Feem ntau, kev mob pancreatitis tau zoo kho nrog kev pab ntawm kev noj haus tshwj xeeb thiab kev siv tshuaj kho. Feem ntau feem ntau txaus antispasmodics, enzyme thiab antisecretory tshuaj. Tab sis kwv yees li 20% ntawm cov neeg mob tau mob tus mob no nyob hauv daim ntawv hnyav heev. Kev muaj mob hauv lawv yog hloov zuj zus, nws yog qhov ua tau rau txoj kev ua kom huv, muaj kev sib kis ntawm lwm cov kabmob ntawm lub plab zom mov. Hauv qhov no, kev siv cov tshuaj tua kab mob yog qhov tsim nyog. Lawv pab tiv thaiv kom tsis txhob muaj mob hnyav ntxiv thiab txo qhov mob tshwm sim. Tab sis cov tshuaj tua kab mob rau txiav pancreatitis tuaj yeem siv tsuas yog qhov kawg dhau los thiab qhia los ntawm kws kho mob. Tom qab tag nrho, xws li cov tshuaj tsis zoo cuam tshuam rau lub plab hnyuv microflora thiab muaj ntau yam kev phiv.
Thaum twg lawv xav tau
Cov tshuaj tua kab mob rau txiav txim rau tus neeg laus yog siv los ua qhov kawg, thaum muaj kev pheej hmoo kis mob. Lawv pab nres cov txheej txheem uas kis mus rau lwm qhov ntawm cov hnyuv zom zaub mov. Cov tshuaj no tau sau tseg yog tias tus neeg mob ntsib mob hnyav uas tsis tuaj yeem raug tshem tawm nrog cov tshuaj pleev xim, nrog rau qhov kub nce ntxiv, thiab tseem yog tias muaj kev xoom xaim ntawm kev txhim kho tus kab mob.
Kev kho kom zoo ntawm pancreatitis nrog tshuaj tua kab mob yuav pab nres tus txheej txheem inflammatory, tiv thaiv nws los ntawm kev kis mus rau lwm yam kabmob. Tshwj xeeb feem ntau lawv tau raug teem rau kis mob ceev ntawm tus kab mob. Nyob rau tib lub sijhawm, cov txheej txheem ua mob thiab rhuav tshem cov ntaub so ntswg feem ntau ua rau kev txhim kho cov kab mob flora. Kev siv tshuaj tua kab mob yuav pab tiv thaiv tus mob peritonitis thiab sai sai nres qhov o.
Tab sis nrog kev mob voos tas li, cov tshuaj zoo li no tsis tshua raug siv. Feem ntau, o nyob rau hauv cov ntaub ntawv no yog aseptic, kev loj hlob qeeb. Tsuas yog qee zaum nws muaj nrog cov kev nyuaj. Txog lub hom phiaj prophylactic, tsis tuaj yeem siv tshuaj tua kab mob, txwv tsis pub muaj cov kab mob uas muaj peev xwm tiv taus ib qho yeeb tshuaj twg. Lawv tau sau tshuaj tsuas yog nyob ntawm qhov muaj mob, nrog qhov mob ntawm lub zais leeg, cuam tshuam ntawm cov kua tsib, muaj kev pheej hmoo ntawm lub ducts.
Cov tshuaj tua kab mob rau txiav pancreatitis tsuas yog siv raws li kws kho mob tau hais tseg yog tias muaj mob lossis yog tias muaj kev pheej hmoo ntawm nws txoj kev loj hlob.
Kev ua tsis zoo
Nws yog ib qho tseem ceeb heev uas cov tshuaj tua kab mob rau kev kho mob ntawm txiav txiav yog kws kho mob los ntawm kws kho mob. Ntxiv rau qhov tseeb tias kev siv tus kheej feem ntau xaus nrog kev phiv tsis zoo, qhov kev xaiv tshuaj tsis raug cai tuaj yeem ua rau muaj kev txhim kho ntawm cov kab mob hauv cov kab mob. Vim tias qhov no, cov txheej txheem hloov zuj zus, kev kis tus kab mob, uas tuaj yeem ua rau tuag taus.
Thaum noj tshuaj tiv thaiv kab mob, kev ua xua tuaj yeem tshwm sim. Tab sis feem ntau lawv ua rau lub plab zom mov mucosa thiab ua rau kev txhim kho ntawm dysbiosis. Vim li no, tom qab siv tshuaj tua kab mob, thiab qee zaum tib lub sij hawm noj lawv, nws pom zoo kom siv tshuaj probiotics. Qhov zoo tshaj plaws, Linex, Hilak Forte, Bifiform, Lactobacterin, Bifidumbacterin. Cov nyiaj no rov ua rau microflora hnyuv li qub.
Kev thov cov cai
Pancreatitis yog ib tus mob hnyav heev uas feem ntau ua rau muaj kev phom sij txaus ntshai. Yog li, txoj kev kho yuav tsum tau nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm kws kho mob. Tom qab tag nrho, kev xaiv cov tshuaj nyob ntawm ntau yam.
Ntxiv rau, kev siv tshuaj tiv thaiv muaj qee yam ntxwv:
Kev kho mob ntawm tus kab mob pancreatitis nyob rau tom tsev- qhov ua tau zoo ntawm kev kho yog nyob ntawm lub sijhawm ntawm kev teem caij ntawm cov tshuaj tsim nyog;
- koj yuav tsum tau noj xwb cov tshuaj uas tau sau los ntawm tus kws kho mob, koj tuaj yeem tsis tuaj yeem kho lawv txoj kev noj tshuaj;
- nyob rau hauv kev mob caj dab, nws yog qhov zoo dua yog siv tshuaj tua kab mob ua rau kev txhaj tshuaj, yog li ntawd lawv ua sai dua thiab tsis ua kev puas tsuaj rau txoj hnyuv nrawm;
- txoj kev kho mob feem ntau yog 1-2 lub lis piam, nyob ntawm qhov mob hnyav ntawm tus kabmob; yog tias tus mob zoo zuj zus, txoj kev kawm tsis tuaj yeem cuam tshuam tau yam tsis muaj kev pom zoo los ntawm tus kws kho mob;
- Nco ntsoov tias ua raws li cov kev cai kho tau pom zoo;
- thaum siv tshuaj tua kab mob hauv cov ntsiav tshuaj, koj yuav tsum haus lawv nrog dej huv;
- yog tias tsis muaj kev txhim kho pom nyob hauv 3 hnub, tshuaj yuav tsum tau hloov.
Cov tshuaj uas neeg nyiam
Dab tsi yuav siv cov tshuaj tua kab mob hauv txhua kis tau tsuas yog txiav txim los ntawm kws kho mob. Tsis yog txhua txhua hom tshuaj no sib luag zoo tib yam rau ntawm tus txiav. Txhawm rau kom tiav qhov ua kom tiav, kev sib koom tes ntawm ob peb yam tshuaj yuav tsum muaj.
Hauv kev mob nrawm, nws zoo dua los siv tshuaj tua kab mob hauv kev txhaj tshuaj
Feem ntau, rau txoj kev kho mob nyuaj, siv tshuaj metronidazole. Qhov no yog qhov tshuaj tiv thaiv kabmob muaj txiaj ntsig zoo nrog kev ua haujlwm thoob plaws, uas yog ua haujlwm ntau hauv cov plab hnyuv plab. Nws yog qhov zoo tshaj los ua ke nws nrog fluoroquinolones lossis cephalosporins.
Qhov kev xaiv ntawm cov tshuaj yog nyob ntawm qhov mob hnyav ntawm cov kab mob, muaj cov teeb meem. Feem ntau, thaum pib theem, cov tshuaj tsis muaj zog txaus yog qhov txaus, qhov no Biseptol, Oletetrin, Bactrim, Tetracycline, Amoxicillin yog kho. Hauv kev mob hnyav thiab kev sib kis, sib kis tshuaj muaj zog ntxiv: Doxycycline, Kanamycin, Ciprolet, Ampicillin. Yog tias lawv tsis pab lossis qhov mob tshwm sim tsis yog los ntawm cov kab mob, tab sis los ntawm lwm yam kab mob me me, Sumamed, Abactal lossis Metronidazole tau sau nrog kev siv tshuaj tua kab mob sab.
Nrog exacerbation
Mob pob txhaws tsis tshua tshwm sim pib tam sim ntawv los ntawm kev kis tus mob. Yog li, cov tshuaj tua kab mob feem ntau yog kho tau 2-3 lub lim tiam ntawm kev mob. Tab sis nws yog qhov tseem ceeb heev uas yuav tau pib noj lawv kom sai li sai tau nrog kev txav kom zoo ntawm cov kab mob pathology uas muaj kub taub hau thiab mob hnyav. Thaum zoo li no, tshuaj tua kab mob feem ntau siv hauv kev txhaj tshuaj - tshuaj pleev leeg ntshav lossis leeg ntshav. Qee zaum nws yuav tsum tau txhaj tshuaj ncaj qha rau hauv lub plab kom tiv thaiv tus mob peritonitis.
Sumamed yog ib qho zoo tshaj plaws tshuaj tua kab mob rau mob pancreatitis.
Nyob rau hauv ntev chav kawm
Hauv cov kab mob pancreatitis, nws tsis tshua muaj siv los siv tshuaj tua kab mob. Feem ntau lawv tau raug tshuaj tom qab kev soj ntsuam tag nrho nyob rau hauv muaj kev kis mob lossis kis mob mus rau cov kabmob ib puag ncig. Hauv qhov no, tshuaj tua kab mob raug xaiv ib tus zuj zus, nyob ntawm cov tsos mob tshwm sim thiab qhov mob hnyav ntawm chav kawm ntawm tus kab mob.
Feem ntau, nrog kev mob raum ntev, cov yeeb tshuaj hauv qab no yog kws kho:
- Chloramphenicol muaj txiaj ntsig zoo rau kev mob plab zawv heev;
- Tsiprolet tiv thaiv cov txheej txheem purulent thiab peritonitis;
- nrog cholecystitis, Amoxicillin yog qhov tsim nyog;
- Amoxiclav muaj kev tshem tawm kab mob sai sai.
Ntsiav tshuaj
Daim ntawv ntawm cov kab mob tua kab mob no yog siv rau mob nyhav, yog tias muaj kev pheej hmoo ntawm kev kis tus kab mob, tab sis tsis muaj kev cuam tshuam ntawm lub plab thiab cov hnyuv. Cov ntsiav tshuaj yuav qaug cawv 1-3 zaug ib hnub rau 5-10 hnub. Nco ntsoov ua raws li kev siv ntau npaum li cas thiab kev kho mob kho los ntawm koj tus kws kho mob. Feem ntau, nrog mob pancreatitis, cov tshuaj hauv qab no yog sau tseg:
- Amoxicycline yog qhov muaj ntau yam tshuaj tua kab mob uas muaj zoo rau hauv txoj hnyuv thiab tiv thaiv kev txhim kho ntawm cov teeb meem;
- Amoxiclav yog kev sib xyaw ntawm Amoxicycline nrog clavulanic acid, nws qhov zoo tau muaj kev kam ua kom tau zoo thiab yuav tsum siv sijhawm nkaus xwb 1 zaug nyob rau ib hnub;
- Sumamed los yog Azithromycin muaj txiaj ntsig tiv thaiv ntau ntawm cov kab mob me;
- Ciprolet yog ib qho tshuaj yeeb-tshuaj uas zoo rau kev kho tus mob o.
Feem ntau, nrog mob pancreatitis, Ceftriaxone txhaj tshuaj yog raug kho
Txhaj tshuaj
Hauv kev mob hnyav ntawm kev mob pancreatitis nrog kev muaj kab mob, cov tshuaj tua kab mob tsim nyog hauv kev txhaj tshuaj. Cov tshuaj muaj zog siv rau cov laj thawj no, uas pib ua rau yuav luag tam sim ntawd tom qab txhaj thawj zaug. Hnub tom qab dhau mus, tus mob o, tus neeg mob qhov kub qis dua thiab kev noj qab haus huv zoo dua tuaj.
- Cefotaxime los yog Cefoperazone - cov tshuaj tua kab mob ntau yam, muaj cov kab mob bactericidal, tiv thaiv kom tsis txhob muaj teeb meem tom qab phais;
- Abactal feem ntau siv rau hauv kev mob hnyav ntawm mob ntawm tus txiav, vim nws nquag ua haujlwm rau txoj hnyuv, cov tshuaj siv tau zoo txawm tias lwm yam tshuaj tsis ua haujlwm;
- Vancomycin yog siv rau kev kis mob hnyav, mob sepsis, thiab nyob rau hauv qhov xwm txheej tsis muaj txiaj ntsig ntawm lwm yam tshuaj;
- Ceftriaxone ua rau cov kab mob rhuav tshem tau zoo thiab pom zoo los ntawm cov neeg mob, yog li nws tuaj yeem siv txawm tias nyob hauv menyuam yaus;
- Ampiox lossis Ampicillin ua kom sai sai ua rau mob thiab pabcuam kev tiv thaiv kab mob.
Txhua txoj kev siv tshuaj tiv thaiv kab mob siv tau tsuas yog siv los ntawm tus kws kho mob. Kev xaiv yeeb tshuaj tsis raug tso cai lossis hloov pauv ntau yam tuaj yeem ua rau muaj kev mob hnyav.
