Kuv lub nraub qaum puas mob ntshav qab zib puas tau? Nrog kev ua txhaum ntawm cov metabolism hauv cov metabolism, cov neeg mob raug kev txom nyem los ntawm ntau cov mob sib txawv, muaj teeb meem thiab tsis xis nyob. Feem ntau, cov neeg mob ntshav qab zib yws yws txog kev mob nrob qaum, tshwj xeeb tshaj yog nyob rau thaj tsam lumbar. Txoj kev mob Pancreatitis, uas yog tus cwj pwm los ntawm tus txheej txheem ua paug rau hauv cov txiav, tuaj yeem ua rau cov teeb meem ntawd rau tus neeg mob.
Qhov xub thawj ntawm kev kho mob pathology yog txhua txoj hauv kev los daws qhov mob. Nyob rau hauv cov txheej txheem ntawm kev txhim kho ntawm mob nraub qaum hauv pancreatitis, lub luag haujlwm tseem ceeb yog ua si los ntawm cov txheej txheem tshwm sim hauv cov txiav. Qhov no tej zaum yog qhov teeb meem ntawm cov kua tsib, ua kom cov kab mob microcirculation hauv cov ntaub so ntswg, mob o, hloov pauv dystrophic.
Hauv kev mob nrawm ntawm kev txiav mob ntawm tus kab mob pancreatitis, mob nraub qaum muaj tshwm sim vim yog qhov hnoos qeev, cov nqaij hauv lub cev o tuaj, cov kua dej ntau hauv nws. Qhov tshwm sim ntawm qhov chaw dystrophic thiab necrotic tuaj yeem yog tus kheej kos npe, xws li los ntawm ntau kis mus rau ib qho foci.
Nrog txoj kev loj hlob ntawm ib qho kev mob tshwm sim ntawm pathology, kev ua txhaum ntawm kev ncaj ncees ntawm qhov chaw ntawm caj pas parenchyma, cov enzymes tau khiav tawm dhau ntawm thaj tsam ntawm cov ducts, yog li qhov mob hauv qhov no muaj peev xwm nce ntxiv. Tus mob mus ntev yog muab tsawg dua qhov tsis xis nyob, tam sim no:
- cov txheej txheem ischemic predominate;
- hloov cov qog nqaij hlav nrog cov pob sib txuas pib.
Hauv qee thaj chaw ntawm kev mob caj dab, cystic neoplasms tshwm sim, nrog rau thaj chaw calcification.
Raws li qhov tshwm sim, seem ntawm cov ntaub so ntswg uas nyob twj ywm siv tau yog compressed, ib qho kev tawm ntawm cov enzymes tshwm sim, thiab qhov mob nce.
Thaum tsis muaj kev kho mob thiab lub caij nyoog ntev ntawm txheej txheem mob, qhov mob tshwm sim txawm tias mob me me.
Tus yam ntxwv mob
Kev thaj tsam ntawm kev mob thiab nws qhov tshwm sim hauv pancreatitis tuaj yeem hu ua tus neeg mob, tab sis ntawm qhov tod tes, lawv ncaj qha nyob ntawm qhov mob hnyav ntawm tus kab mob. Yog tias qhov mob o, cov mob yuav tshwm sim tom qab siv ib qho zaub mov tsis haum. Raws li cov txheej txheem pathological nce zuj zus, qhov kev siv ntawm qhov mob nce.
Tus mob ntshav qab zib tau maj nrawm nrawm rau hauv kev tshawb nrhiav qhov tsis yooj yim rau qhov yooj yim ntawm lub cev, tab sis feem ntau dhau los ntawm tus neeg mob, tus neeg mob tsis xav tias zaum ib nrab-zaum, pw ntawm nws sab, lossis hauv txoj haujlwm ntawm lub embryo. Yog tias tus neeg mob tig nraub qaum, nws muaj qhov tsis meej ntau dua.
Raws li txoj cai, qhov mob ntawm pancreatitis nyob rau hauv tus neeg mob ntshav qab zib hauv ib cheeb tsam hauv lub plab mog sab saud, uas yog hauv thaj av epigastric. Txawm li cas los xij, ntau tus neeg mob yws ntawm qhov mob ntawm sab xis lossis sab laug hypochondrium, tsis tshua muaj qhov mob nyob rau hauv cov mob huam tuaj ntawm qhov mob zoo li qhov mob ntawm tus yam ntxwv ntawm angina pectoris, lawv yuav ua rau muaj qhov tsis xis nyob rau sab laug ntawm sab nraub qaum, sab laug sab ntawm lub puab tsaig lossis sab caj npab.
Tus txheej txheem mob mus ntev tau me ntsis txawv, qhov mob tuaj yeem yog sib txawv ntawm qhov ntau:
- hauv thaj chaw lumbar (nyob rau hauv daim ntawv ntawm sab laug ib nrab-txoj siv lossis ib txoj siv puv);
- hauv cheeb tsam sab nraub qaum tsis kis mus rau lwm qhov nqaij;
- hauv qab sternum (hauv thaj av ntawm qis pob tw);
- nyob rau sab saum toj ntawm lub plab zom plab, hauv nruab nrab plab.
Feem ntau ntawm cov ntshav qab zib uas tau ntev los ntawm kev mob pancreatitis nco ntsoov qhov mob heev npaum li cas, uas yog, qhov mob ntswj. Feem ntau mob yog mob hnyav heev tias kev txhim kho kev mob hlwb tsis suav nrog.
Kuv lub nraub qaum puas mob ntshav qab zib yog tias kuv noj zaub mov hnyav? Yog lawm, feem ntau muaj mob pancreatitis qhov no yog raws nraim li tau tshwm sim. Thawj qhov tsos mob pib tshwm sim thaum ntxov li ib nrab teev tom qab noj zaub mov.
Tawm tsam mob peptic ua rau mob rau ntawm lub plab khoob xyaum tsis tshwm sim, qee qhov xwm txheej, tom qab lub sijhawm txhim kho, tus neeg mob sau tseg ib qho kev ua phem ntawm kev mob.
Kev hnov mob sai sai ntawm qhov no ua rau lub cev tuag ntawm daim tawv nqaij pancreatic - necrosis.
Yuav ua li cas daws qhov mob nyob hauv tsev
Yog hais tias theem ntawm cov txheej txheem ua mob hauv cov khoom nruab nrog yog mob, qhov ploj ntawm kev hnov mob yuav yog pov thawj ntawm kev ua tsis txaus. Kev tshwm sim ntawm lub npe hu ua "mob plab" yuav tsum tau kuaj thiab kuaj mob los ntawm tus kws phais neeg hauv vivo nkaus xwb, nws yog txwv tsis pub siv ib qho tshuaj rau qhov mob kom ua rau qhov mob ploj.
Txwv tsis pub, lub pathology yog qhov nyuaj heev rau kev kuaj mob. Yog tias muaj suab thaj nce nrog pancreatitis, txoj hauv kev ua kom zoo tshaj plaws kom tshem tawm qhov mob caj dab yog siv cov dej khov rau hauv lub plab thiab sab nraub qaum.
Kev mob tua kab mob tuaj yeem nres nyob hauv tsev, rau qhov no kev siv ntawm cov tshuaj tsis-steroidal tso cai, qhov ua tau zoo tshaj plaws ntawm ntu ntawm cov tshuaj no yog ntsiav tshuaj: Ibuprofen, Paracetamol, Diclofenac.
Paracetamol tuaj yeem muas tau nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, phoov, lossis kua-ntim tshuaj ntsiav. Qhov ntau thiab tsawg ntawm cov tshuaj hauv txhua kis yuav tsum tau xaiv hauv txoj cai nruj me ntsis. Koj tuaj yeem pib kho nrog qhov tsawg kawg nkaus ntawm cov nyiaj, yog tias tsim nyog, cov koob tshuaj tau maj mam nce.
Nrog rau kev ua kom tsis muaj zog ntawm cov nyhuv analgesic ntawm Paracetamol, nws raug nquahu kom hloov mus rau cov tshuaj:
- Diclofenac;
- Ibuprofen.
Mob yuav tshem tawm vim muaj cov nyhuv ntawm potentiation los ntawm cov tshuaj tsis-steroidal anti-inflammatory, antipsychotics, tab sis qhov no yuav tsum tau ua tsuas yog nyob rau hauv huab mob nrog mob hnyav heev.
Txoj kev kho nyuaj ntawm cov txheej txheem inflammatory suav nrog cov tshuaj: pancreatic enzymes, cov tshuaj hormones somatostatin thiab nws cov khoom sib txuas ua ke, blockers ntawm H-2-histamine receptors.
Pancreatic enzymes txhim kho lub plab zom mov ntawm cov zaub mov, txo lub nra rau ntawm cov ntaub so ntswg glandular. Ntxiv rau, lawv pab txhawm rau txo txoj haujlwm ua haujlwm, qhov siv ntawm cov tsos mob hnov mob.
Somatostatin yog tus cwj pwm los ntawm lub peev xwm los txo qhov rhiab ntawm lub cev ntshav qab zib mus rau mob, cov hluavtaws analogue ntawm cov tshuaj yog Octreotide. Cov tshuaj muaj sij hawm ncua sij hawm raug, vim li no, nyob hauv 3 hnub nws muaj peev xwm kom ua tiav qhov kev nyob ruaj khov.
Nws yuav tsum nkag siab tias somatostatin muaj ntau yam contraindications, kev phiv. Yog li, cov tshuaj thiab cov analogues tsis pub siv los kho txhua tus neeg mob ntshav qab zib. Lub sijhawm teem sijhawm yuav tsum tau nqa tawm ntawm tus kheej, pib ntawm:
- soj ntsuam daim duab ntawm tus kab mob;
- cov tsos mob
Cov blockers ntawm H-2-histamine receptors pab cheem kom tsis pub lwm tus paub txog kev txiav txim siab ntawm pancreatic enzymes, lawv tau qhia rau siv nrog cov tshuaj tiv thaiv proton twj tso kua mis.
Ntawm cov blockers, Famotidine yog cov tshuaj nrov tshaj plaws, nws yog tus cwj pwm los ntawm kev ua haujlwm ntawm cov tshuaj tiv thaiv kab mob, muaj ob peb qhov kev mob tshwm sim, thiab pab tau txhim kho rheological yam ntxwv ntawm tus neeg mob cov ntshav.
Ua tsaug rau Famotidine, kev ua si ntawm pancreatic secretion residue yog tsawg heev, uas yog vim muaj qhov txwv tsis pub sai sai nyob rau hauv lub plab ntawm hydrochloric acid.
Nrog rau cov tshuaj uas tau hais los tiv thaiv kev mob rov qab thiab mob plab hauv ntshav qab zib, cov tshuaj tiv thaiv kab mob proton siv tau:
- Lansoprazole;
- Rabeprazole;
- Esomeprazole
Cov tshuaj no yog qhov qhia tau tias lawv muab qhov tsis tshua xav ua rau tus neeg mob lub cev thiab tsis ua rau cov ntshav qab zib kom zoo. Vim li no, kev siv cov tshuaj muaj kev nyab xeeb tag nrho rau kev noj qab haus huv, muab qhov tseeb tias tsuas pub ib tus neeg twg raug xaiv, cov twj tso kua mis proton tso cai rau siv tau ntev txaus.
Nws kuj tseem yuav tsum tau taw qhia tias ntau yam kev kho mob ntawm pej xeem feem ntau tuaj yeem siv los tshem tawm qhov mob nyob rau hauv lub cev, lawv tsis tuaj yeem hloov txoj kev kho mob tseem ceeb, tab sis kev sib txuam lawv pab txhim kho txoj kev nyob zoo ntawm tus neeg mob ntshav qab zib.
Tsev Kho Mob Mob Ntshav Siab
Hauv kev mob hnyav rau pancreatitis, tus mob ntshav qab zib yuav tsum tau mus pw hauv tsev kho mob ceev, cov tshuaj siv rau kev tshem tawm mob hauv tsev kho mob - tshuaj loog. Yuav siv hom tshuaj twg, tus kws kho mob txiav txim siab raws li qhov xwm txheej, ntau zaus ntau dua li lwm tus tau sau tseg: Ketanov, Promedol, Tramadol, Omnopon.
Hauv cov xwm txheej nyuaj tshwj xeeb, narcotic analgesics yuav tsum tau ua ke nrog cov tshuaj tiv thaiv kev puas hlwb, tshuaj tiv thaiv kev ntxhov siab, thiab tshuaj tua kabmob. Qhov no yog qhov tseem ceeb los txhim kho ib leeg qhov kev txiav txim siab thiab txo qis kev sib zog ntawm qhov mob nraub qaum thiab mob plab.
Cov teeb meem phom sij ntawm ntshav qab zib tau piav qhia nyob hauv cov yeeb yaj kiab hauv tsab xov xwm no.
