Pancreatitis yog ib qho kab mob hnyav uas ua rau mob taub hau mob rau hauv. Qhov ua rau mob sai sai yog qhov ua ntej ua ntej ntawm cov enzymes uas pib zom cov ntaub so ntswg. Lub zog enzymes puas tsis tsuas yog lub pancreatic parenchyma hlwb, tab sis kuj corrode ntawm cov leeg ntshav phab ntsa. Muaj kev nkag mus rau cov ntshav ntawm txoj kev no, lawv tau nqa thoob plaws lub cev thiab cuam tshuam rau cov plab hnyuv siab raum tseem ceeb - lub plawv, ob lub raum, lub plab thiab lub hlwb.
Pancreatitis tuaj yeem tshwm sim hauv mob hnyav thiab mob ntev. Nrog kev raug mob sai lossis exacerbation ntawm kev mob caj dab ntev, kev kho mob yog nqa tawm hauv tsev kho mob. Lub luag haujlwm tseem ceeb yog kev daws mob ntawm cov tsos mob hnyav, rov qab kho txoj hnyuv thiab cov nyiaj them ntawm exocrine tsis muaj txhij txhua. Txhawm rau ua kom pancreatic muaj nuj nqi, ob peb pawg tshuaj tau siv.
Cramping & Tshuaj loog
Cov tshuaj ntawm kev xaiv rau tus mob pancreatitis yog Paracetamol, vim tias nws tsis muaj qhov ncauj lus tshwj xeeb ua rau lub plab puas ntawm txoj hnyuv. Txawm li cas los xij, cov neeg mob uas muaj kab mob siab yuav tsum tau ceev faj nrog, thiab tsuas yog qhia los ntawm kws kho mob. Kev tiv thaiv kom tsis haum rau noj Paracetamol yog kab mob siab thiab mob npuas paug, nrog rau ua rau tus neeg quav cawv.
Salicylates thiab acetylsalicylic acid - Aspirin, Asfen, Askofen, Excedrine, Citramon pab daws qhov mob. Txhawm rau tshem tawm cov kev mob tshwm sim, Analgin, Baralgin, Pentalgin, Dexalgin, Ketorolac, Pentazocine tuaj yeem siv tau. Cov tshuaj tsis-steroidal los ntawm cov tshuaj tiv thaiv (NSAIDs) los ntawm cov txiav ua kab mob yog siv rau hauv qee qhov tsis tshua muaj vim muaj kev cuam tshuam rau ntawm cov nqaij mos.
Cov kev mob tshwm sim ntawm cov kab mob pancreatic yog qhov mob, ua rau muaj kev txom nyem ntau yam rau tib neeg; cov kws kho mob plab tau siv No-spa rau kev kho mob kom zoo rau ntau tshaj 50 xyoo, daws cov neeg mob ntawm kev tsim txom
Txij li qhov ua rau mob mob rau hauv pancreatitis yog ib qho kev txhawm ntawm cov leeg pob txha, kev siv cov tshuaj antispasmodics yog qhov zoo tshaj plaws. Cov tshuaj niaj hnub antispasmodic muaj qhov ua rau ntev-ntev, muaj peev xwm ua tau zoo, thiab tsis muaj kev phiv loj heev.
Cov tshuaj uas nrov tshaj plaws yog No-shpa, Papaverine, Drotaverina Hydrochloride, Spazmol, Mebeverin. Cov lus qhia rau kev siv tshuaj antispasmodics yog cov leeg mob los ntawm hypermotor dyskinesia ntawm cov kua tsib lub plab, nrog rau kev ua haujlwm tsis zoo hauv kev ua haujlwm ntawm lub sphincter ntawm Oddi. Nws yog qhov tsis kam nrog cov leeg nqaij uas ua rau muaj teeb meem nrog kev ntws tawm ntawm kev mob siab rau ntawm lub qhov quav mus rau ntawm duodenum.
Nrog kev pabcuam ntawm antispasmodics, qhov mob ua ke ntawm ntau yam siv thiab ib txwm muaj tshem tawm - mob siab, hnav, ntse. Txhua yam nws yog nyob ntawm qhov twg ntawm tus txiav ua tsis ua haujlwm. Rau qhov mob ntawm mob nyhav nrab, kev npaj rau kev kho ntawm tus txiav yog nyob rau hauv cov ntsiav tshuaj. Yog tias tus neeg mob tau ntuav nquag, tom qab ntawd Papaverine thiab Baralgin raug tswj hwm los ntawm niam txiv (kua roj) txoj kev.
Cov Enzymes thiab tshuaj pleev cov ntshav
Txog qhov tsis ua haujlwm ntawm cov enzymes thaum lub sij hawm mob ceev, cov neeg sawv cev uas txo qis qhov tso quav ntawm cov txiav ua kua siv - Contrical, Gordox, Pantripin, Ingitrile. Qee qhov xwm txheej, cov tshuaj hormonal Somatostatin yog cov tshuaj noj, uas ua rau muaj qhov nqus txaus ntawm monosaccharides los ntawm txoj hnyuv mus rau hauv cov kab ke hauv lub cev, txo cov gastrin ntau lawm, ua rau cov ntshav khiav hauv lub plab thiab lub plab kom muaj zog.
Siv cov tshuaj enzyme siv feem ntau hauv tsev kho mob thiab muab rau cov neeg mob los ntawm kua nrog. Txij li thaum kho nrog cov tshuaj ntawm pab pawg no feem ntau nrog kev ua xua, cov tshuaj antihistamines tau txau rau hauv cov nplaig.
Tom qab nyem mob ceev cov tsos mob, kev hloov kho enzyme yog ua. Them nyiaj ntawm exocrine muaj nuj nqi pab cov tshuaj uas muaj cov enzymes. Qhov kev xaiv yog dav txaus, tab sis lub hauv paus ntawm feem ntau cov tshuaj yog pancreatin. Qhov no tsis txhais tau tias txhua cov tshuaj zoo ib yam: cov tshuaj muaj pes tsawg leeg ntawm cov ntsiav tshuaj thiab tshuaj ntsiav yuav suav nrog ntau qhov sib txawv ntawm cov khoom ntiag tug ntawm cov tshuaj yeeb dej caw.
Ntxiv rau, cov kua tsib muaj feem rau lawv. Qee cov tshuaj muaj cov khoom sib txuam, tab sis muaj nyob ntawm cov tuam ntxhab sib txawv. Li no cov npe lag luam tawm ntau. Muab cov lus saum toj saud, nws tsis pom zoo kom kho nws tus kheej ntawm pancreatitis, vim tias tsuas yog tus kws kho mob tuaj yeem xaiv txoj kev kho rau qee tus neeg mob.
Daim ntawv teev cov enzyme npaj rau kev txhim kho kev ua haujlwm ntawm lub txiav ntshav yog raws li nram no:
- Pancreatin, Creon, Mezim, Lycrease, Zimet, Vestal, Pangrol;
- Panzim Forte, Panzinorm Forte N, Pancreasim, Pancrealipase;
- Yawg Hlob Kirchner, Pankrenorm, Pancreon, Pancreoflat;
- Pancytrate, Penzital, Prolipase, Triferment.
Pancreatic Tshuaj ntsuab Kho Tus MobTxhais tau tias suav nrog Cheebtsam ntawm cov kua tsib:
- Festal, Enzipalmed, Enzistal;
- Forte Enzyme, Forestal, Tagestal;
- Rustal, Panstal, Panolez, Pankral;
- Normoenzyme, Menzim, Mob Ntshav;
- Digestal Forte, Digestal.
Nws yog tsim nyog sau cia tias enzyme tsis txaus yog tsis tsuas yog nrog pancreatitis. Kev tsis txaus enzyme tuaj yeem yog yug, thawj thiab theem nrab, meej thiab txheeb ze. Thawj qhov tsis muaj peev xwm tshwm sim hauv cov kab mob ntawm lub caj pas nws tus kheej (steatosis, mob cancer), thiab theem ob yog tawm tsam cov keeb kwm ntawm pathologies ntawm lwm cov plab hnyuv siab.
Lub keeb kwm ntawm lub exocrine lobe ntawm lub txiav kab mob yog sawv cev los ntawm acini (los ntawm Latin "pawg txiv quav ntswv nyoos) - cov qauv kev ua haujlwm uas tsim cov enzymes. Nws yog nyob hauv cov hlwb no uas simpsin, chymotrypsin, lipase, amylase thiab ntau lwm cov enzymes yog tsim.
Txawm hais tias qhov ua kom raug mob, qhov ua haujlwm ntawm acini yog qhov tsis muaj zog, thiab kev tsim cov enzyme tshuaj yuav tsawg zuj zus. Txhawm rau kom them nqi rau qhov tsis txaus, lipase, protease thiab amylase yog nyob rau hauv txhua qhov kev npaj hauv cov sib txawv.
Tshuaj Antacids
Antacids yog tshuaj rau neutralize hydrochloric acid ntawm lub plab, txij li nws stimulates tsim ntawm kua txiv pancreatic. Hauv qhov no, ib qho ntawm cov cheeb tsam ntawm txoj kev kho mob yog qhov tshem tawm cov teeb meem acid acid. Hauv kev mob taub hau kom ntxaws, cov tshuaj tiv thaiv kab mob tau siv ua ke nrog kev zais cia cov tshuaj tiv thaiv kab mob - antienzymes, vim lub sijhawm tsis txaus thiab lub zog ntawm cov kua qaub-txo cov nyhuv.
Maalox muaj qhov ua kom nqus tau thiab ua tau zoo, tom qab siv cov tshuaj no, hydrochloric acid tau sai thiab muaj kev cuam tshuam zoo, thiab cov dej num ntawm cov kua txiv hloov pauv tau yog txo qis.
Kev kho mob ntawm kev mob caj dab ntev nrog kev siv tshuaj loj ntawm enzymes tsis yog ib txwm muaj txiaj ntsig, txij li lub plab acid inactivates cov tshuaj sib xyaw - trypsin thiab lipase sai heev. Cov nyhuv ntawm cov enzymes yuav raug txo rau lwm qhov laj thawj - noj ntau npaum lossis tsis ua raws li cov tshuaj pom zoo kom noj.
Txawm li cas los xij, feem ntau ib txwm tsis muaj qhov tshwm sim xav tau yog lub txiaj ntsig ntawm kev siv tshuaj tiv thaiv tsis txaus. Kev npaj feem ntau uas txhawb nqa qhov tsim nyog acidity ntawm lub plab muaj phosphoric acid ntsev, magnesium thiab aluminium hydroxide, magnesium stearate thiab alginate (rho tawm los ntawm seaweed). Zoo dua li lwm tus uas muaj kev puas tsuaj rau lub txiav yog cov tshuaj xws li Almagel, Maalox, Almagel-Neo thiab Fosfalugel.
Thaum lawv tau noj, cov nyhuv nruab nrab tshwm sim sai sai txaus thiab kav ntev li 2.5 mus rau 3 teev. Raws li kev pom zoo koob tshuaj pom zoo, tshuaj tiv thaiv antacid tsis muaj kev cuam tshuam thiab tsis muaj kev cuam tshuam tshwm sim.
Tshuaj tua kab mob
Hauv cov kab mob ntawm tus txiav, kab mob siv tshuaj tua kab mob yog siv ob qho tib si rau prophylaxis thiab hauv txoj kev kho mob thaum muaj cov tsos mob ntawm tus kab mob tshwm sim. Kev kis kab mob tau txheeb xyuas yuav luag li ntawm ib feem peb ntawm cov neeg mob thiab tuaj yeem kis los ntawm cov ntshav, ntshav thiab los ntawm cov kabmob uas nyob sib ze - duodenum 12, bile system thiab portal leeg.
Clarithromycin yog ib qho tshuaj tshiab tshaj plaws hauv cov pab pawg ntawm macrolides uas tuaj yeem rhuav tshem cov microbes hauv hlwb.
Antimicrobial kev kho mob nrog kev tiv thaiv (tiv thaiv) cov hom phiaj yog tsawg. Txawm li cas los xij, thaum muaj kev tshwm sim ntawm tus yam ntxwv ua cim - xeev siab, ntuav, kub cev - noj tshuaj tua kab mob yuav tsum muaj.
Txij li nws tsis tuaj yeem tshawb xyuas tus kabmob pancreatic microflora hauv txoj kev tsis muaj tshuaj (tsis muaj qhov phais) vim yog qhov chaw sib sib zog nqus, hloov cov tshuaj tua kab mob ntau. Hauv qhov no, qhov tsawg kawg nkaus tsis kam rau lawv ntawm cov kab mob muaj npe tshaj plaws yog suav nrog.
Raws li lub caij nyoog prophylaxis, kev siv tshuaj tua kab mob yog nqa tawm yog tias tus neeg mob tau mob hnyav, uas yog:
- AIDS thiab HIV kis;
- kis kab mob siab;
- mob ntsws qhuav;
- ntshav qab zib mellitus;
- hlav hlav.
Feem ntau, cov tshuaj tua kab mob tau sau tseg rau cov mob hlab ntsha ua paug, nrog rau kev puas tsuaj rau daim siab thiab lub zais zis thiab kuaj hauv 40-57% ntawm tus neeg mob. Cov tshuaj ntawm cov xaiv yog macrolide tus neeg sawv cev, tshwj xeeb, Clarithromycin thiab nws cov analogues - Klabaks, Fromilid, Klacid, thiab lwm yam.
Ntxiv rau qhov kev pom dav hauv kev ua haujlwm, macrolides muaj lwm qhov zoo dua - lawv tau tawm ntawm lub cev nrog rau cov kua tsib. Vim qhov no, ntau qhov kev nthuav dav thiab cov lus tshaj tawm antimicrobial tau tsim.
Qhov kev xaiv ntawm cov tshuaj tua kab mob yog nyob ntawm hom mob thiab qib ntawm kev kis. Qhov ntau kawg yog tau muab los ntawm cov tshuaj ntawm cov tiv thaiv penicillin series (Timentin), cephalosporins ntawm koob thib 3 thiab 4 - Medocef, Cefobid, Kefsepim, Movizar.
Ib qho muaj zog thiab ntau qhov kev cia siab yog muaj los ntawm:
- fluoroquinolones - Ciprolet, Pefloxabol, Abactal, Ciprinol;
- carbapenems - Jenem, Mepenem, Grimipenem, Tienam;
- metronidazole (Trichopolum, Efloran) thiab nws cov kev sib txuas ua ke nrog cephalosporins 3-4 tiam.
Nrog exacerbations, nws raug nquahu kom tshaib plab rau 1-3 hnub, thiab tom qab ntawd maj mam qhia cov khoom noj khoom haus ib nrab rau hauv cov khoom noj - cereals, mucous kua zaub thiab zaub decoctions. Yav tom ntej, thaum cov tsos mob huam sai sai, koj tuaj yeem noj tag nrho, tab sis nrog cov kev txwv.
Cov npe ntawm cov khoom lag luam txwv tsis pub muaj cawv, rog thiab kib zaub mov, cov zaub mov yooj yim thiab lwm yam khoom tsim kev puas tsuaj. Cov hauv paus ntsiab lus ntawm kev noj zaub mov tau piav qhia nyob rau hauv kev noj haus No. 5, uas pom zoo rau txhua tus neeg uas muaj plab zom mov pathologies.
Nws kuj tseem tsim nyog sau cia tias feem ntau nws txaus los pauv hloov kev noj haus kom kev noj qab nyob zoo tau tshwm sim. Txawm li cas los xij, hauv paus rau kev kho mob kom tau zoo yog ua raws li cov lus pom zoo rau kev kho mob thiab siv cov tshuaj uas kws kho mob sau tseg. Noj qab nyob zoo!
