụ ahụ na - ejikọta ọnya anụ ahụ na - egbu mgbu n'oge anụ ahụ, cysts ma ọ bụ mpaghara calcification n'akụkụ dị iche iche nke ahụ na - akpata mgbu, na - apị anụ ahụ na - agbanweghi agbanwe na akwara ndị ahụ.

Kedụ ka esi belata ihe mgbu na ọrịa mgbu ọfụma?

Site na nkụda mmụọ nke ọrịa pancreatitis na-adịghị ala ala, ọ kwesịrị ịkpachara anya na iji ọgwụ mgbu, dịka ụdị ọgụ a nwere ike ibute ọrịa ndị ọzọ ma were ọgwụ nyocha ga - eme ka nchọpụta sie ike.

Enwere ike iwepu ihe mgbu n'ime ụlọ site na iji otu ndụmọdụ ndị ahụ akọwaworo iji nyere aka na ọrịa pancreatitis.

Ọ bụrụ na izizi ihe kpatara ọdịdị ahụ mgbu na-akabeghị obi, mgbe ahụ, onye ọrịa ahụ nwekwara ike someụọ ụfọdụ ọgwụ mgbu tupu ọbịbịa nke dọkịta ma ọ bụ ndị ọrụ ụgbọ ihe mberede.

Iwepu ụdị mgbu dị mma:

    Paracetamol, Baralgin, Ibuprofen, Diclofenac (Dicloberl), Metamizole.

Enwere ike iji ọgwụ ndị a mee ihe iji kpochapụ ihe mgbu na ọrịa na-adịghị ala ala. Dọkita ha na nhọrọ ha bụ ndị dọkịta kpebisiri ike dabere na afọ na ọnya ọnya nke onye ọrịa ahụ.

Enwere ike ịbelata ihe mgbu na nnukwu ọrịa ma ọ bụ nke na-adịghị ala ala site na ị medicationsụ ọgwụ ndị na-ewepụ ihe kpatara ọdịdị ha. Naanị dọkịta nwere ike ịkwado iji ụdị ọgwụ a. Nhọrọ nke ogwu, usoro ogwu ha na usoro ogwu ha ka a na-eme mgbe nyochachara nke onye ọrịa ahụ.

Iji wepu ihe mgbu na pancreatitis na-adịghị ala ala, enwere ike iji ihe ndị a:

    A na - enye ndị na - egbochi mgbochi nzuzo (gordox, ọgwụ mgbochi ime, contra contra) - iji hụ na ezumike dị n'oge a na - egbu mgbu, homonụ somatostatin na analogues na - eme ya (octreotide) - ana - eji belata mmetụ ihe mgbu na igbochi nzuzo na pancreas, enzymes Pancreatic (creon) mezim, pancreatin) - ka iji belata ibu dị na pancreas ma mee ka usoro mgbaze niile dị, usoro ọgwụ histamine na-egbochi (famotidine) - Ana m ewepụ ihe nzuzo na pancreas site na igbochi mmepụta hydrochloric acid na afọ ma nye ya ezumike, Proton pump inhibitors (esocar) - na - egbochi mkpo mmiri hydrochloric acid na mgbochi na pancreas, diuretics (diacarb, furosemide, triampuride ejiri) iji wepu mbuze nke aru akwara, Antispasmodics (no-spa, papaverine, platifillin, aminophylline) - ka etinyere na mmekorita ya na iwepu ihe ojoo, Antigis amine n'aka (Pipolphenum, Peritol, Suprastinum, diphenhydramine, wdg) - na-eji iji belata ọzịza nke pancreas anụ ahụ.

A ga-emekwa ka mkpochapu ihe mgbu na pancreatitis mee ihe site na idebe nri nke enyere onye ọrịa, dabere na ogbo nke ọrịa ahụ. Ọ bụrụ na ọrịa ahụ na-aka njọ, a na-atụ anya agụụ iri ụbọchị atọ, nke yana tii na-egbu mmanụ a honeyụ ma ọ bụ mmiri mmiri ka nwere ya. Ọzọkwa, dabere n'ọnọdụ onye ọrịa, nri na-abawanye.

Ahụ mgbu Yoga na ụfọdụ ọgwụ ọdịnala nwere ike inyere aka belata ihe mgbu na pancreatitis na-adịghị ala ala. Ojiji iji usoro ndị a iji wepu ihe mgbu ga-akpachara anya ma naanị mgbe gị na dọkịta gị gachara. Amachibidoro ya iji obere tinctures dị iche iche mee ihe iji belata ihe mgbu, n'ihi ọnụnọ nke mmanya na ha nwere ike ime ka ọnya belata akwara.

Oge ọrịa laghachiri

Mmebi nke anụ ahụ na - eme nwayọ, ebe mkpụrụ ndụ ndị ahụ mebiri. Na nnukwu ọrịa pancreatitis, usoro na-apụta na mberede. Enzymes emepụtara emechila gland n'onwe ya. Ọ na-agbaso necrosis nke anụ ahụ, njikwa ya na-agbanwe agbanwe.

Tinyere sel diges, akụkụ ahụ nwere agwa ndị a na-akpọ agwaetiti Langerhans na-emepụta insulin. Oge ụfọdụ, ọnya afọ na-emetụtakwa ha. Ọrụ Hormonal nwere nkwarụ, onye ọrịa na-arịa ọrịa shuga mellitus. Ọrịa a chọrọ ojiji nke hypoglycemic elekọta mmadụ.

Enwere ike ekewa ihe na-akpata ọrịa a na-akpata ọrịa a.

  • na mbu, oria a na akpo nke obia ya n’abuo warawara n’ime ya, n’ihi nke a, ihe mgbochi nke mmiri onunu,
  • Nke abuo, oria aru nke aru aru ma obu anatomically metụtara pancreas (gastric na duodenal ọnya, cholecystitis, cholelithiasis),
  • Nke ato, nri adighi nma.

N'okwu abụọ ndị mbụ, ọgwụgwọ ọrịa dị mkpa, enwere ike ịwa ahụ. Na nke ikpeazụ, mmadụ ga-enwe ike idobe ihe oriri ya. Nwe ọrịa pancreatitis na-agafeghị oke n'ụlọ, nagide ọrịa ahụ n'onwe gị.

Mmebi nke stool na ọgbụgbọ na-eso mgbu, nke dị na mpaghara hypochondrium nke aka ekpe. Ọ bụ shingles ma na-alaghachi oge ọ bụla onye ọrịa merụrụ nri ma ọ bụ mebie abụba, nri e ghere eghe, mmanya na-egbu egbu.

Ahapụ Gị Ikwu