Pancreatitis yog ib tug mob ua mob rau ntawm daim tawv nqaij hlav. Nws tuaj yeem yog ob qho tib si mob thiab mob siab. Hauv ob qho tib si thawj zaug thiab zaum ob, ib qho ntawm cov tsos mob ntawm tus mob feem ntau yog mob hnyav nyob hauv peritoneum.
Qhov no yog vim qhov tseeb tias cov enzymes tsis nkag rau hauv lub plab zom mov, lawv pib zom cov zaub mov tsis muaj nyob hauv nws, tab sis cov kab mob nyob ib puag ncig. Kev txhaj tshuaj rau pancreatitis tuaj yeem cawm tus neeg mob los ntawm qhov mob tshwm sim hauv nws. Qhov loj tshaj plaws tsuas yog siv cov tshuaj muaj txiaj ntsig zoo hauv kev siv tshuaj yog.
Antispasmodic kev txhaj tshuaj
Kev txhaj tshuaj tiv thaiv kab mob los ntawm tus kab mob pancreatic yog siv vim muaj cov khoom hauv qab no:
- Cov tshuaj no ua rau kom ploj ntawm qhov mob. Raws li qhov tshwm sim, tus neeg mob pib mloog zoo dua.
- Tsis tas li, cov tshuaj ntawm hom no pab nyob rau hauv kev kho lub cev cov leeg ntawm cov khoom, ua rau cov txheej txheem ntawm kev tso cai ntawm cov kua txiv quav yeeb mus rau hauv lub plab zom mov tuaj yeem ua kom rov ua haujlwm.
Feem ntau, kev txhaj tshuaj spasmolytic hauv qab no yuav tsum raug siv los kho tus neeg mob txiav:
Platyphyllinum. Cov tshuaj no tsuas yog siv nyob rau hauv chaw nyob nrog kev saib xyuas ntawm tus kws kho mob. Txhawm rau kom pleev qhov quav. Tus neeg mob raug pom zoo kom txhaj tshuaj 1-2 milliliters ntawm 0.2% tshuaj subcutaneously. Lub sijhawm ntawm kev txhaj tshuaj yuav tsum yog 12 teev.
Odeston. Cov tshuaj no txhawb nqa kev nthuav dav thiab tshem tawm cov kua tsib, ua kom zoo dua ntawm qhov ua haujlwm ntawm Oddi, tshem tawm mob plab thiab tshem tawm cov tsos mob xws li mob, ntuav, xeev siab, raws plab thiab flatulence. Qhov no pab tiv thaiv txoj kev txhim kho ntawm kev cuam tshuam ntawm pancreatitis li cholecystitis.
Metacin. Qhov ntau tshaj plaws ib koob ntawm cov tshuaj no yog 2 milligrams. Tsis pub ntau tshaj 6 milligrams ntawm cov tshuaj yuav siv tau hauv ib hnub rau tus neeg mob. Yog li, thaum nruab hnub, qhov ntau ntawm cov koob tshuaj tsis tuaj yeem dhau peb qhov kev txhaj tshuaj.
Atropine Kev daws teeb meem 0.1% hauv ampoules yog qhov pom zoo. Nws tuaj yeem raug tswj hwm rau tus neeg mob subcutaneously. Cov kev kho mob zoo li no feem ntau ua ke nrog kev tswj hwm ntawm kev siv tshuaj kho qhov ncauj. Ib koob tshuaj Atropine tsuas yog ib qho ntawm ampoule ntawm cov tshuaj. Yog tias tsim nyog, cov tuaj yeem tuaj yeem rov ua dua tom qab 3-4 teev.
Tsis-Shpa. Nws raug tso tawm, ob qho tib si rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj rau hauv intramuscular, thiab rau kev tswj hwm txoj hauv kev. Tus txheem ntawm cov tshuaj yog 2 millilitres. Yog tias nws yog ib qho tsim nyog yuav tsum txhaj rau hauv txoj hlab ntshav, li 8-10 milliliters ntawm qab ntsev yog ntxiv rau lawv. Txhawm rau kom tsis txhob ua rau poob qis hauv cov ntshav siab, cov tshuaj tau maj mam muab rau 5 feeb.
Papaverine. Kev siv ntawm tus neeg sawv cev no ua kom paub tseeb tias tshem tawm cov kua tsib, txo qis lub siab nyob rau hauv lub txiav, txo qhov leeg ntawm qhov hnoos qeev ntawm Oddi, thiab tseem txhim kho cov nyhuv analgesic ntawm lwm yam tshuaj.
Mob nyhav thiab mob taub hau feem ntau kho nrog cov tshuaj saum toj saud hauv kev daws teebmeem rau kev txhaj tshuaj, mob ntshav qab zib thiab mob subcutaneous.
Kev muab tshuaj loog tawm
Kev tso tshuaj kom tsis txhob mob caj dab vim muaj cov txheej txheem ua paug hauv nws hauv qhov mob sai sai ntawm cov kab mob yog pom zoo nrog kev pab ntawm NSAIDs.
Paracetamol Kev kho mob ntawm cov kab mob pancreatic nrog cov cuab yeej zoo li no yog vim nws ua rau nws txo qhov kub ntawm lub cev, tshem tawm qhov mob thiab txo qis kev txhim kho ntawm cov kab mob pathological hauv lub cev. Kev hno rau pancreatitis nrog cov tshuaj no yog nqa tawm siv ib qho kev daws teeb meem nrog qhov ntau npaum li 10 milligrams ntawm cov tshuaj nquag ib milliliter.
Baralgin. Cov cuab yeej no pab txhawm rau kho qhov mob vim ntau yam khoom muaj txiaj ntsig. Ntawm lawv, nws tsim nyog qhia pancreatic anesthesia, tshem tawm spasm ntawm cov leeg nqaij, tshem tawm rau qee qhov mob thiab txo qis lub cev kub. Ib tus neeg laus tuaj yeem siv cov kev daws teeb meem ntawm 2.5 thiab 5 millilitres, ob qho tib si rau kev txhaj tshuaj thiab rau cov neeg tawm. Ua ke nrog cov tshuaj raug tso cai nrog qee lwm yam tshuaj uas tuaj yeem txo tus mob.
Analgin. Zoo li ntau lwm yam tshuaj, cov tshuaj no muaj peb yam tseem ceeb tshaj: kev ua kom loog, kev ua kom lub cev ntuag tsawg zuj zus, thiab qhov mob qis qis. Cov tshuaj muaj nyob hauv ampoules ntawm 1-2 millilit nrog kev daws ntawm 0.25% lossis 0.5% ntawm cov tshuaj nquag.
Sandostatin. Nws yog cov tshuaj tiv thaiv hluavtaws ntawm somatostatin. Ib qho tshuaj yog tsim nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj lossis lyophilisate rau nws txoj kev npaj. Hauv ib qho tshuaj yeeb tshuaj ampoule, uas nws lub ntim yog 1 milliliter, qhov tshuaj ntau npaum 0.05 mg lossis 0.1 milligrams ntawm cov tshuaj nquag yuav muaj. Sandostatin tuaj yeem pab cov txiav ua kua ntshav vim qhov tseeb tias nws inhibits qib ntawm kev zais ntawm cov khoom hauv nruab nrog, qhov txiaj ntsig ntawm cov kua txiv uas ua kua txiv quav yeeb ua kom tsawg. Feem ntau, xws li cov tshuaj tau tawm rau cov neeg mob tom qab kev phais. Yuav luag txhua qhov rov ntsuam xyuas txog kev siv qhov cuab yeej ntawm Is Taws Nem no yog qhov zoo.
Kev hno tshuaj rau tus mob txiav ua ntej coj mus kho tus mob pancreatitis yuav tsum yog tus kws kho mob tus kws kho mob tau saib xyuas tom qab kuaj mob ntau yam.
Kev kho ywj pheej yog txwv tsis pub, txij li ib qho tshuaj twg muaj tag nrho cov npe ntawm nws cov contraindications thiab phiv.
Lwm txhais tau tias kev rau lub txiav
Muaj qee kis, ntxiv rau kev siv tshuaj analgesics thiab antispasmodics rau mob pancreatitis, lwm yam tshuaj siv kuj tau siv.
Cov tshuaj insulin. Kev siv cov cuab yeej no yog vim qhov tseeb hais tias nrog kev mob ncua ntev ntawm tus mob pancreatitis, qhov txo qis ntawm cov tshuaj insulin hauv cov ntshav ntawm tus neeg mob tau tshwm sim. Feem ntau, cov kab mob no coj mus rau kev txhim kho ntshav qab zib.
Gentamicin. Cov lus qhia txog cov tshuaj tua kab mob no rau kev siv tau tuaj yeem siv rau qhov ua rau tus kab mob hnyav ntxiv, thaum ib tus neeg txhim kho cov tshuaj tiv thaiv mob hnyav rau hauv cov leeg kab mob. Gentamicin yuav tsum tau txhaj tshuaj intramuscularly ntawm 2 txog 4 zaug hauv ib hnub. Lub hom phiaj ntawm cov tshuaj no tseem zam qhov kev txhim kho ntawm ntau yam ntawm purulent pathologies, uas nyob rau qee kis tau tshwm sim nrog kev mob pancreatitis.
Contrikal. Cov cuab yeej no cuam tshuam ncaj qha rau kev ua haujlwm ntawm tib neeg pancreatic enzymes. Kev npaj tau npaj nyob hauv daim ntawv ntawm lyophilisate rau txoj kev daws qhov kev npaj rau kev txhaj. Cov tshuaj tseem ceeb ntawm cov tshuaj yog Aprotinin. Cov tshuaj yuav tsum tau diluted ua ntej siv, thiab tom qab ntawd txhaj rau hauv txoj hlab ntshav ntawm tus neeg mob.
Nws tsim nyog kom mloog lub npe ntawm cov tshuaj tsis raug cai, txij li siv cov tshuaj tsis yog tuaj yeem ua rau tsis zoo rau tib neeg kev noj qab haus huv.
Pancreatitis yog suav tias yog ib hom kev sib kis tsis tau, yog li, txhaj tshuaj tiv thaiv tuaj yeem tiv thaiv tsis tau menyuam yaus los ntawm tus kabmob no. Nws tsis pom zoo kom txhaj tshuaj tiv thaiv kab mob rau lwm cov kev mob hauv qhov mob kis mob vim qhov tseeb tias nws tsis tuaj yeem suav qhov tshwm sim tsis zoo ntawm kev siv dag zog.
Tus kws tshaj lij hauv daim yeeb yaj kiab hauv tsab xov xwm no yuav tham txog kev kho mob ntawm pancreatitis.
