Kev kho mob ntawm tus txiav ua ntej nrog cov tshuaj yog qhov yuav tsum tau ua kom tiav rau kev tswj tau zoo ntawm tus mob pancreatitis. Tus kab mob yog qhov kho tsis tau, tab sis kev kho kom zoo tuaj yeem tiv thaiv kev txhim kho ntawm cov teeb meem.
Kev kho mob ntawm tus txiav yog tsuas yog tsom rau kev txiav mob, rov ua hauj lwm lub plab zom mov muaj nuj nqi thiab tshem tawm muaj zog tsis txaus.
Hauv qhov no, tus kws kho mob sau ntau yam tshuaj rau tus neeg mob: antispasmodics, analgesics, antacids, NSAIDs, tshuaj tua kab mob choleretic, tshuaj tua kab mob ntau yam, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, enzymatic thiab antisecretory tshuaj. Lawv muaj cov ntawv sib txawv ntawm kev tso tawm - ntsiav tshuaj, ncua kev kawm, ampoules rau kev tswj hwm intravenous. Ntxiv rau, ob qho tib si npaj hluavtaws thiab tshuaj ntsuab yog siv.
Cov ntsiab cai ntawm kev kho mob ntawm tus mob huam thiab mob khov sai
Kev mob voos ntawm tus txiav feem ntau tshwm sim vim kev haus dej cawv ntau thiab tus kab mob gallstone. Vascular pathologies, kev ua haujlwm ntawm lub plab thiab duodenum, kev siv qee yam tshuaj noj, caj ces, ntshav qab zib mellitus, ERCP, cholecystitis, helminth cuam tshuam, cuam tshuam hormonal, tsis txaus ntseeg anatomical thiab kis tau kuj tuaj yeem cuam tshuam kev ua haujlwm.
Thaum pib ntawm kev txhim kho ntawm pancreatitis, ib tus neeg raug mob los ntawm cov tsos mob xws li xeev siab thiab ntuav, ua daus no thiab kub taub hau me ntsis, mob dheev hauv plab sab sauv, mob dyspeptic, suav nrog quav thiab pom pob. Nrog rau kev puas tsuaj loj rau tus txiav, pancreatic raws plab tshwm sim - raws plab, nrog los ntawm admixture ntawm hnoos qeev thiab cov zaub mov tsis muaj kev txwv.
Vim lub fact tias tus kab mob no nyob rau hauv ob daim ntawv - mob thiab mob ntev - kev kho mob ntawm pancreatitis muaj qee qhov sib txawv. Tsis tas li ntawd, ib qho kev mob hnyav ntawm pathology yog biliary, tshuaj thiab cawv etiology.
Hauv kev mob hnyav ntawm kev txiav mob ntawm pancreatitis, txoj kev kho yog qhov tsim nyog nyob hauv tsev kho mob. Tus kws kho mob sau ntawv muab tshuaj rau yoo mov tau 3-4 hnub thiab noj cov tshuaj nram no:
- tshuaj uas txo cov kev ua haujlwm ntawm cov enzymes digestive;
- analgesics uas tshem tawm qhov mob;
- txhais tau rau detoxification ntawm lub cev;
- tshuaj tua kab mob thaum kis tau cov kab mob.
Hauv thawj hnub ntawm kev kho mob, tshuaj tau muab tshuaj rau hauv txoj hlab ntshav, tom qab ntawd nws raug tso cai kom coj lawv hauv cov qauv tshuaj. Tom qab raug mob hnyav, tus neeg mob tuaj yeem nqa dej sov ua kom dej dawb. Tom qab 3-4 hnub, thaum qhov mob tsawg zuj zus, thiab kev tso tawm ntawm cov enzymes tsawg, tus neeg mob tau noj zaub mov uas tau tso cai los ntawm kev noj haus No. 5 raws li Pevzner.
Txawm hais tias tom qab kov yeej cov kab mob pancreatitis, nws yog ib qho tsim nyog yuav tau soj ntsuam cov khoom noj tshwj xeeb. Cov cwj pwm tsis zoo, xws li haus dej cawv thiab haus luam yeeb, yuav tsum tau taboo rau tus neeg mob. Hauv cov kab mob pancreatitis, nws yog ib qho tsim nyog yuav tau npaj tshuaj enzymatic (Mezim, Festal) txhawm rau txhim kho kev zom zaub mov. Lawv muaj cov enzymes rho tawm los ntawm kev mob caj dab ntawm nyuj, uas hloov rau tib neeg.
Tseem muaj lwm txoj kev siv tshuaj tua kabmob ua rau mob pancreatitis, uas yuav tham txog tom qab.
Cov tshuaj pleev xim thiab enzymes
Nws paub tias nrog kev ua kom txawv txav ntawm tus kab mob, tus neeg mob yws tias mob hnyav ntawm thaj av epigastric. Lawv tuaj yeem cia li muab sai sai, muab rau sab laug ntawm lub cev thiab txawm tias lub nraub qaum.
Nws yog qhov nyuaj heev kom tiv nrog kev mob, yog li tus neeg mob tau sau tshuaj rau loog thiab antispasmodics - tshuaj pleev xim. Cov hom tshuaj no sib txawv hauv cov txheej txheem ntawm kev txiav txim.
Antispasmodics daws kev spasm ntawm plab hnyuv leeg. Cov kev kho mob nrov tshaj plaws yog No-Shpa thiab Papaverin. Txhawm rau ntxiv txo qhov mob, nws yog ib qho tsim nyog siv Atropine lossis Gastrocepin.
Yog tias qhov mob tshwm sim nyob rau hauv kev mob caj dab ntev, koj yuav tsum tshem tawm sai sai. Hauv qhov no, analgesics tuaj rau txoj kev cawm. Lawv yog cov dog dig (Baralgin) thiab narcotic (Tramal).
Kev zom plab zom mov tsis yooj yim sua yam tsis muaj kev siv lub zog tshuaj enzymatic. Vim hais tias cov lus zais ua haujlwm ntawm tus txiav ua tsis tau zoo; plab hnyuv plab tsis nkag mus rau hauv duodenum. Ua haujlwm ntawm cov neeg ua haujlwm enzymatic yog los hloov lawv. Txhawm rau tiv thaiv cov tshuaj:
- Kev tso cai
- Enzystal;
- Digestal;
- Panzinorm;
- Pancreatin
- Creon
- Lub Festal.
Nyob ntawm qhov muaj pes tsawg leeg, kev npaj rau enzymatic rau ntawm lub txiav yuav txawv:
- Muaj cov kua tsib (Enzyme forte, Festal, Ferestal). Lawv siv dav hauv kev kho mob ntawm tus kab mob pancreatitis, tab sis raug txwv rau cov neeg mob kev txom nyem los ntawm kev mob plab thiab mob plab, mob plab thiab mob gallstone.
- Muaj cov pa tshuaj tshwj xeeb (Pancreatin, Mezim) - amylase, lipase, protease. Xws li cov nyiaj tsis tuaj yeem noj rau ntev, txij li lawv ua rau mob rau lub cev ua haujlwm.
Qee lub sij hawm tus kws kho mob sau tawm cov tshuaj choleretic rau cov mob pancreatitis, tsom mus rau kev zais ntawm cov qog hlwb. Cov tshuaj kho mob nrov yog Heptral thiab Allohol.
Antidiarrheal thiab antiemetic tshuaj
Cov tsos mob xws li mob raws plab hauv pancreatitis yog qhov qhia tias tus neeg tau noj ib pluas noj uas ua rau lub plab zom mov hnyav dua. Feem ntau, kab mob pancreatic raws plab tshwm sim thaum lub zog txaus.
Nquag tso zis ntau dhau ua rau lub cev qhuav dej thiab qaug cawv ntawm lub cev. Hauv kev hais txog qhov no, cov tshuaj tiv thaiv kab mob yuav tsum pab kho nrog cov tsos mob tsis zoo thiab tiv thaiv kev txhim kho ntawm kev mob nyhav. Cov npe ntawm cov tshuaj siv tau zoo tau nthuav tawm hauv lub rooj.
| Npe | Tsuas tshuaj | Cov Yuav Tsum Muaj |
| Rehydron | 10 ml / kg ntawm qhov hnyav ib teev tom qab txhua qhov quav xoob xoob. | Arterial hypertension ntawm qib nrab thiab mob hnyav, mob ntshav qab zib mellitus, mob raum tsis ua haujlwm thiab mob raum tsis ua haujlwm, muaj cov poov tshuaj ntau dhau. |
| Bactisubtil | 1 tshuaj ntsiav 3-6 zaug hauv ib hnub ntawm qhov ncauj, hauv ntau qhov mob hnyav - txog 10 tsiav tshuaj ib hnub. | Kev ua haujlwm tsis txaus ntseeg mus rau cov tshuaj nquag thiab ntu ntawm cov khoom. |
| Tannacomp | 1 ntsiav tshuaj 4 zaug hauv ib hnub nrog kev tshem tawm ntawm raws plab, 1 ntsiav tshuaj 2 zaug ib hnub rau kev tiv thaiv. | Siv nrog ceev faj thaum cev xeeb tub. |
Tus kab mob ntawm cov mob huam tuaj yeem feem ntau pom los ntawm qhov ntuav ntawm qhov ntuav, tom qab kev daws teeb meem tsis tshwm sim. Nyob rau hauv cov mob hnyav, nws ua rau biliary ntuav. Yog li, tus kws kho mob sau ib qho tshuaj rau hauv qab no:
- Metucal;
- Tserukal;
- Metoclopramide.
Nws yuav tsum nco ntsoov tias cov tshuaj yuav tsum tau noj raws li kev pom zoo ntawm tus kws kho mob thiab cov lus qhia hauv cov lus qhia. Kev noj tshuaj rau tus kheej tuaj yeem ua rau qhov tshwm sim tsis tau tshwm sim.
Antacid thiab antisecretory tshuaj
Nrog rau lub caij nyoog ntev ntawm tus mob pancreatitis, teeb meem lub plab tshwm sim, uas yog ntau dhau lawm ntawm hydrochloric acid.
Hauv qhov no, tus kws kho mob tuaj yeem sau ntawv noj tshuaj los ntawm pawg antacids uas cuam tshuam nrog kev tsim cov tshuaj acid hydrochloric.
Cov tshuaj no tuaj yeem txo cov kua qaub ntawm lub plab thiab txhim kho lub plab zom mov:
- Phosphalugel;
- Almagel;
- Maalox;
- Omez.
Nrog rau kev qaug cawv hnyav ntawm lub cev, kev ceev nrooj ntawm cov tshuaj lom yog tsim nyog. Hauv qhov xwm txheej no, koj yuav tsum siv cov tshuaj Enterosgel zoo los yog cov roj carbon activated.
Feem ntau nrog mob o ntawm lub txiav, tus neeg mob tau ntsib nrog dysbiosis, uas tuaj yeem tshem tawm nrog kev pab ntawm tus neeg sawv cev xws li Smecta. Trimedat tuaj yeem rov ua kom lub plab hnyuv tsis tuaj yeem.
Thaum ua txhaum ntawm secretory muaj nuj nqi ntawm lub plab, tus kws kho mob sau ib cov tshuaj antisecretory. Ntau dhau hwv lawm tsim cov enzymes ua rau kev tshem tawm ntawm lub txiav. Raws li qhov tshwm sim, pancreatic necrosis tuaj yeem txhim kho - necrosis ntawm cov ntaub so ntswg ntawm cov khoom nruab nrog, uas yog qhov taw qhia rau kev cuam tshuam kev phais kom tshem nws.
Antisecretory tshuaj suav nrog histamine H2 receptor bloggers thiab proton twj tso kua mis inhibitors. Qhov nrov tshaj plaws ntawm cov ntsiav tshuaj pancreatic:
- Esomeprazole;
- Rabeprazole;
- Lansoprazole;
- Nizatidine;
- Cimetidine;
- Gordox;
- Omeprazole
Noj cov tshuaj no pab daws qhov mob thiab txo qis ntawm cov kua qaub ua kua qaub (hydrochloric acid). Feem ntau lawv siv tshuaj tua tus kab mob pancreatitis.
Cov tshuaj tsis haum thiab tshuaj tua kab mob
Cov tshuaj tsis-steroidal anti-inflammatory (NSAID) muaj cov nyhuv tawm tsam, tiv thaiv kev ua kom tsis haum thiab ua kom loog rau lub cev.
Piv nrog glucocorticoids, NSAIDs xyaum tsis ua rau muaj kev phiv tshuaj. Cov tshuaj siv tau zoo tshaj yog nthuav tawm hauv lub rooj.
| Npe chaw | Tsuas tshuaj | Cov Yuav Tsum Muaj |
| Tshuaj aspirin | Kev siv tshuaj rau txhua hnub yog 4 g. | Lub plawv / lub raum / mob siab tsis ua haujlwm, cev xeeb tub (imes peb lub hlis), kev tiv thaiv tsis txaus, hemorrhagic diathesis, mob hawb pob, mob plab peptic, ua ke nrog methotrexate. |
| Diclofenac (ntsiav tshuaj) | 50-150 mg ib hnub twg, muab faib ua 2-3 koob tshuaj | Cev xeeb tub, lub sijhawm lactation, kev tiv thaiv tsis haum, proctitis, menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 12 xyoos, ua rau lub plab thiab mob tshwm sim ntawm txoj hnyuv, cov kab mob ntawm cov ntshav hematopoietic, mob plab hauv lub plab thiab duodenum. |
| Ibuprofen | Tsis pub ntau tshaj 6 ntsiav tshuaj hauv ib hnub. | Cov tib neeg mob siab rau cov cheebtsam, lub plawv tsis ua haujlwm, mob ntshav siab / lub raum ua tsis tiav, cev xeeb tub (imes trimester), mob plab zom mov ntshav, pais plab thiab duodenal mob. |
Thaum cov kab mob kis tau, nws yuav tsim nyog siv tshuaj tua kab mob nrog kev siv dav dav. Piv txwv, nws yog ib qho tseem ceeb uas yuav tau noj cov tshuaj no thaum tsim kho tus mob cholecystopancreatitis:
- Bactrim;
- Ampicillin
- Kanamycin;
- Oletetrin;
- Sigmamycin.
Lub sij hawm ntawm kev kho mob nrog cov tshuaj no tsuas yog ob peb hnub. Raws li kev xav ntawm cov kws kho mob thiab cov neeg mob, tshuaj tua kab mob ua rau dysbiosis. Hauv kev sib txuam nrog kev siv tshuaj tua kab mob, kev saib xyuas ntawm kev muaj txiaj ntsig hnyuv microflora yog qhov tsim nyog. Hauv qhov no, nws raug nquahu kom siv cov probiotics thiab prebiotics.
Pancreatic Cov Kev Kho Mob
Txij li thaum muaj tus mob txhawm rau mob txhawm rau mob, nws yog qhov tseem ceeb uas yuav tsum tswj tau txhua yam.
Kev kho kom raws sij hawm thiab muaj txiaj ntsig ntawm pathology tiv thaiv kab mob hloov pauv ntawm lub cev ntawm lub cev.
Tom qab kov yeej theem ntawm exacerbation, tus neeg mob tau tawm hauv tsev kho mob.
Nws yuav tsum ua raws li kev noj haus No. 5 thiab noj tshuaj uas ua rau rov qab ua haujlwm hauv pancreatic:
- Pancretinol yog tshuaj ntsuab npaj, uas suav nrog extract ntawm mint, anise, chamomile, fennel, elm thiab cov hauv paus hniav daj. Qhov muab tshuaj rau txhua hnub yog 1 ntsiav tshuaj. Lub chav kawm ntawm kev kho mob kav txog 30 hnub.
- Bifidumbacterin yog cov tshuaj zoo tshaj plaws ntawm lwm cov tshuaj pheej yig. Cov txheej txheem ntawm kev ua ntawm cov tshuaj yog cuam tshuam nrog kev ua lub zog ntawm txoj haujlwm ntawm lub hlwb ntawm cov islet apparatus thiab txoj hnyuv microflora. Raws li ib feem ntawm cov khoom lag luam, sucrose, nyob bifidobacteria, skim mis, edible gelatin yog cais. Cov tshuaj yog coj ib nrab ib teev ua ntej noj mov. Yuav ua li cas los laij cov tshuaj xav tau yog qhia ntawm pob.
- Hilak Forte yog txoj kev kho rau cov mob tsis haum. Cov tshuaj pab txhawm rau txhim kho kev noj qab haus huv txhua yam, ua kom cov kua qaub qis-tshuav nyiaj li qub, rov qab ua kom muaj txiaj ntsig zoo ntawm cov hnyuv microflora thiab cov txiav. Qhov tshuaj no tau coj 50 tee peb zaug hauv ib hnub. Lub sijhawm ntawm cov chav kawm yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus.
Vim hais tias nrog rau kev mob ntawm cov txiav, tus kab mob ntawm lub cev tiv thaiv kab mob yog txo qis, qee cov kws tshaj lij pom zoo siv cov tshuaj homeopathic uas tiv thaiv kev kis tus mob khaub thuas thiab SARS.
Ib lub tsev muag tshuaj twg tuaj yeem xaiv ntau hom tshuaj. Txawm li cas los xij, kev noj zaub mov tshwj xeeb yuav tsum tau ua raws, uas tsis tsuas yog tiv thaiv ntau yam kev mob tshwm sim ntawm pancreatitis, tab sis kuj yog lwm yam, tsis muaj tsawg dua kab mob pathologies, piv txwv li, steatosis, ntshav qab zib mellitus, thiab lwm yam.
Yuav kho tus mob pancreatitis li cas hauv daim yeeb yaj kiab hauv kab lus no.
