Qhov hnyav tshwm sim thiab tshwm sim ntawm kev mob ua rau pancreatic yuav tsum tau kho sai nrog kev siv tshuaj. Kev ua tsis tau zoo ntawm kev saib xyuas kom zoo ua rau kev txhim kho ntawm cov teeb meem mob lig. Txawm tias ib qho kev tawm tsam ntau zaus provokes kev hloov ntawm pathology rau hauv daim ntawv ntev. Qee zaum tus neeg mob xav tau kev phais mob. Yuav siv cov tshuaj dab tsi noj nrog exacerbation ntawm pancreatitis? Vim li cas thiaj yuav tsum tau txhaj tshuaj ntxiv? Kuv puas yuav tsum ua raws li cov khoom noj xav tau ntawm kev noj zaub mov thiab cov khoom noj muaj nyob rau tom qab ntawm kev siv tshuaj?
Kev kho mob ntawm cov tsos mob thiab tshem tawm cov laj thawj
Qhov txiaj ntsig rau kev tshwm sim ntawm ntau hom kev mob o yog ib qho kev ua phem ntawm kev noj zaub mov zoo, kev haus dej haus cawv ntau. Kev siv tshuaj kho mob tsis tuaj yeem ua tiav yam tsis tau hais txog cov laj thawj uas ua rau muaj kev tawm tsam. Pathologies ntawm cov kabmob uas nyob ze rau ntawm tus kabmob (cholelithiasis, cholecystitis, lub plab zom mov thiab duodenal mob) tseem ua txhaum nws cov haujlwm zais cia.
Hauv cov kab mob pancreatitis, enzymatic autolysis los yog lub npe hu ua tus kheej ntawm lub plab zom mov nrog cov kev ua haujlwm hauv endocrinological tshwm sim, uas ua rau kev mob pancreatic necrosis - necrosis, purulent fusion ntawm pancreatic parenchyma (cov ntaub so ntswg).
Cov kev taw qhia ntawm kev loj hlob ntawm tus mob sib txawv ntawm tus kab mob tshwm sim rau sclerosis (scarring) ntawm lub qog nqaij hlav. Tus cwj pwm sclerotic rhuav tshem, tsim los ntawm cov txheej txheem hloov kho, nthuav dav zuj zus. Thaum lub sij hawm pathology, synthesis ntawm enzymes hauv lub cev tau cuam tshuam. Kev zom ntawm cov zaub mov muaj protein, cov rog thiab carbohydrates tsis zoo.
Thaum lub caij mob ntawm tus mob hnoos qhuav, ib tus neeg muaj qhov mob tsis xis nyob hauv lub plab mog sab saud, ntau zaus hauv txoj cai hypochondrium, qhov twg tus Tsov tus tw txuas ntxiv mus. Lub cev thiab lub taub hau ntawm cov kabmob, uas nyob rau hauv cov kev taw qhia ntawm txoj hlab ntaws, tau maj mam cuam tshuam. Qhov tsos mob tawm tsam hloov nws tus yam ntxwv, dhau los ua txoj phuam. Nws yuam ib tug neeg kom ua txoj haujlwm tshwj xeeb, zaum lossis pw qis qis, nrog txhais ceg nruj nreem txav mus rau hauv lub cev.
Tsuas yog tom qab sab laj nrog tus kws kho mob-kws kho mob plab zom mov tuaj yeem siv tshuaj yeeb
Lwm cov tsos mob ntawm tus mob tseem ceeb:
- muaj kev txo qis hauv cov ntshav siab;
- muaj tachycardia (mob plawv lub plawv) yog qhov txiaj ntsig ntawm kev thauj khoom ntawm lub plawv;
- muaj qhov nce siab hauv lub cev kub txog 39-40 degrees.
Cov yam ntxwv ntawm tus neeg mob ua tus txiav ua tus txiav yog tsis ntuav. Kev tso tawm ntau zaus hauv cov ntsiab lus ntawm lub plab tsis nqa kev pab rau tus neeg mob.
Pancreatitis Attack Kev Kho Mob
Pancreatic syndrome yuav tsum tau maj nrawm hu rau lub tsheb thauj neeg mob. Kev pw kho mob rau cov neeg mob tom qab tsev kho mob ti tes ti taw tau nqa tawm hauv chav phais neeg mob. Tom qab kuaj mob txhij txhua (kev kuaj mob ntawm tus kws kho mob, ultrasound ntawm lub plab hauv plab, kuaj ntshav thiab tso zis rau amylase kev ua haujlwm), yog tias tsim nyog, tus neeg mob hloov mus rau hauv pawg kho mob.
Lawv tseem raug kuaj nrog lub hom phiaj ntawm kev tshem tawm cov teeb meem qeeb ntawm tus mob ua tiav:
- lub nrig thiab cov hlwv ntawm cov txiav;
- ntshav qab zib hom insulin;
- malignant neoplasms ntawm cov khoom nruab nrog.
Dab tsi noj nrog kev tawm tsam ntawm tus mob ua tsis muaj qab hau? Txhawm rau kom mob edema los ntawm ducts ntawm lub cev thiab tawm tsam nws o, cov kws kho mob sau ntawv rau tus neeg mob ua tiav sai rau ob peb hnub. Tib lub sijhawm, cov tshuaj tua kab mob thiab kev daws cov zaub mov zoo yog muab tshuaj rau hauv qhov quav. Nyob rau hauv lub sijhawm, thawj theem ntawm txoj kev kho tuaj yeem siv sijhawm ntev txog ob lub lis piam.
Kev kho ntawm purulent thiab necrotic teeb meem (raws li cov cim qhia) yuav tsum siv:
Daim ntawv teev cov tshuaj rau kev kho mob ntawm lub txiav- cov neeg sawv cev uas tswj kev ua haujlwm ntawm lub caj pas (Mexidol, Contrical);
- tshuaj tua kab mob (Klafaran, Abactal);
- txhaj tshuaj tiv thaiv kabmob (cycloferon);
- tshuaj tua kab mob (Ketorol);
- antispasmodics (drotaverinum).
Cov tshuaj muaj belladonna extract, Buscopan, muaj cov nyhuv antispasmodic. Yog tias nws tsis tuaj yeem ua kom tiav qhov zoo rau hauv kev kho, kev txhim kho ntawm cov teeb meem, cov lus nug tshwm sim ntawm kev phais.
Kev phom sij nyob rau theem thaum ntxov yog:
- pancreatic necrosis;
- lub ntsej muag daj (tshuab);
- cov qog hauv plab plab (mob hnyav heev);
- mob peritonitis (mob rau ntawm qhov chaw mob).
Tom qab ua tiav kev yoo mov tiav, qee cov zaub mov tau maj mam qhia rau hauv tus neeg mob lub cev noj haus. Ua tib zoo sim rau kev tiv thaiv ua kom tawg ntawm cov khaub noom nplej thiab dej tshuaj yej. Ntxiv mus, kev noj haus nthuav dav vim mov lossis oat si.
Tag nrho cov zaub mov rog tsis raug tshem tawm; roj tsis ntxiv rau cov qos yaj ywm thiab zaub mov, tab sis tsuas yog kua mis me me. Kissel yog ib nrab-ua kua hauv qhov xwm yeem. Thaum kawg ntawm 1 lub lim tiam, cov khoom noj muaj protein tsawg tau tso cai - cov tsev pheeb suab roj tsawg, nplai qe, nqaij npuas patties. Kev ua haujlwm ntawm cov zaub mov yuav tsum me me (100 g), zaub mov noj txhua 2 teev.
Cov tshuaj raug xaiv rau tus neeg mob, noj rau hauv ib tus neeg contraindications rau lawv siv
Cov tshuaj los ntawm cov tshuaj pab thawj rau cov neeg mob uas muaj mob pancreatitis
Cov lus sau tseg rau Contricale yog Aprotinin. Kev npaj cov protein tso tawm hauv cov hmoov, uas tov los ntawm kev txhaj tshuaj yuav tsum tau npaj. Ampoules tau muag tag nrog cov kuab tshuaj. Cov tshuaj muaj zog inhibits tej co enzymes (plasmin, trypsin).
Contrycal yog muab cov tshuaj maj mam pleev (hauv dav hlau los yog kua nrog dej). Kev ceev faj siv ntawm cov tshuaj yog qhov yuav tsum tau, tej zaum qhov tshwm sim ntawm kev tsis haum tshuaj, txo qis rau cov ntshav siab.
Cov tshuaj nquag hauv antimicrobial hluavtaws yeeb tshuaj Abactal yog pefloxacin. Qhov kev tso tawm yog ua ob hom: cov ntsiav tshuaj thiab kev txhaj tshuaj rau 0.4 g txhua tus me nyuam. 15 xyoo rov hauv thiab cov neeg laus pom zoo kom noj ib koob ntawm 0.8 g ib hnub (sawv ntxov thiab yav tsaus ntuj). Koj yuav tsum haus cov tshuaj nrog zaub mov tas mus li.
Nrog kev mob pancreatic pancreatic, nws muab tshuaj rau txoj leeg. Thaum muaj mob hnyav, cov koob tshuaj tau nce siab txog qhov ntau tshaj ntawm 1.6 g. Tab sis qhov no, qhov yuav ua rau muaj ntshav txhaws hauv cov hlab ntshav.
Zoo li ntau yam tshuaj nrog immunostimulating thiab antiviral kho cov yam ntxwv, Cycloferon yog synthesized los ntawm cov tshuaj ntuj - txiv qaub. Kev daws thiab hmoov rau kev txhaj tshuaj yog siv tsis tsuas yog ncau, tab sis kuj tseem intramuscularly. Ua 1 zaug nyob rau ib hnub ntawm 250 mg rau ob hnub uake. Tom qab ntawd, khaws cia qhov tsuas tshuaj, ua nws hauv ib hnub. Hoob no mus txog 10 qhov kev txhaj tshuaj.
Rau kev kho mob ntawm tus kab mob pancreatitis heev, kev tswj hwm ntawm cov tshuaj tiv thaiv kab mob siab tuaj yeem lees txais. Tsis zoo li cov tshuaj tua kab mob, Cycloferon ib txwm zam rau cov neeg mob thiab ua ke nrog lwm cov tshuaj.
Cov tshuaj analgesic Ketorol kuj tseem muaj cov nyhuv tshuaj tiv thaiv. Thaum muaj kev tawm tsam thaum nruab hnub, nws raug tso cai ua cov tshuaj txhaj rau hauv intramuscular (1 ampoule) txog 6 zaug, tab sis tsis ntau tshaj 5 hnub. 1 ml ntawm Ketorol muaj 30 mg ntawm ketorolac tromethamine, ib yam khoom uas muaj peev xwm nqig mob ntawm ntau etiologies (keeb kwm). Cov tshuaj tau pom zoo nrog kev ceev faj rau cov menyuam yaus hnub nyoog qis dua 16 xyoo, cov neeg mob uas muaj lub siab thiab lub raum tsis ua haujlwm, kabmob hauv lub plab, lub siab.
Tsis-shpa (Drotaverin, Nospan) - cov tshuaj siv hluavtaws muaj cov nyhuv antispasmodic. Nws siv ua rau kev so ntawm cov leeg nqaij thaum lub sij hawm spasm. Nrog kev qhia txog No-shpa nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, cov kev mob tshwm sim yog ua tau (kev xav ntawm tshav kub, palpitations, kiv taub hau, kev tsis haum ntawm tawv nqaij, tawm hws).
Buscopan yog muaj nyob rau hauv dragee thiab rectal suppository hom. Nws raug nquahu kom siv cov tshuaj rau cov menyuam yaus hnub nyoog dhau 6 xyoo thiab cov neeg laus hauv qhov ntau li 1-2 mg. txog li tsib zaug ib hnub. Cov tswm ciab (qee zaum ob) tau tso rau txhua 4 teev. Ua tib zoo saib xyuas yuav tsum tau siv cov tshuaj rau cov laus, niam saib xyuas neeg mob thiab cov neeg uas ua cov haujlwm uas yuav tsum muaj kev tawm tsam sai thiab ua kom zoo siab.
Cov tshuaj uas nquag siv no tau yooj yim siv los ua kev txhaj tshuaj thaum tawm tsam mob ntawm tus mob voos, nrog nrog ntuav. Hauv qhov no, lawv cov tshuaj nquag yuav nqus cov ntshav ntawm tus neeg mob.
Yog li hais tias thaum lub sijhawm, cov tshuaj muab cov neeg mob nrog cov txiaj ntsig zoo, qhov yuav tsum tau ua cia ntawm cov tshuaj yuav tsum tau ua kev cai. Lawv tsis tuaj yeem khov, khaws cia hauv qhov kub, hauv qab ntawm lub hnub ci. Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas lub sijhawm ntawm kev siv siv qhia hauv ntim. Ua ntej siv, ntsiav tshuaj yuav tsum tau kuaj xyuas seb cov xim tsis sib thooj thiab kev ncaj ncees, thiab ampoules rau qhov tsis muaj lw, flakes hauv kev daws.
