Kev siv tshuaj kho kab mob pancreatitis yog nrov heev, txij li tsuas yog nrog nws cov kev pab nws muaj peev xwm txhim kho tus neeg mob tus mob. Ua ntej koj pib noj ib qho tshuaj twg, koj yuav tsum tham nrog tus kws kho mob tshwj xeeb.
Pancreatitis yog ib yam kab mob xws li mob hlab ntsws Qhov mob no tuaj yeem tsim tau vim qhov tseeb tias ib tus neeg yav dhau los tau mob kis tus kab mob, nrog rau vim muaj qhov raug mob, mob plab hnyuv, vim haus cawv ntau dhau lossis ntau dhau.
Ntxiv rau, qhov ua rau yuav raug rau caj ces. Cov tsos mob tseem ceeb ntawm tus mob no suav nrog cov tsos mob hauv qab no:
- tsis qab los;
- xeev siab
- kev nqhis dej
- ua txhaum ntawm microbial tsis txaus.
Kev kho ntawm pancreatitis nrog tshuaj
Koj yuav tsum sab laj tus kws kho mob, kuaj xyuas, vim li ntawd, tus kws kho mob yuav tshaj tawm txoj kev kho mob nrog cov tshuaj tsim nyog.
Kev siv tshuaj kho mob tuaj yeem ua raws qhov siv ntau yam kev sib txuam ntawm cov tshuaj, ntau npaum ntawm qhov tau txiav txim siab tsuas yog tus kheej.
Cov kws kho mob sau tawm nyiaj hauv daim ntawv ntawm cov tshuaj ntsiav, microgranules. Cov foos cov yeeb tshuaj no muaj kev ua nrawm heev.
Vim yog kev kho mob nrog kev siv txoj kev kho mob, nws muaj peev xwm kom tshem tawm qee yam cim ntawm tus kabmob, piv txwv, raws plab, uas tuaj yeem tshwm sim vim yog cov txheej txheem ua mob hauv lub qog thiab tsis zoo ntawm cov rog.
Rau kev kho mob los ntawm kev mob nkeeg, ib txoj kev siv dag siv los kho, nws suav nrog:
- enzyme inhibitors
- cov kab mob tua kab mob
- cov enzymes
- tshuaj antispasmodic thiab anticholinergic,
- H2 blockers
- tshuaj tiv thaiv kab mob.
Cov tshuaj tiv thaiv (blockers) ntawm pancreatic enzymes.
Enzyme inhibitors (kontrikal, gordoks, trasilol, antagozan) yog siv los txo cov haujlwm ntawm pancreatic proteases, uas ua rau mob thiab kis ntawm pathologies.
Cov nyiaj no yog tsim los ntawm cov txiav ua tsiaj txhu thiab kab mob pulmonary parenchyma ntawm cov tsiaj. Qhov ua tau hauj lwm zoo tshaj plaws yog kev siv cov enzyme inhibitors ntawm thawj hnub ntawm tus kab mob.
Cov kab mob tua kab mob.
Cov kab mob no tau txhawb kom txo cov txheej txheem ua mob rau hauv cov txiav thiab hauv cov nqaij ze, nrog rau cov plab hnyuv siab.
Nrog kev pab ntawm cov tshuaj tua kab mob, koj tuaj yeem zam:
- pancreatic pancreatic necrosis;
- purulent mob ntawm lub hnab ntim khoom pov tseg;
- o ntawm peritoneum;
- rotting cellulitis cellulose retroperitoneal qhov chaw.
Siv tshuaj tua kab mob nrog ntau cov teebmeem. Cov no suav nrog: cephalosporin, penicillin, fluoroquinolone, macrolide.
Cov Enzymes
Cov kab mob no muaj cov roj ntsha ua rau pancreatic xws li lipase, amylase, thiab protease: pancectin, creon, pancurmen, festal, enzistal, thiab panzinorm.
Kev kho mob nrog cov cuab yeej siv kho mob no muaj cov kev mob tshwm sim hauv lub cev:
- calms tus txiav;
- txhawb kev nqus zoo dua ntawm cov protein, cov rog thiab carbohydrates;
- txhim kho kev zom ntawm cov zaub mov;
- tshem tawm dyspepsia.
Cov tshuaj Antispasmodic.
Nrog cov leeg ntawm cov nqaij ntshiv, uas cuam tshuam nrog cov txheej txheem pathological hauv cov kua tsib lub cev thiab ua haujlwm tsis zoo ntawm cov plaub hau fibro, nws ua qhov tsim nyog los noj tshuaj antispasmodics.
Qhov kev tshwm sim tshwm sim vim qhov ua haujlwm tsis zoo ntawm cov pob txha caj qaum hauv lub pancreatic duct, uas ua rau nws tsis yooj yim kom tau txais cov kua txiv pancreatic rau hauv duodenum.
Raws li txoj cai, lawv siv cov tshuaj antispasmodic:
- mebeverin
- papaverine
- tsis-shpa
- drotaverinum
- spasmodic
- tav
- spasmol.
Cov tshuaj Anticholinergic
Lub peev xwm tseem ceeb ntawm cov tshuaj anticholinergic yog kom txo tau cov txiaj ntsig ntawm acetylcholine thiab cholinomimetic xyaw.
Muaj ntau hom anticholinergics no: nicotinolytics thiab muscarinolytics. Rau kev kho mob ntawm kev mob ntsig txog leeg, raws li txoj cai, muscarinolytics siv: pirenzepine, plab zom mov, gastrosipine.
Cholinolytic tshuaj thaiv cov kab mob pathological hauv lub hlwb cortex thiab ganglia, qhov no ua rau txo qis ntawm lub nrawm ntawm cov neuromuscular synapse, thaum lawv cov haujlwm ua haujlwm zoo li qub, thiab cov txheej txheem tsav-tawm mus los tau zoo dua.
Cov tshuaj Cholinolytic:
- metacin
- atropine
- platyphyllin
- chlorazine
- antispasmodic.
Cov tshuaj no feem ntau yog siv ua tshuaj tiv thaiv zoo.
Tshuaj Antacids
Cov no yog cov tshuaj uas cuam tshuam rau kev kho mob ntawm cov kua qaub ua kom muaj kab mob ntawm txoj hnyuv txhawm rau txhawm rau tso dej kom tawm ntawm hydrochloric acid ntawm lub plab ua kua.
Qhov tsim muaj ntau dua ntawm hydrochloric acid txhim kho kev zais cia ntawm lub txiav, vim li no, nrog rau kev mob ntev ntawm kev mob ntxiv ntawm kab mob, cov neeg sawv cev raug siv uas txo lub zais ntawm lub plab, uas txo cov nyhuv ntawm hydrochloric acid.
Antacids yog cov uas nqus los ntawm lub cev thiab tsis nqus. Los ntawm cov kab mob pancreatitis, tshuaj tiv thaiv tsis muaj zog tiv thaiv kab mob yog los ntawm:
- alumag
- Almagel
- maalox,
- altacid
- maalucol,
- mob plab
- palmagel.
Cov tshuaj tiv thaiv kab mob no muaj cov tshuaj xws li txhuas thiab magnesium, uas tuaj yeem nqus pepsin, lysolecithin, kua tsib kua qaub, thiab kuj tiv thaiv tau.
Hauv kev kho mob ntawm pancreatitis, antacids tsis siv cais los ntawm inhibitors.
Blockers-H2
Rau kev siv ua haujlwm antisecretory, H2-blockers yog siv:
- ranitidine
- kev tshaib plab
- nizatidine.
Antisecretory txoj kev kho yog siv los txo kev tsim cov kua qaub los ntawm lub plab, vim tias hydrochloric acid yog qhov tseem ceeb rau kev tsim cov secretin, uas koom nrog kev tsim cov ntsev bicarbonate los ntawm epithelium ntawm pancreatic ducts.
Raws li qhov ua tau, txo qis hauv cov khoom ntim ntawm cov kua qaub, nrog rau cov ntsev bicarbonate, ua rau muaj txiaj ntsig ntawm kev kho ntau dua.
Kev Kho Mob Nta
Kev kho ntawm pancreatitis yog txiav txim siab purely ntawm tus kheej, ib yam li kev kho mob ntawm pancreatitis nrog kev kho mob.
Kev siv tshuaj kho kab mob ntawm pancreatitis yuav tsum tau nqa tawm ntawm kev ua kom lub txaj pw so kom nruj, cais cov zaub mov, feem ntau nrog kev nce cov protein ntau. Tus neeg mob yuav tsum ua raws li cov khoom noj no tsawg kawg 21 hnub.
Thaum tus neeg mob tau mob hnyav ntxiv ntawm chav kawm ntawm tus kab mob, tom qab ntawd tshaib plab rau ob peb hnub tuaj yeem pab nws, nws yog qhov tseem ceeb tshwj xeeb kom mus rau txoj kev kho kom zoo yog tias nws muaj mob txhaws khov rau menyuam yaus.
Yog hais tias lub qog ua haujlwm tsis zoo ntau dhau lawm, qee zaum nws yuav nyuaj rau zam kev phais mob. Tom qab ntawd, laparoscopy yog siv los kho tus mob pancreatitis.
Kev pab txhawb nqa tej zaum yuav tsim nyog los kho tus mob no. Tom qab ntawd txoj kev kho tshuaj ntawm pancreatitis muaj nyob rau hauv kev noj tshuaj xws li pancreatin. Raws li txoj cai, nws tau coj ntev. Tus neeg mob niaj hnub thiab pheej noj cov tshuaj no.
Kuj tseem siv los kho tus kab mob pancreatitis:
- choleretic tshuaj;
- enveloping cov neeg sawv cev;
- tshuaj hormonal ntawm anabolic thiab hom steroid.
Nws yog qhov ua tau rau haus tshuaj xws li mezim-forte, festal.
Thaum mob hnyav tshwm sim, cov kws kho mob, raws li txoj cai, tus cwj pwm tshwj xeeb antienzyme.
Kev siv cov tshuaj antispasmodic, analgesics kuj feem ntau ua txoj hauv kev zoo los kho tus mob pancreatitis.
