Cov tsos mob tseem ceeb ntawm tus mob pancreatitis tuaj yeem pib thab tus neeg mob tsuas yog rau lub hlis tom qab pib mob. Hauv cov xwm txheej no, cov kws kho mob tham txog ib qho kev rov mob ntxiv ntawm qhov mob tshwm sim ntawm tus mob ua paug nrog leeg, thiab tom qab qee lub sijhawm, mob pancreatitis nkag mus rau ntawm chronicle.
Hauv qee kis lossis mob ntev ntawm tus kab mob hauv qee kis pib tshwm sim tsuas yog muaj qee yam kev mob. Yog tias rov mob dua, tom qab ntawd tuag ntawm ntu tseem ceeb ntawm cov ntaub so ntswg ntawm qhov muaj mob. Ib qho txheej txheem zoo sib xws thawj zaug tshwm sim hauv cov txheej txheej rog, thiab tom qab ntawd mus rau ntawm lwm lub qog.
Cov tsos mob tseem ceeb ntawm qhov pib ntawm exacerbation yog qhov ntse thiab mob hnyav ntawm sab laug. Yog tias muaj ntau ntawm cov nqaij cuam tshuam ntau, tom qab ntawd qhov mob kuj tseem yuav pom nyob rau sab nraub qaum, thiab tseem muab nyob rau hauv lub scapula lossis hauv qab.
Lwm cov tsos mob ntawm exacerbation ntawm pancreatitis:
- kev mob raum;
- mob hnyav hauv plab;
- kev txhim kho ntawm effusion hauv plab plab kab noj hniav.
Tsis tas li ntawd, nrog kev rov mob dua ntawm pancreatitis, kev kub ntxhov hauv lub cev, xeev ntuav, thiab ntuav tuaj yeem pib, uas tsis tuaj yeem txo txoj kev nyob zoo ntawm tus neeg mob. Cov xwm txheej tau sau tseg thaum muaj ib lub rooj zaum tsis tshua sib xws nrog impurities ntawm cov zaub mov tsis muaj kev tiv thaiv thiab ua npuas ncauj, cov tsos mob no tsis muaj.
Hauv qee tus neeg mob, cov xim ntawm daim tawv nqaij tuaj yeem hloov - tig xiav lossis txawm tau xaj tawv nqaij daj. Lub sij hawm ntawm cov xwm txheej phem no yog li ntawm 2 txog 8 hnub.
Pancreatitis yog tus cwj pwm txawv txav hauv cov tsos mob. Ntxiv nrog rau cov tsos mob no, kub siab, tsis qab los noj mov, ntau dhau plab hauv lub plab hnyuv, txiav thiab vau feem ntau mus sab ua yeeb yaj kiab, hais lus piv txwv. Cov tee liab yuav pib tshwm sim nyob rau sab hauv ntawm daim tawv nqaij ntawm lub plab, rov qab lossis hauv siab.
Cov tsos mob thiab tsos mob ntawm exacerbation ntawm kev mob pancreatitis heev
Yog hais tias tus neeg mob tus mob hnyav tshaj plaws, tom qab ntawd mam pom cov tsos mob lom lossis poob siab txawm tias sau. Lub cev kub tuaj yeem nrawm nrawm nrawm lossis nce mus rau qhov siab kawg.
Qhov ntsuas ntawm kev txom nyem uas cov tsos mob tshwm sim, kev mob ntawm tus neeg mob tuaj yeem tuaj yeem nyob ntawm qee yam nyob ntawm cov yam xws li:
- tus nqi thiab degree ntawm kev puas tsuaj rau cov ntaub so ntswg ntawm lub txiav;
- cov yam ntxwv ntawm kev ua tsis taus haujlwm;
- tus naj npawb ntawm yav dhau los exacerbations ntawm mob pancreatitis.
Lub ntsiab tseem ceeb hauv kev rov muaj dua ntawm cov txheej txheem inflammatory, tshuaj muaj xws li:
- kev mob
- malabsorption (tsis txaus ntawm kev nqus ntawm cov as-ham);
- maldigestion (tsis muaj kev zom);
- plab hnyuv dyspepsia (kev ua haujlwm tsis zoo ntawm cov enzymes);
- asthenic (qaug zog thiab nkees).
Kev ua txhaum ntawm intracecretory thiab exocrine cov haujlwm yog raug sau tseg, uas tseem yuav tsum tau ua rau hauv qhov tsis xws li cov tsos mob thiab cov tsos mob.
Yuav kho tus mob li cas?
Kev mob siab ntawm tus neeg mob nrog exacerbation ntawm tus mob txhawm rau mob nyuaj, txawm li cas los xij, tsis muaj kev phais mob, kev kho yog kev txuag.
Txawm hais tias qhov no, qhov mob no tsis tuaj yeem tawm ntawm qhov tsis muaj kev cuam tshuam kev kho mob, vim tias cov neeg txiav txim siab, uas ua rau cov enzymes uas tsim nyog rau kev zom zaub mov kom txaus, nyob hauv lub xeev tsis muaj zog thiab muaj kev nyuaj siab.
Cov txheej txheem zoo sib xws tsis zoo cuam tshuam rau cov txheej txheem kev zom, thiab tom qab ntawd kev kho mob tsuas yog yuav ua kom nyuab.
Raws li lub pathogenesis ntawm tus txheej txheem inflammatory ntawm tus mob ntxiv ntawm pancreatitis, tus kws kho mob yuav tsum tau tsom:
- kev tsis zais ntawm cov kua txiv qab ntsev;
- thaiv qhov mob;
- kev hloov kho enzyme;
- kev tiv thaiv ntawm cov teeb meem.
Kev txo qis ntawm cov kab mob ua rau lub cev tuaj yeem ua tiav nrog kev soj ntsuam zoo ntawm kev noj zaub mov tshwj xeeb, uas muab kev txo qis ntawm kev noj cov tsiaj cov rog, cov khoom noj muaj mis, khoom noj ntsim, thiab haus dej haus cawv thaum muaj kev cuam tshuam thaum muaj mob ntev.
Kev noj haus yuav tsum muaj cov tshuaj:
- pancreatic enzymes;
- myotropic antispasmodics.
Thaum lub sij hawm exacerbation ntawm tus txheej txheem inflammatory ntawm hom mob ntev, lub luag haujlwm tseem ceeb yog txo qis qhov sib zog ntawm tus kabmob, uas tau tshwm sim los ntawm cov dej num ntawm intraorgan ntawm pancreatic enzymes thiab txo qis siab hauv cov ducts.
Qhov no tuaj yeem ua tiav vim qhov hu ua secretory dormancy vim kev noj zaub mov noj zaub mov naj npawb 5 raws li Pevzner (nrog kev pib ua ntej 2 hnub ntawm kev yoo mov). Nws yog qhov tseem ceeb rau kev txwv tsis pub tsim cov kua txiv ua kua plab, uas txhawb lub tso pa tawm ntawm cov kua txiv kab ntxwv thaum lub sij hawm exacerbation ntawm tus mob leeg rau leeg.
Txoj kev kho yuav tsum muaj kev daws qhov mob, nws tuaj yeem tau txais los ntawm kev siv tshuaj tiv thaiv antispasmodics, tsis-khaus tshuaj loog. Hloov kho yuav raug qhia rau tus mob plab quav (ua haujlwm ntau dhau ntawm cov rog nrog quav) nrog lipid poob ntau dua 15 g nyob rau ib hnub, uas nrog cov nqaij hauv lub cev tsawg zuj zus thiab raws plab.
Siv tshuaj kho
Txhawm rau kho qhov ua kom mob txhawm rau mob txhaws ntswg, tus kws kho mob yuav siv N-2 histamine blockers (Ranitidine, Famotidine) lossis proton twj tso kua mis inhibitors (Rabeprazole, Omeprazole rau pancreatitis).
Fractional coj ntawm antacids yuav ua tau zoo heev rau kev kho mob, piv txwv li, nws tuaj yeem yog Alfogel, Maalox. Qee qhov xwm txheej, nws yog qhov tsim nyog yuav tsum tau nres rau kev ua kom tiav cov kab mob zais zis (Octreotide) lossis kev ua si ntawm nws cov enzymes (Gordoks, Kontrikal).
Thaiv qhov kev mob tshwm sim thaum tab tom tshem tawm ntawm exacerbation ntawm qhov mob tuaj yeem ua tiav los ntawm:
- anticholinergics (Platifillin, Metacin, Atropine);
- antispasmodics (Tsis-shpa, Papaverin, Drotaverin);
- tsis siv tshuaj analgesics (Metamizole sodium (Analgin), Ketorolac, Paracetamol);
- kev sib txuas ua ke ntawm cov tshuaj tsis siv tshuaj (Baralgin).
Hauv qee qhov xwm txheej, kev kho mob exacerbation ntawm pancreatitis tuaj yeem ua tiav siv opioid analgesics (Tramadol, Promedol).
Yuav kom txo tau qhov degree ntawm kev nthuav qhia ntawm dyspepsia thiab enzyme tsis txaus, cov tshuaj tshwj xeeb, piv txwv li, Creon, yuav pab nrog exacerbation ntawm tus mob leeg mob ntsig txog leeg.
Cov tshuaj no tuaj yeem txo cov mob vim muaj kev daws qhov mob siab ntsws ntawm cov quav yeeb yaj kiab raws li cov lus taw qhia tawm tswv yim. Kev ua kom lub cev muaj zog tuaj yeem tshem tawm nrog kev pab ntawm prokinetics (Motilium, Cisapride).
Cov txheej txheem ntawm lub cev ntawm kev kho mob ntawm exacerbations ntawm pancreatitis tuaj yeem hais ncaj qha:
- txhawm rau thaiv qhov mob syndrome (txoj kev ua kom loog);
- mob plab hnyuv plab (antispasmodic);
- txo qis hauv cov txheej txheem inflammatory hauv cov ntaub so ntswg (tiv thaiv kab mob);
- nce endocrine kev ua si ntawm tus txiav (insulin-stimulating txoj kev tau txais tshem ntawm pancreatitis);
- kev txhim kho catabolism (antihypoxic);
- siv ceev xwmphem lub xeev ntawm asthenia (sedatives).
Dab tsi yog qhov tseem ceeb kom nco ntsoov?
Thaum lub sij hawm exacerbation ntawm tus txheej txheem inflammatory nyob rau hauv lub txiav, nws yog ib qho tseem ceeb kom muaj kev ua tiav kev so ntawm nws lub luag haujlwm tseem ceeb. Rau qhov no, tus neeg mob yuav tau muab lub txaj pw so, nrog rau kev kho mob ceev hauv thawj 2-3 hnub txij li hnub tawm tsam.
Tus kws kho mob yuav pom zoo kom tsuas haus cov dej huv yam tsis muaj roj hauv ib lub ntim ntawm 200-300 ml hauv 6 koob thoob plaws ib hnub. Dej tuaj yeem hloov nrog cov tshuaj yej dub uas tsis muaj zog, uas yog qaug dej qaug cawv me me, nrog rau lub rwj raws li lub duav duav, tab sis tsis pub ntau tshaj 2 khob rau ib hnub.
Tsis muaj tsawg siv yuav yog kev siv cov muaj roj muaj roj tsawg yog tsis muaj qab zib thiab cov ntxais, fermented ci mis, kefir lossis kua txiv, yav tas los diluted nrog cov ntxhia dej.
Ob peb hnub tom qab exacerbation, koj tuaj yeem maj mam suav nrog crackers, kua zaub, tsoo rau lub xeev ntawm cov kua hauv cov qos yaj ywm, kua txiav tawm los ntawm cov nqaij ntshiv, nqaij ntses, thiab tseem muaj zaub, tab sis tsis tuaj yeem qhwv. Tsis muaj qhov xwm txheej zoo koj yuav tsum noj nqaij ntses thiab nqaij ntses, okroshka thiab borsch.
