Cov tsos mob thiab kev kho mob ntawm tus kab mob pancreatitis nyob rau hauv cov menyuam yaus

Lub cev ntawm cov menyuam yaus muaj zog dua li tus neeg loj thiab lub suab muaj peev xwm teb tau txhua yam kev hloov pauv.

Ib qho kev ua txhaum ntawm kev coj ua ib txwm muaj peev xwm ua rau mob tus menyuam, nrog rau mob ua rau leeg mob - mob txha caj hlav hauv leeg.

Lub txiav ua ke yog ib qho tseem ceeb tshaj plaws cov kabmob uas tsim cov enzymes uas zom cov khoom ntawm cov khoom. Cov kua txiv secreted lub qog pab zom cov zaub mov.

Nws kuj tseem ua cov tshuaj hormones uas kho cov suab thaj hauv lub cev ntau dua. Feem ntau, teeb meem cuam tshuam nrog pancreatitis ua rau muaj kev cuam tshuam thoob plaws lub cev.

Kev faib tawm ntawm pancreatitis nyob rau hauv cov menyuam yaus

Tsuas yog 5 txog 20% ​​ntawm cov menyuam yaus tau ntsib cov teeb meem no.

Muaj ntau hom sib txawv ntawm cov chav kawm ntawm tus kab mob:

1. Daim ntawv ntev - Qhov no yog tus mob ntawm daim tawv nqaij tawg, hloov mus rau theem ntawm kev zam txim, tom qab ntawd mus rau theem ntawm exacerbation. Hom kab no tseem tuaj yeem txhim kho hauv daim foos. Mob ntsws ntev ua rau tus kab mob ntawm lub plab zom mov, cov kab mob ua rau lub plab thiab ua rau lub plab hnyuv microflora. Qhov kev kis mob no rau hauv cov menyuam yaus feem ntau tsis tshua pom muaj tshwm sim; cov menyuam yaus hnub nyoog kawm ntawv feem ntau tau mob los ntawm nws cov tsos mob.
2. Daim ntawv ntshiab - o thiab o ntawm cov qog vim qhov khoom noj tsis txaus, thiab ua rau muaj kev fab tshuaj rau cov tshuaj lossis ib qho ua xua sab nraud. Thaum tsis tau kev pab, necrosis thiab hloov khoom hauv nrog cev yuav tshwm sim. Nws tuaj yeem tshwm sim hauv cov menyuam ntawm txhua lub hnub nyoog, tab sis ntau zaus 10-18 xyoo;
3. Daim ntawv foos - Qhov no yog txo qis ntawm cov roj ntsha ua haujlwm, vim qhov txiaj ntsig ntawm tus txiav pib txiav tawm nws tus kheej (rhuav tshem). Hom no loj tuaj vim yog kab mob sib kis tau ntawm ib qho kev sib kis, vim yog lom tau. Nov yog hom kev mob tshwm sim ntawm cov menyuam yaus.

Muaj ntau qib ntawm qhov mob hnyav:

1. Me me - thaum cov tsos mob me, mob plab hnyuv siab raum thiab cov nruab nrog ua kom tsawg. Qhov qib no yooj yim kho tau thiab muaj qhov pom tias muaj txiaj ntsig.
2. Cov mob hnyav - cov tsos mob tshwm sim heev, cov mob hnyav tshwm sim (purulent o, necrosis). Nrog rau qhov loj, qhov teeb meem tuaj yeem daws tau phais.

Txhawm rau kom tsis txhob tsim qhov teeb meem no, koj yuav tsum ua tib zoo saib xyuas tus menyuam thiab tsis nco thawj cov tsos mob uas tuaj yeem kho kom zoo tsuas yog kev pab ntawm xaiv khoom noj kom zoo.

Video los ntawm Dr. Komarovsky:

Cov ua rau pathology ua rau me nyuam yaus

Qhov ua rau tseem ceeb ua rau muaj tus mob leeg rau nrog menyuam nyob yog tsis saib xyuas niam thiab txiv. Cov kab mob zoo li no hauv cov menyuam yaus yog raug rho tawm, yog li cov niam txiv feem ntau tswj tsis taus tus menyuam txoj kev noj qab haus huv.

Cov txhaum ntawm tus kab mob no yog:

1. Muaj nuj nqi immaturity ntawm pancreatic enzymes. Qhov no yog qhov ua rau menyuam yaus tsis tau muaj hnub nyoog 5 xyoos, vim tias lub cev tsis npaj los tiv thaiv cov khoom noj khoom noj nkag los kom raug.
2. Cov zaub mov uas tus menyuam tau txais tsis haum rau nws lub hnub nyoog.
3. Kev tsim txom cov rog, kua txob, qaub, qab ntsev, zaub mov kib.
4. Kev tsim txom ntawm cov khoom tiav ib nrab (sausages, sausages).
5. Kev siv ntau dhau ntawm cov khoom noj ceev thiab cov dej qab zib nrog roj.
6. Tsis ua raws li kev noj haus - tsis txaus noj cov zaub mov kom tsawg (ntu nruab nrab ntawm cov koob tshuaj ntawm cov zaub mov), thiab cov khoom noj ntau dhau, uas cuam tshuam heev rau lub xeev ntawm lub plab zom mov.
7. Kev ua txhaum ntawm cov qauv pw tsaug zog - qhov no tuaj yeem yog qhov tsis zoo, vim tias rau tus menyuam lub cev nws yog qhov kev ntxhov siab loj heev.
8. Kev siv lub cev zoo.
9. Muaj cov kev ntxhov siab. Cov menyuam yaus nws nkag siab zoo txog cov xwm txheej no. Hauv lawv lub neej muaj ntau yam kev ntxhov siab:
   • kev yoog nyob hauv lub vaj lossis hauv tsev kawm ntawv;
   • phooj ywg teeb meem;
   • teeb meem sib txuas lus nrog niam txiv thiab lwm tus.
10. Kev raug lom muaj lub txim loj rau ntawm lub caj pas.
11. Noj tshuaj pab, xws li tshuaj tua kab mob.
12. Kev mob hnyav rau hauv lub cev, xws li mob caj pas txhaws. Nrog rau cov kev kuaj mob no, tus me nyuam xav tau kev kho mob enzyme rau lub neej.
13. Kev xeeb tub los yog kis tau cov kab mob ntawm daim siab, lub plab, zais zis.
14. Muaj cov cab ntau yam hauv lub cev.
15. Kev tshuaj ntsuam keeb kwm thiab caj ces.
16. Muaj cov ntshav qab zib mellitus hom 1 thiab 2.
17. Yog tias ib tug menyuam yaus raug mob raws kev ua xua, ces qhov no kuj cuam tshuam loj heev rau hauv lub xeev ntawm txiav.
18. Teeb meem tom qab txhaj tshuaj.
19. Kev pab cuam phais mob. Kev ua kom loog muaj qhov tsis zoo ntawm lub cev ua haujlwm.
20. Kev raug mob rau lub plab hauv plab (pob ntseg, doog ntshav) cuam tshuam rau kev ua haujlwm ntawm kabmob.

Video los ntawm Dr. Komarovsky txog cov zaub mov noj qab nyob zoo thiab zoo:

Cov tsos mob thiab cov tsos mob

Zoo li txhua yam kabmob, mob pancreatitis muaj qee yam tsos mob thiab cov cim:

Thawj qhov tsos mob rau menyuam yaus, raws li txoj cai, yog qhov kub nce ntxiv. Nws thaj tsam los ntawm subfebrile muaj nuj nqis ntawm 37-37.5 ° C, nyob rau hauv tsawg zaus thiab siab dua. Tus me nyuam yws yws ntawm qhov mob hauv peritoneum.

Txawm hais tias qhov mob tshwm sim nyob rau sab laug hauv qab, nws tuaj yeem muab rau ntau qhov chaw ntawm lub cev:

• nyob tom qab;
• ntawm sab xis;
• hauv thaj tsam ze ntawm lub pij ntaws;
• rau nruab nrab ntawm lub plab zom mov;
• lossis muaj qhov xav tias nws mob rau txhua qhov chaw.

Txawm hais tias cov tsos mob no cuam tshuam tshwj xeeb rau kev mob qog tuaj yeem tshawb xyuas yooj yim yog tias tus mob tsis zoo tom qab noj antispasmodics, uas txhais tau hais tias nws yog qhov pom ntawm pancreatitis.

Lwm yam cim:

• tsis qab los noj mov - ob peb teev ua ntej pib mob ntawm lub plab hauv plab, tus me nyuam tsis kam noj;
• qhov tshwm sim ntawm xeev siab;
• ntuav qhib, qee zaum nrog kua tsib;
• tsam plab;
• mob plab (tso quav tawm) lossis tawv tawv;
• ib lub xeev ntawm ketoacidosis tuaj yeem txhim kho (vim yog kev txuam nrog ketones, acetone thiab ntshav qab zib nce siab).

Thawj theem ntawm tus mob pancreatitis tuaj yeem pom tau ntev heev thiab ua rau nws qeeb qeeb ntawm qhov xwm txheej, qee zaum ua rau mob me. Nws yooj yim los tswj los ntawm khoom noj khoom haus - qhov no ua kom paub meej tias txoj kev loj hlob ntawm tus kab mob yuav nres rau lub sijhawm ntev yog tias kev noj haus tsis raug yuam.

Kev kuaj mob

Tsuas yog tus kws kho mob gastroenterologist tuaj yeem lees paub qhov kev kuaj mob, tom qab muaj kev ntsuas thiab kev tshawb fawb:

1. Kev qhia tseeb txog cov ntshav.
2. Kev tshawb fawb biochemical:
   • kev txiav txim cov theem protein ntau;
   • kev txiav txim siab ntawm kev ua si ntawm pancreatic catalysts hauv ntshav cov ntshav (amylase, lipase);
   • kev txiav txim siab ntawm amylase cov haujlwm.
3. Ultrasound yog ib qho mob kuaj pom ntawm lub plab zom mov, tab sis qhov no tsis yog ib qho kev kawm tseeb, txij li kev txiav cov leeg mob tsis yog kuaj mob. Hauv qee kis, qhov no yog qhov tshwj xeeb ntawm tus kheej, thiab tau txiav txim siab tus qauv. Kev kuaj mob ntawm tus kab mob pancreatitis yog suav tias yog kev hloov pauv ntawm kev muaj pes tsawg leeg thiab xwm yeem ntawm cov txiav ua leeg.
4. Xam tias tomography lossis MRI ntawm cov kabmob uas tsim nyog;
5. Qhov ntau npaum li cas ntawm cov piam thaj thiab Acetone hauv lub cev yuav tsum tau tswj hwm, txij li thaum mob ntawm lub qog ua rau lawv nce ntxiv.

Kev khomob thiab tshuaj pom zoo

Txhawm rau tiv thaiv kev txhim kho ntawm hom mob hnyav ntawm kev mob, kev kho mob yuav tsum tau pib tam sim, sai li sai tau thawj cov cim qhia ntawm malaise.

Pancreatitis Tus Cwj Pwm:

1. Ua ntej tshaj plaws, nws yog ib qhov tsim nyog yuav tau tshem tawm qhov mob. Rau thaj chaw uas lub caj pas nyob, nws tsim nyog muab ib yam txias li 1-2 feeb.
2. Muab tshuaj kho mob. Paracetamol lossis Ibuprofen yog qhov tsim nyog rau menyuam yaus, lossis koj tuaj yeem siv cov tshuaj antispasmodics - Nosh-pa, Duspatalin, thiab lwm yam.
3. Yog hais tias qhov mob muaj cuam tshuam los ntawm kev lom, ces thov sorbents - Smecta, Dawb thee, Lactofiltrum, thiab lwm yam.
4. Hauv qhov xwm txheej no, nws tsim nyog siv tshuaj uas yuav tiv thaiv lub cev qhuav dej - Regidron, Hydrovit, thiab lwm yam.
5. Txhawm rau tshem tawm xeev siab thiab ntuav, tshuaj xws li Cerucal, Metoclopramide, thiab lwm yam.
6. Txhawm rau tshem tawm kev kub siab, cov tshuaj tiv thaiv kab mob tuag yog siv - Pirenzapine, Fosfalugel, Maalox thiab lwm tus.
7. Rau enzyme kev saib xyuas ntawm lub txiav, Creon, Pancreatin, Mezim, thiab lwm yam.
8. Muaj qee kis, tshuaj tua kabmob, antihistamines, lossis corticosteroids tuaj yeem raug kho.

Qhov muab thiab cov tshuaj yog kws kho mob cais siv tshwj xeeb.

Yog tias qhov mob loj heev, koj yuav tsum tau hu rau lub tuam tsev kho mob kom tau txais kev pab kom tsim nyog.

Rau kev kho mob ntawm cov neeg mob me, yuav tsum siv cov zaub mov tshwj xeeb - rooj 5P. Nws cov kev saib xyuas, feem ntau, tuaj yeem lav qhov ua tiav ntawm qhov txiaj ntsig ntawm kev tshem tawm cov mob.

Cov lus 5P yog kev kho kom noj qab haus huv uas yuav tsum tau ua raws lub sijhawm muaj sib zog ntawm cov tsos mob ntawm tus kab mob tsawg kawg yog ib hlis thiab ib nrab. Koj yuav tsum tau noj ntau, ntau dua 3-4 zaug ib hnub. Cov koob tshuaj ntawm cov khoom noj yuav tsum me me.

Qhov phiaj xwm ntawm cov khoom noj no tau sau cia cov khoom lag luam uas yuav tsum tau ua kom tiav thiab cov uas tau tso cai koom nrog kev noj haus.

Cov lus ntawm cov khoom txwv tsis pub thiab:

Kev twv ua ntej thiab Kev Tiv Thaiv

Cov menyuam yaus tsis tshua muaj feem ua rau pancreatitis. Feem ntau lawv raug mob taub hau vim kev noj tsis haum, noj zaub mov tsis zoo thiab tshuaj noj.

Tag nrho cov no yooj yim tshem tawm los ntawm kev kho cov kab mob thiab khoom noj. Cov mob zoo li no muaj qhov tshwm sim hauv 99% ntawm qhov xwm txheej.

Yog hais tias tus me nyuam nquag nquag mob txha cajqaum, ces nws yuav tsum tau mus ntsib tus kws kho menyuam yaus thiab kws kho tsiaj ua ntu zus, ua ntu zus los ntawm txoj kev kho mob txhawm rau txo kev mob rov qab thiab yuav tsum tau muaj kev kho kom zoo nyob rau hauv cov chaw tshwj xeeb.

Kev tiv thaiv kab mob los tiv thaiv tus mob pancreatitis:

• tsim nyog, kuas khoom noj khoom haus;
• ua kom tiav ntawm kev noj haus;
• cov khoom noj yuav tsum tsim nyog rau lub hnub nyoog ntawm tus menyuam;
• kev tiv thaiv ntawm cov kab mob ntawm ntau yam etiologies;
• ua raws li kev tswj hwm ntawm kev ua haujlwm thiab so;
• noj tshuaj tsuas yog qhia los ntawm kws kho mob;
• qoj ib ce muaj zog.

Kev mloog zoo thiab hlub niam thiab txiv yog tus yuam sij rau kev noj qab haus huv ntawm tus menyuam.