Pancreatitis yog ib tus kab mob ntawm cov txiav ua mob los ntawm cov leeg nqaij rau cov nqaij thiab cov nqaij hauv lub nruab nrog cev. Tus kab mob loj hlob tuaj thaum coj tus cwj pwm tsis zoo, ua rau muaj qis, tsis muaj zaub mov tsis zoo, muaj keeb kwm kuj yog qhov ua rau.
Tus kab mob yuav tsum tau kho nrog qhov tsos ntawm cov tsos mob thawj zaug hauv daim ntawv ntawm lub plab zom mov, qhov mob ntawm sab laug hypochondrium, kub taub hau. Tus kws kho mob txhawm rau kuaj tus kab mob, txiav txim qhov mob hnyav ntawm lub pathology thiab sau ntawv kho kom tsim nyog.
Yog tias ua ntej lawm qhov tseem ceeb ntawm kev kho qhov tseeb yog ua nrog kev pab ntawm kev phais mob, niaj hnub no muaj ntau cov tshuaj uas tuaj yeem kho tus kabmob tau - nws tuaj yeem ua ntsiav tshuaj lossis daws qhov teebmeem.
Qhia txog ntawm cov tshuaj
Gordox yog cov tshuaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj, uas muaj tus mob hemostatic. Ib pob ntawm tsib ampoules ntawm 10 ml tuaj yeem yuav tom chaw muag tshuaj. Cov tshuaj no tau muab tso tshuaj kom ua raws li lub sijhawm uas tus kws kho mob tau teem tseg.
Cov tshuaj tseem ceeb ntawm cov tshuaj yog aprotinin, kuj yog dej cawv benzyl, sodium chloride, dej rau txhaj tshuaj yog suav nrog. Kev siv cov tshuaj muaj nyob rau hauv ntau qhov kev qhia - nws kho tau tus kab mob ntse thiab mob ntsws, thiab tseem tso cai rau koj los tiv thaiv kev txhim kho ntawm cov txheej txheem mob thaum kho.
Kev kho ntawm kab mob pancreatitis Gordoksomzaklyuchitsya hauv kev faib khoom ntawm cov tshuaj nquag ntawm cov tshuaj thoob plaws lub cev, qhov siab tshaj plaws ntawm cov tshuaj hauv cov ntshav tuaj yeem pom txog tsib mus rau kaum teev.
Piv nrog rau lwm cov tshuaj zoo sib xws, cov tshuaj tsis cuam tshuam rau lub hlwb, thiab tseem tsis nkag rau hauv lub tsho me. Cov tshuaj nquag ua haujlwm nrog cov khoom sib txuas - cov ntsiab lus ua kom cov protein pov tseg.
Nrog rau cov tshuaj pab rau:
- Txo pancreatic enzyme kev ua ub no;
- Txo cov kallikrein ntau ntau;
- Kev ruaj khov ntawm cov txheej txheem fibrinolysis;
- Tiv thaiv kom tsis txhob los ntshav.
Cov tshuaj ua, nyob ntawm seb qhov kev kho mob twg kws kho mob tau sau tseg thiab siv dab tsi.
Yuav muab tau qhov tshuaj nyob ntawm txhua lub tsev muag tshuaj thaum muab tshuaj kho mob. Gordox muaj nyob rau Npe B.
Khaws cov tshuaj ntawm qhov kub ntawm 15-30 degrees, nyob deb ntawm cov menyuam yaus thiab ncaj qha tshav ntuj. Txee lub neej tsis yog ntau dua tsib xyoos.
Leej twg yuav qhia rau cov tshuaj
Gordox yog ib tus neeg sawv cev siv tshuaj rau lub cev, vim li no nws yog tshuaj rau ntau yam kab mob. Feem ntau, txoj kev daws teeb meem yog siv los tiv thaiv kom tsis txhob los ntshav tom qab kev phais mob ntawm tus txiav, mob lom, mob pob thiab hlawv nqaij.
Cov tshuaj yog tawm rau cov mob hnyav, kis dhau los ntawm tus kab mob mus ntev, ib feem ntawm necrosis ntawm cov leeg nqaij, ua haujlwm tsis zoo ntawm cov khoom nruab nrog sab hauv thiab txoj kev loj hlob ntawm pancreatitis vim raug mob. Tsis tas li, cov tshuaj siv rau hauv lub sijhawm rov qab los tom qab kev phais mob, nrog rau kev rov huam mob ntau dua, kom kho dua tshiab.
Ua ntej noj cov tshuaj, cov lus qhia rau kev siv nrog Gordox pancreatitis yuav tsum kawm. Txij li thaum kev daws teeb meem pom tau tias yog cov tshuaj muaj zog, nws tuaj yeem siv tsuas yog tom qab sab laj nrog tus kws kho mob koom nrog. Txoj kev kho yog nqa tawm hauv tsev kho mob, hauv qab kev saib xyuas ntawm kws kho mob.
Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tau txiav txim siab tias Gordox hauv kev mob nrawm thiab lwm yam kab mob tuaj yeem muaj kev sib kis. Hauv qee qhov, cov tshuaj tsis tuaj yeem siv:
- Thaum lactation;
- Hauv thawj peb thiab peb lub hlis thaum cev xeeb tub;
- Thaum muaj kev fab tshuaj rau aprotinin thiab lwm yam tshuaj ntawm cov tshuaj;
- Thaum muaj qhov kub dua hauv qab qhov qub;
- Yog tias muaj kev cuam tshuam ncig ncig;
- Yog tias tus neeg mob nyuam qhuav mob ntsws thiab lub plawv phais.
Feem ntau, cov neeg mob zam cov tshuaj zoo, tab sis qee zaus, muaj kev phiv yog ua tau rau daim ntawv ntawm xeev siab, lub siab ntsws, ua tsis taus pa, muaj kev tsis haum tshuaj nyob rau hauv daim ntawv ntawm urticaria, anaphylactic shock.
Ntau tus neeg mob tom qab siv Gordoks tawm qhov kev soj ntsuam zoo nrog pancreatitis ntawm ntau yam duab, txawm hais tias tus nqi siab ntawm kev daws.
Kev siv yeeb tshuaj
Cov lus qhia rau siv nrog Gordox pancreatitis muaj cov ntaub ntawv tiav uas koj yuav tsum paub koj tus kheej. Ua ntej pib txoj kev kho mob, yuav tsum tau kuaj tshwj xeeb, uas tso cai rau koj los txiav txim siab tias cov tshuaj tiv thaiv tuaj yeem tsim tau thaum raug rau cov tshuaj yeeb dej caw ntawm cov tshuaj.
Thaum kho cov kab mob txiav, txiav txim siab yuav tsum tau diluted nrog 0.9% sodium chloride tov lossis 5% kua nplaum tov nrog ntau ntim tsawg kawg 500 ml. Cov tshuaj diluted tau siv nyob rau tom qab plaub teev.
Tus kws kho mob txhaj ib txoj kev kuaj ntshav ntawm 0.1 ml txhaj tshuaj kom paub tias lub cev nkag siab tob npaum li cas rau cov tshuaj. Tom ntej, txoj kev daws teeb meem los nrog kev poob dej.
- Tus neeg mob yog nyob hauv txoj hauj lwm supine thiab so kom ntau li ntau tau.
- Cov tshuaj yog muab tshuaj qeeb qeeb, ua tib zoo, hauv cov hlab ntsha tseem ceeb.
- Lwm cov tshuaj tsis raug tso cai raug txhaj rau hauv tib qhov chaw thaum siv tshuaj nrog Gordox.
Qhov ntau npaum li cas tau suav los ntawm tus kws kho mob mus kawm, tsom mus rau tus tib neeg tus yam ntxwv ntawm lub cev thiab qhov muaj cov kab mob me. Tab sis feem ntau cov tshuaj feem ntau siv raws li cov phiaj xwm hauv qab no feem ntau lees txais:
- Rau kev kho mob ntawm cov neeg laus, 0.5-2 ml ntawm cov tshuaj yog siv txhua plaub mus rau rau teev.
- Hauv kev kho menyuam yaus, Gordox yog siv rau qhov kev siv tshuaj txhua hnub tsawg kawg nkaus ntawm 0.2 ml rau 1 kg ntawm tus menyuam qhov hnyav.
Yog tias cov tshuaj tsis raug zoo, tus kws kho mob tau sau tshuaj rau ib qho tshuaj analogue uas muaj cov nyhuv zoo ntawm lub cev, suav nrog Ingitril, Contrical, Trasilol.
Thaum noj ntau dhau, tus neeg mob yuav ua rau muaj kev fab tshuaj, nrog rau kev poob siab anaphylactic. Rau tej yam txawv txawv hauv lub cev, kev siv cov tshuaj raug ncua.
Yog tias tus neeg mob tau mob hyperfibrinolysis thiab nthuav tawm kev mob siab rau qhov nqaij, nws raug tso cai siv cov tshuaj rau kev kho mob tsuas yog tom qab tag nrho cov tsos mob tsis xav tau raug tshem tawm.
Nrog kev ceev faj, nrog qhov sib piv ntawm cov txiaj ntsig thiab kev pheej hmoo, cov tshuaj yeeb yuav siv tau yog tias tus neeg mob:
- Txoj cai phais plawv ua pa tau, ua rau pom kev txo qis hauv lub cev, thiab tseem muaj kev pheej hmoo ntawm kev ntoj ncig vim yog txoj kev txhim kho lub raum tsis ua haujlwm;
- Yav dhau los, muaj kev qhia ntawm kev kho mob nrog aprotinin, txij li tau rov ua dua ntawm cov kev daws teeb meem feem ntau ua rau muaj kev fab tshuaj tsis haum thiab anaphylactic ceeb. Yog tias ib tug neeg tau txais cov tshuaj hauv 15 hnub tom ntej, koj yuav tsum ua qhov kev sim uas siv cov tshuaj sim.
- Kev ua xua diathesis raug kuaj pom, qhov no, txoj kev kho yog nqa tawm nruj raws li kev saib xyuas ntawm tus kws kho mob. Txhawm rau kom tsis txhob muaj qhov tsis xav rov qab, kev noj tshuaj tsawg kawg yog siv los xyuas qhov tseeb ntawm cov tshuaj.
Txhawm rau txheeb xyuas qhov ua tau rau kev tiv thaiv kom tsis txhob mob, qhov kev sim raug coj tawm 10 feeb ua ntej pib kev kho mob tseem ceeb.
Yog tias tom qab qhia txog kev txiav txim siab kev noj tshuaj muaj kev tsis haum tshwm sim, Gordox yuav tsum tau muab pov tseg, txwv tsis pub anaphylactic poob siab.
Kev cuam tshuam nrog lwm yam tshuaj
Cov tshuaj nquag ntawm cov tshuaj ua rau muaj zog ntau dua heparin. Yog tias Gordoks nkag rau hauv cov ntshav heparinized, lub sijhawm coagulation nce.
Yog tias Dextran thiab aprotinin noj ua ke, ob qho tshuaj yuav ua rau lub zog ntawm tus kheej. Txhawm rau kom tsis txhob muaj kev txhim kho rau lub ntsej muag tsis haum, tsis muaj ib qho dab tsi yuav tsum koj siv cov kev kho mob nrog cov tshuaj no tib lub sijhawm.
Aprotinin tseem tuaj yeem thaiv cov tshuaj thrombolytic, uas suav nrog urokinases, alteplases thiab streptokinases. Nyob rau hauv rooj plaub ntawm kev noj cov leeg ua kom so hauv peb hnub tom ntej, nws yog qhov tseem ceeb rau ceeb toom tus kws kho mob uas tuaj koom txog qhov no, vim tias qhov no tuaj yeem ua rau tsis muaj qhov cuam tshuam. Yog tias pom tias muaj tsos mob, kev kho tshuaj yuav tsum nres tam sim ntawd.
Yuav kho tus mob pancreatitis li cas yuav piav los ntawm cov kws txawj hauv video hauv tsab xov xwm no.
