Exacerbation ntawm pancreatitis: dab tsi koj tuaj yeem noj (zaub mov)

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Mob txhaws ntev yog hom mob uas muaj lub nthwv dej zoo li nthwv cua. Hom mob pancreatitis no tau cim los ntawm kev tshem tawm lub sijhawm: tus neeg mob lub sijhawm ua haujlwm zoo lossis nce zuj zus.

Nrog kev mob hnyav ntxiv ntawm tus mob pancreatitis, tus neeg raug kho nyob rau hauv chav kho mob plab lossis phais mob.

Yog tias muaj mob me me ntawm tus mob qa, thiab tus neeg tuaj yeem tos kom tshem tawm tus kabmob ntawm tsev, kev kho yog mob, thiab tshem tawm cov cim thiab tsos mob ntawm tus kabmob, thiab tseem txhim kho txoj kev noj qab haus huv ntawm tus neeg mob.

Hauv qhov no, nws siv sijhawm tawm mob thiab coj kev kho mob nrog kev pabcuam ntawm kev siv tshuaj. Kev ua kom tshem tawm zoo li tus mob pancreatitis tseem zoo dua yog tias tsis quav ntsej thiab nrhiav kev pab kho mob.

Kev mob hnyav tuaj yeem ua rau raug phais. Kev kho tsis zoo yog qhov txaus ntshai.

Cov laj thawj tseem ceeb

Tus kab mob tuaj yeem nkag mus rau lub sijhawm mob ceev rau cov laj thawj nram qab no:

  1. Kev siv ntau ntawm cov dej cawv;
  2. Ua txhaum ntawm biliary huam.

Tsis tas li ntawd, muaj lwm cov laj thawj uas tsis tseem ceeb. Txawm li cas los xij, cov no ua rau nce siab zaus ntawm exacerbations ntawm tus kab mob. Lub ntsiab yog:

  • Kev noj haus tsis tu ncua
  • Kev haus dej haus cawv kom tsawg ntawm cov cawv;
  • Haus Yeeb
  • Lub cev hnyav dhau;
  • Noj ntau ntawm cov khoom noj muaj roj;
  • Txais tos ntawm cov tshuaj;
  • Cov teeb meem ntxhov siab heev;
  • Kis tau cov kab mob.

Feem ntau, cov tsos mob ntawm exacerbation ntawm tus kab mob pancreatic tshwm sim sai heev. Rau thawj hnub, ib tug neeg hnov ​​zoo li qhov tsis zoo hauv kev noj qab haus huv, yog li nws noj tshuaj lossis tawm tswv yim kws kho mob, kev kho mob tuaj yeem txuas ntxiv hauv tsev kho mob.

Cov tsos mob tseem ceeb ntawm exacerbation ntawm kev mob caj dab ntev

Exacerbation thaum lub sij hawm mob txhawm rau ua tus kab mob pancreatitis tuaj yeem ntseeg tias yog kev tshawb pom hauv qab no:

  • qhov muag plooj plooj mob pliav. Lawv tau muab rau hauv qab thiab ntxiv tom qab noj mov;
  • xoob xoob thiab nquag nrog cov khoom tsis haum ntawm cov rog hauv cov quav;
  • qhov zoo nkaus li ntawm kev iab nyob hauv lub qhov ncauj, ntuav nrog cov kua tsib, uas tsis ua rau muaj kev nyem thiab tsis yooj yim los ntxuav nrog tshuaj.

Yog hais tias ib tug neeg tsis hnov ​​mob exacerbation ntawm tus kab mob thawj zaug, tom qab ntawd nws twb paub lawm tias qhov ua rau txhua tus tsos mob yog mob ntawm tus txiav, uas muaj nws tus kheej cov tsos mob.

Yog tias koj muaj qhov mob nyob hauv plab ua hauj lwm ntawm dyspeptic, nws raug nquahu kom kuaj xyuas los ntawm tus kws kho mob, uas tom qab ntawd yuav sau ntawv kho thiab qhia koj tias yuav ua li cas.

Nrog rau mob hnyav thiab tsis tuaj yeem tshem tawm qhov ntuav, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd.

Pab pawg neeg tos neeg mob yuav xa tus neeg mus rau hauv chav saib xyuas mob hnyav, vim tias kev txhim kho cov dej-electrolyte metabolism yog tsim nyog, thiab qhov no tuaj yeem ua tau ib txwm nyob hauv tsev kho mob. Cov xwm txheej no yog qhov txaus ntshai rau tib neeg lub neej, yog li nws tau txwv tsis pub ncua sijhawm mus ntsib kws kho mob, yog tias muaj.

Muaj qhov tshwm sim siab heev uas ua rau exacerbation ntawm pancreatitis yuav ua rau kev tiv thaiv ib nrab ntawm pancreatic kawg, uas tom qab ntawd yuav tsum muaj kev phais mob.

Yog tias cov tsos mob sib dua me ntsis, piv txwv li, yog tias qhov tseeb ntxiv ntawm tus mob pancreatitis qhia nws tus kheej nrog mob mob npub, qhov nce ntawm qhov tso quav ntau zaus, xeev siab, koj tuaj yeem tos kom txog thaum sawv ntxov mus rau hauv tsev kho mob hauv zos.

Coob tus neeg ntshai cov kws kho mob thiab ua rau muaj kev tsis xis nyob, yog li ntawd lawv tsis maj maj pib kho, uas yog ua yuam kev loj. Sij hawm dhau sijhawm, kev puas tsuaj ntawm lub txiav thiab hloov chaw ntawm cov nqaij nrog cov rog lossis cov nqaij sib txuas yog sai dua.

Qhov no yuav cuam tshuam kev zom zaub mov thiab tuaj yeem ua rau ntshav qab zib.

Kev Kho Mob

Raws li txoj cai, exacerbation ntawm tus mob leeg rau lub qog mob tsis dhau ntev dua ib lub lim tiam. Cov theem no tsis ua rau muaj kev hem thawj rau tus neeg mob lub neej thiab tsis ua rau muaj kev cuam tshuam tag nrho ntawm lub cev, tab sis nws cov tsos mob thiab cov paib tiv thaiv tus neeg los ntawm lub neej tag nrho.

Ua ntej tshaj plaws, koj yuav tsum txiav txim siab lub hom phiaj ntawm kev kho mob nyob rau hauv cov kev mob theem ntawm tus mob huam tiaj:

  1. Nres mob;
  2. Rov muab cov kua dej hauv lub cev rov qab;
  3. Txo cov load rau ntawm lub txiav, qhov no yuav nres qhov kev txom nyem ntawm qhov xwm txheej.

Thaum thawj zaug hu rau tus kws kho mob, cov tshuaj tiv thaiv nonsteroidal ua rau mob rau tus neeg mob. Raws li txoj cai, cov tshuaj txo tus mob huam sai.

Paracetamol muaj ntau heev, nws muaj cov tsis zoo ntawm lub plab zom mov. Paracetamol yuav tsum tsis txhob noj yog tias muaj kab mob siab. Peb yuav tsum tsis txhob hnov ​​qab tias cov tshuaj muaj cov nyhuv hepatotoxic.

Yog tias qhov mob tsis ploj nrog kev pab ntawm cov tshuaj no, tom qab tus neeg mob yuav tsum tau kho cov tshuaj loog. Feem ntau, qhov no yog tramadol.

Cov tshuaj ntxiv kom tsis txhob mob tus mob yog:

  • pancreatic enzymes: creon thiab pangrol;
  • antispasmodics: papaverine thiab drotaverine;
  • proton twj tso kua mis inhibitors: rabeprazole, lansoprazole.

Txhawm rau kom rov qab cov dej-electrolyte sib npaug, tus neeg mob raug txhaj nrog physiological saline: 5% piam thaj lossis 0.9% sodium chloride.

Kev mob hnyav hypovolemia yuav tsum tau teem caij rau cov kev daws teeb meem colloidal, uas yog gelatin lossis rheopolyglucin. Nrog rau los ntshav, tag nrho cov ntshav ntxiv lossis kev qhia ntawm cov qe ntshav liab yog qhia.

Txhawm rau daws qhov mob siab rau, kev ntsuas raws li hauv qab no yuav tsum tau ua:

  • rog-kev noj haus lossis yoo mov tau ob peb hnub;
  • ua tiav kev txiav luam yeeb thiab haus dej cawv;
  • noj tshuaj octreotide - ib qho tshuaj - ib qho sib piv ntawm somatostatin, ib qho tshuaj hormones ntawm lub txiav.

Kev tiv thaiv kev ntsuas

Exacerbations yog ib qho ntawm cov xeeb ceem ntawm mob txha caj qaum. Tus neeg mob yuav tsum xyuas kom meej tias kev tshem tawm qhov nyuaj tshwm sim muaj tsawg li sai tau. Lub tswv yim zoo: tsis muaj ntau tshaj ib zaug hauv ob peb xyoos.

Koj yuav tsum ua dab tsi rau qhov no? Nws yog ib qho tseem ceeb uas yuav tau saib xyuas koj txoj kev noj zaub mov kom zoo, tso tseg kev haus cawv thiab haus luam yeeb.

Ntxiv rau, cov fractional fais fab tuag yog qhov ua tau zoo. Hauv qhov no, cov tsos mob thiab cov cim ntawm cov teeb meem yuav tsis tshwm sim ntev. Lub tswv yim zoo yuav yog qhov kev xaiv ntawm daim ntawv qhia zaub mov ntawm 5 lub rooj rau ib lim tiam.

Yog hais tias qhov ua rau kom tus mob hu ua pancreatic yog pathology ntawm cov kabmob lossis cov kabmob, tomqab ntawd yuav tsum kho kom sai li sai tau.

Txhawm rau tiv thaiv exacerbation ntawm mob txha cajqaum, koj xav tau:

  • txwv cov calories kom tsawg, tiv thaiv kev hnyav ntxiv;
  • nruj me ntsis txwv cov rog hauv cov zaub mov noj;
  • noj ntau thiab feem;
  • Tsis txhob mus koom nrog tej rooj noj mov nrog rau kev haus cawv thiab zaub mov ntau;
  • ua ntej siv cov tshuaj siv sab laj nrog koj tus kws kho mob.

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