Pancreatic o

Thawj cov ntawv xov xwm ntawm kev tshawb fawb txog cov kab mob ntawm cov mob ua paug (txiav), tshwj xeeb - ntawm kev mob o, tshwm sim li ntawm XIX xyoo pua. Cov chaw kuaj mob tau piav qhia, cov ntaub ntawv ntawm lub cev lub cev tau muab, thiab cov qauv ntawm lub cev thiab qhov ua haujlwm tau coj los kawm. Qhov kawg ntawm tib lub xyoo pua, kev ua tiav kev phais mob ntawm lub qog tau pib, tso cai rau tshem tawm qhov tshwm sim ntawm cov txheej txheem mob (tshem tawm foci ntawm necrosis thiab purulent abscesses) thiab muab cov neeg mob nrog ntau xyoo ntawm lub neej.

Kev mob ntsig txog pancreatic, cov tsos mob thiab kev kho mob ntawm cov kab mob no, uas tsis yog hu ua pancreatitis, tseem yog ib lub ncauj lus tseem ceeb hauv peb lub sijhawm. Kev nthuav dav ntawm kev kuaj mob muaj peev xwm, piv nrog xyoo dhau los, tuaj yeem hu ua cov laj thawj tseem ceeb uas tshwm sim ntawm kev mob ntxiv ntawm pancreatitis. Tab sis cov txheej txheem no tseem cuam tshuam los ntawm txoj kev ntawm lub neej ntawm tib neeg, tshwj xeeb tshaj yog khoom noj khoom haus thiab kev ua haujlwm, kev xav tau, qee zaum, ntawm cov tshuaj muaj yees. Thaum muaj hnub nyoog 40 xyoo, qhov mob hnyav tshwm sim feem ntau ntawm cov txiv neej, tab sis feem ntau ntawm cov poj niam muaj kev txom nyem los ntawm pancreatitis feem ntau.

Hauv cov nqe lus kho mob thiab kwv yees, txhua daim ntawv ntawm tus mob ua xua yog suav tias yog ib qho kab mob tseem ceeb heev. Raws li qhov xav tau kev phais mob ceev, cov mob pancreatitis nyob hauv qhov chaw thib 3, tom qab mob hnyuv tws thiab cholecystitis. Ua tsis tiav muab kev kho mob kom ncav sijhawm yuav ua rau kev tsim nyob rau hauv lub cev ntawm foci ntawm hemorrhage, "melting" thiab necrosis, uas tuaj yeem cuam tshuam ncaj qha rau tus neeg mob lub neej. Ntev ntawm cov kab mob pancreatic, uas tshwm sim nrog qhov txo qis hauv cov khoom hauv lub cev muaj peev xwm ua haujlwm, kuj yog qhov txaus ntshai thiab tsis muaj qhov tsis zoo, uas ua rau muaj kev tsim ntau cov kab mob concomitant.

Thaum lub hnub nyoog hluas, o feem ntau mob rau txiv neej

Lub hauv paus ntsiab lus ntawm o

Cov txheej txheem mob tshwm sim hauv cov hloov khoom nruab nrog thiab cuam tshuam tag nrho nws cov qauv yuav txo qis kev ua tiav ntawm tus txiav, nrog rau qhov cuam tshuam rau lub cev muaj sia. Nws tuaj yeem raug hu ua polyetiological, uas yog, txhim kho los ntawm qhov kev tshwm sim hauv kev cuam tshuam ntawm ntau yam cuam tshuam.

Txhua yam ua rau ntawm tus mob pancreatic tuaj yeem sawv cev raws li hauv qab no:

• mob plab (kaw lossis qhib);
• kev phais mob ntawm lub plab plab;
• mob hnyav ua txhaum rau cov ntshav mus rau ntawm lub txiav yog vim cov ntshav txhaws lossis cov ntshav txhaws hauv txoj hlab ntshav ntawm lub cev, lawv cov plaub ntug thaum ua haujlwm lossis nyem;
• cov kab mob ntawm cov kabmob uas nyob ib sab ntawm tus kabmob caj pas (piv txwv li, nrog pathologies ntawm txoj hnyuv, cov kab mob tuaj yeem muab pov tseg los ntawm duodenum mus rau hauv lub plab loj ntawm lub caj pas, vim tias nws tuaj yeem ua rau mob. Nrog rau pathology ntawm txoj hnyuv, nws cov ntsiab lus tseem tuaj yeem nkag mus rau hauv lub txiav, nrog tib lub txim);
• lom los ntawm hnyav hlau, alkalis;
• kev ua xua lossis autoimmune cov txheej txheem;
• kev haus dej haus cawv ntau dhau;
• yuam kev hauv kev noj zaub mov (quav ntxiv rau cov rog, haus luam yeeb, kib, ntsim ntsim);
• pathology ntawm lwm cov qog endocrine (qhov chaw mos, parathyroid);
• kis kab mob (tus mob qog, mob siab);
• cov kab mob cab (toxoplasmosis);
• metabolic ntshawv siab ntawm cov rog;
• thauj cov tshuaj, tshwj xeeb tshaj yog cov tshuaj hormonal;
• kev tsis zoo ntawm lub cev nqaij hlav tawv nqaij;
• kev tshuaj ntsuam genetic predisposition.

Cov mob huam loj tuaj feem ntau yuav tsum tau rov ua haujlwm.

Cov cim ntawm tus kab mob

Thawj theem ntawm cov txheej txheem inflammatory yog ib txwm muaj cov cim qhia tshwj xeeb ntawm tus txiav ua ke ntawm daim ntawv ntawm cov tsos mob ntawm tus mob huam, nrog rau qhov mob tsis meej nyob rau hauv cov mob feem ntau ntawm tus neeg mob vim kev loj hlob ntawm intoxication syndrome thiab cuam tshuam ntawm cov metabolism. Ib qho cuam tshuam ntawm kev nthuav dav tshwm sim, uas yuav luag zoo tib yam ob qho tib si hauv kev nthuav dav ntawm pancreatitis thiab hauv qhov tsis zoo ntawm kev ua ntu zus los mus. Hauv rooj plaub tom kawg, txawm li cas los xij, kev siv tshuaj ntawm qee cov tsos mob tuaj yeem raug txo tsawg.

Feem ntau, txhua yam tshwm sim ntawm tus mob leeg hlwb rau cov neeg laus ntxiv rau hauv daim duab hauv qab no:

• mob hnyav nrog lub hauv zos nyob rau sab sauv, uas tseem tuaj yeem hnov ​​nyob rau sab laug thiab sab xis hypochondrium (los ntawm hom kev sib tw), hauv thaj av ntawm lub plawv, tom qab sternum. Nrog mob ntawm lub taub hau pancreatic, qhov mob yuav muaj zog dua hauv qab lub plab thiab hauv txoj cai hypochondrium, thiab nrog kev kis mob ntawm tus kab mob pancreatic, nws muaj zog ntau dua nyob rau thaj tsam ntawm sab laug hypochondrium. Kev hnyav rhuav tshem ntawm cov khoom nruab nrog cev pob txha caj dab thiab lub suab nrov ntau dua ntawm cov ducts, qhov sib zog mob huam tuaj. Tab sis nrog rau qhov pib ntawm necrosis, qhov mob feem ntau poob qis thiab tsis sib haum rau qhov mob ntawm pathology.
• Txo qhov mob, cov neeg mob siv zog hloov tas li hloov lawv txoj haujlwm, tab sis yuav tsis muaj txiaj ntsig;
• xeev siab thiab mob ntuav rov qab ntuav, nrog impurities ntawm mucus, bile, qee zaum ntshav;
• daim tawv nqaij yog daj ntseg, ntsej muag, noo noo, uas cuam tshuam nrog poob hauv ntshav siab. Yog hais tias muaj qhov cuam tshuam ntawm cov kua tsib lub plab nrog pob zeb koom nrog cov mob hauv cov hlab (nrog rau cov kab mob pob zeb), tom qab ntawd qhov muag pom ntawm daim tawv nqaij thiab cov qog ua kua tau tshwm tuaj;
• kub taub hau, lub plawv dhia, lub cev tsis muaj zog yog cov tsos mob ntawm tus mob intoxication. Qhov kub siab (ntau dua 39 qib), tsis teb rau cov tshuaj tiv thaiv kev tiv thaiv, feem ntau ua rau daim ntawv puas tsuaj thiab necrotic ntawm pancreatitis;
• qee zaum hnov ​​(tsam plab) qee zaum sau tseg;
• nyob rau hauv cov teeb meem loj, thaum lub cev mob siab nrog kev txhim kho sai sai ntawm kev rhuav tshem lossis tawm tsam keeb kwm ntawm lwm txoj kev taug, cov kab ke hauv lub cev (ua pa, mob plawv, mob siab, lub raum tsis ua haujlwm) koom nrog.

Cov txheej txheem mob txheej txheem txuas nrog tsim ntawm foci ntawm autolysis thiab necrosis

Yog tias tus mob hlab ntsws mob, yog li yuav tsum tau mus pw hauv tsev kho mob sai sai, txwv tsis pub muaj feem yuav ua kom muaj mob loj rau lub neej. Tus mob peritonitis, phlegmon thiab ua mob ntawm lub plab hauv plab, necrosis ntawm cov kabmob nyob ze tuaj yeem koom nrog tus mob pancreatitis, uas ua rau muaj qhov tshwm sim tsis zoo ntxiv.

Hauv kev ua tiav ntawm kab mob pancreatitis, cov txheej txheem tsis zoo hauv kev txiav txim siab tsis nres txawm tias lub sijhawm zam. Maj mam, cov chaw ntawm autolysis, necrosis thiab rhuav tshem yog hloov los ntawm cov ntaub so ntswg sib txuas, uas ua haujlwm tsuas yog cov yam ntxwv ntawm kev ua haujlwm, tab sis tsis tsim cov enzymes lossis cov tshuaj hormones. Yog li ntawv, tus neeg mob lub cev tseem mob ntxiv, suav nrog qhov tshwm sim ntawm kev txhim kho ntawm ntau yam kev cuam tshuam. Cov no suav nrog kev tsim cov ntshav qab zib mellitus, tawv nqaij daj ntseg, thiab hepatic-raum tsis ua haujlwm.

Txhawm rau kuaj xyuas kab mob pancreatitis, yuav tsum tau kuaj ntshav.

Yog li, yog tias tus mob kab mob ntsws ua rau yuv thawj zaug lossis twb muaj tus mob puas ua tiav pancreatitis, tus neeg mob xav tau kev saib xyuas tshwj xeeb. Koj yuav tsum tsis txhob ua cov kauj ruam tsis raug cai hauv kev kho mob, tsis li ntawd koj tuaj yeem tsim kev puas tsuaj loj. Nws yog ib qho tseem ceeb uas yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb hauv tsev kho mob uas cov neeg muaj peev xwm kuaj pom cov kab mob pathology.

Kev kuaj mob

Thawj kauj ruam kuaj mob yog sau cov neeg tsis txaus siab. Yuav luag tib lub sijhawm nrog nws, kev tshuaj xyuas yog ua tiav, thaum lub sijhawm pom tus tsos mob ntawm pancreatic o.

Cov kauj ruam tom ntej yog kev kuaj sim, nrog rau kev kawm txog ntshav thiab zis. Ntawm cov hau kev, duab hluav taws xob, MRI, CT, ultrasound raug kho. Qee zaum laparoscopy thiab gastroduodenoscopy yuav tsum.

Cov ntaub ntawv tau pab ua kom meej meej rau kev kuaj xyuas tus mob pancreatic thiab tshem tawm cov kab mob pathologies xws li mob hnyuv tws, cholecystitis, perforated pais plab, mob plab hnyuv, ua kom mob myocardial infarction, mob plab hnyuv.

Qhov tsim nyog ntawm cov tais diav yog qhov tseem ceeb ntawm kev coj ua ntawm txoj kev kho rau tus mob ntawm cov txiav

Cov hau kev thiab hom phiaj ntawm kev kho

Kev kho mob ntawm kev mob ntawm tus txiav, mus rau hauv ib qho kev mob hnyav, yog nqa los ntawm chav phais neeg hauv tsev kho mob lossis hauv kev tu mob siab. Cov txheej txheem ntawm kev kho mob yuav txawv me ntsis ntawm ib leeg, vim yog hom mob ntawm cov txiav, tus mob hnyav, thiab muaj cov mob hnyav. Nyob rau hauv txhua rooj plaub, yuav ua li cas thiaj daws tau tus mob ua xua thiab yuav kho tus mob li cas yav tom ntej, yog txiav txim siab ib tus zuj zus, thiab lub hom phiaj tseem ceeb ntawm txoj kev kho tuaj yeem sawv cev raws li hauv qab no:

Kev Pleev Xim rau koj rau mob pancreatitis

• los ua cov haujlwm uas yuav daws qhov mob, nres qhov xeev siab thiab ntuav;
• txo cov khoom lag luam ntawm cov zom zaws zom zaws los ntawm cov hlau, ua kom lub sijhawm ruaj khov;
• normalize ntshav siab;
• normalize microcirculation hauv hloov khoom nruab nrog;
• los tiv thaiv purulent cov teeb meem;
• nqa tawm detoxification, uas yog, ntxuav lub cev ntawm co toxins thiab khoom lwj.

Rau qhov no, kev paub meej tag nrho ntawm cov tshuaj yog tshuaj, tab sis lub ntsiab - los kho cov mob ntawm tus mob sai sai yuav tsum tawm tsam keeb kwm ntawm kev ua tiav kev noj mov los ntawm lub qhov ncauj tsis pub dhau 3-5 hnub, tag nrho cov as-ham tau xa mus rau lub cev parenterally. Rau qhov no, cov khoom sib xyaw tshwj xeeb uas muaj cov tshuaj electrolytes thiab amino acids (Aminosol, Alvezin, calcium thiab potassium ntsev), uas tau tswj hwm los ntawm cov neeg poob dej, tau tsim kho.

Txhua yam tshuaj tuaj yeem faib ua pawg hauv qab no:

• painkillers;
• antihistamines;
• antienzyme;
• rau detoxification;
• raws li kev taw qhia, kev qhia ntawm cov enzymes plab.

Txij li thaum mob hnyav ntawm tus mob ntawm tus txiav, spasmodic excretory ducts ntawm cov khoom nruab nrog yog ib qho ntawm qhov mob, nws yog qhov tsim nyog los ua kom tsis tu ncua lawv lub suab, uas tseem ua rau kev kho kom rov zoo dua qub. Yog li cov tshuaj antispasmodics xav tau, xws li No-Shpa, Drotaverin, Papaverin, Spazmalgon, Duspatalin, uas feem ntau tau tswj hwm qhov quav rau thaum muaj xwm txheej ceev. Yog hais tias lawv cov hauj lwm zoo tsawg, ces txhaws tau nqa nrog Novocaine lossis Lidocaine hauv thaj av ntawm txoj kab ncig ntawm daim siab los yog hauv cov nqaij perinephric, nyob ntawm seb qhov twg ntawm cov khoom nruab nrog yog feem ntau cuam tshuam los ntawm o, lub taub hau lossis ko tw ntawm cov txiav.

Cov kev qhia ntxiv ntawm kev tiv thaiv kev tsis haum, tshwj xeeb tshaj yog cov tshuaj antihistamines, txhais tau tias kev tiv thaiv kev txhim kho ntawm kev muaj feem tshwm sim ntawm kev tsis haum tshuaj. Txhawm rau ua qhov no, koj yuav tsum noj Cetirizine, Allegra, Loratadin, Xizal. Cov tshuaj ntawm cov pab pawg no muaj peev xwm ntxiv tau tshem tawm qhov tshwm sim ntawm edema hauv caj pas, txo qhov permeability ntawm cov vascular phab ntsa thiab nres kev ua haujlwm ntawm kev tawm ntawm cov ntshav ntshav mus rau hauv qhov chaw sib cais.

Cawv yuav ua rau mob puas hlwb, uas hawv ib tus neeg lub neej

Qhov kev taw qhia tseem ceeb tshaj plaws hauv kev kho mob ntawm qhov mob voos yog kom nres kev tsim cov hnyuv zom zaub mov los ntawm lub caj pas, uas pab khaws kev coj ncaj ncees ntawm cov khoom nruab nrog. Antisecretory (antienzyme) kev npaj tshuaj yog tshuaj, xws li Trazilol, Kontrikal, Gordoks, Amidopyrine, Ribonuc Please. Txawm li cas los xij, kev zom yuav tsum txuas ntxiv tiv thaiv keeb kwm yav dhau los ntawm o, qhov no yog ua los ntawm kev hloov pauv ntawm cov enzymes (tshuaj Festal, Pancreatin, Mezim, Creon). Lawv kuj yog qhov tsim nyog tom qab kev txo qis ntawm kev mob hnyav, yog tias muaj kev ua haujlwm tsis zoo rau pancreatic.

Txhawm rau nqa tawm detoxification nyob rau lub sij hawm mob hnyav, kev tswj hwm ntshav ntshav hloov chaw thiab, raws li kev taw qhia, hloov ntshav ntshav yog nqa tawm. Xws li kev ntsuas yog qhov tsim nyog nyob rau hauv feem ntau cov chaw kuaj mob, txhawm rau tshem tawm cov khoom lag luam sai sai thiab co toxins tawm hauv lub cev. Tus nqi tseem ceeb ntawm Reopoliglukin, Rondex, lossis Polyglukin yog muab rau cov neeg mob, uas ua kom tag nrho cov ntshav ntxiv, vim tias qhov txo qis hauv cov concentration ntawm cov teeb meem hauv cov ntshav tau tiav. Tsis tas li ntawd, cov tshuaj tua kab mob (tshuaj kho mob ntshav qab zib) tau muab rau tshem cov co toxins thiab lwj cov khoom hauv ob lub raum, yog li "ntxuav" cov ntshav.

Kev siv tshuaj kho mob yuav siv sij hawm ntev tom qab lub cev hloov kho ntawm tus neeg mob, nws yog tsom rau lub luag haujlwm ntawm lub qog, tiv thaiv exacerbations thiab cov teeb meem, ntxiv dag zog rau lub cev. Qhov kev xaiv ntawm cov tshuaj yog nqa los ntawm tus kws kho mob mus kawm, raws li daim ntawv foos thiab qhov tsis txaus ntawm pancreatitis.

Tom qab txoj kev daws mob zoo li mob sai, kev kho mob rau daim npluag qhwv tsis chwv thiab cuam tshuam rau tus kheej kev noj haus. Tus neeg mob tau muab lub rooj noj mov kho mob 5p, lossis noj zaub mov tshwj xeeb uas tau sau meej meej txog yam koj tuaj yeem noj thiab haus thiab yam uas raug txwv tsis pub siv. Ntxiv rau cov npe ntawm cov khoom noj uas raug tso cai thiab txwv tsis pub siv, cov hau kev ntawm lawv cov kev npaj tau kuj tau teev tseg. Muab qhov xav tau kho tshuab, thaum tshav kub kub thiab lub cev kis ntawm cov ntaub so ntswg, nrog rau lwm yam ntawm cov plab hnyuv plab zom mov, cov khoom lag luam yuav tsum tau muab rhaub, ncu, ci lossis siav "steamed". Nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tau koj kib hauv cov roj lossis cov grill.

Nws yog ib qho tseem ceeb heev uas tus neeg mob lub cev noj zaub mov txhua hnub tsis muaj roj, haus luam yeeb, qaub, zaub mov qab, nrog rau cov khoom noj muaj acidic txhim kho cov kev ua si ntawm thaj chaw thiab ua rau nthuav tawm ntawm kev tsom xam ua mob hauv cov khoom nruab nrog.

Yog li, cov khoom lag luam hauv qab no yog txwv tsis pub muaj:

• cov khob cij tshiab, khoom qab zib;
• rog ntau yam ntawm cov nqaij, ntses, nqaij qaib;
• cov hnyuv ntxwm thiab cov khoom lag luam yeeb;
• pickles, marinades;
• cov khoom noj siv rog rog siab siab;
• cov khoom noj muaj fiber ntau (legumes, millet, pob kws, pearl barley, zaub qhwv, nceb, radish, radish);
• cov nqaij ua kua thiab ntses;
• kib qe;
• qaub txiv hmab txiv ntoo thiab txiv ntoo;
• kas fes, muaj zog tshuaj yej, dej tsis muaj zog;
• dej cawv haus nrog cov ntsiab lus cawv ethyl.

Kev kho mob noj tshuaj rau mob qa foob yeej zoo siab txais tos

Txhua yam khoom lag luam raug tso cai, nws yog qhov tseem ceeb ua raws li cov cai rau lawv npaj. Nws tseem tsis tuaj yeem kho qhov mob ntev ntev ntawm tus txiav tsis muaj kev noj haus tsis tu ncua, txawm tias tsis muaj kev cuam tshuam rau ntau xyoo. Tus neeg mob yuav tsum tsis txhob hnov ​​qab tias koj tuaj yeem thiab tsis noj mov, haus dej txaus, 2-2,5 litres ib hnub.

Tom qab cov tsos mob tshwm sim ntawm txoj kev o thiab ua rau mob ntsws sai, mob lwm txoj kev kho tau txais tos heev. Nrog kev tso cai los ntawm tus kws kho mob, koj tuaj yeem siv tshuaj ntsuab xws li chamomile, celandine, dandelion, violet, mint, hawthorn. Lawv txhim kho kev zom zaub mov thiab peristalsis, tshuaj loog, "muab" cov vitamins, amino acids, cov ntsiab lus. Kev dai kom zoo nkauj thiab infusions yog npaj los ntawm lawv, uas yuav pab raws li ib txoj hauv kev ntxiv ntawm txoj kev kho. Ntawm no yog ib qho piv txwv ntawm daim ntawv qhia rau tshuaj ntsuab tshuaj ntsuab infusion:

• hliv dej npau npau nrog ib lub ntim ntawm 1 liter ib tablespoon ntawm qhuav mint;
• hais tias 10-15 feeb;
• haus 100-150 ml ua ntej noj mov.

Feem ntau ntawm cov chaw kuaj mob, txoj kev siv txhag cia yog qhov txaus. Tab sis, nrog kev tsim ntawm purulent foci, muaj cov pob zeb nyob hauv lub ducts lossis kev kuaj pom lub qog, kev phais mob yog qhov yuav tsum tau ua.