Pancreatitis chirwere chakakomba chinokonzerwa nokuputika kwepascreas uye kusina kukodzera kwakakodzera dambudziko rinotungamirira kumatambudziko. Kurapa kwepancreatitis nemishonga ndiyo danho rokutanga, sekutonga, kurapwa kwechirwere kunotanga nayo. Kune mishonga yakawanda inogadzirisa zvirwere zvakanaka.
Nzira yakakodzera sei kubata chirwere chepaccreatitis?
Kuvhiringidza kwepancresi kunoitika apo mapurojekiti anoparadzanisa anoshandiswa muglande. Pancreatitis inokura nenzira dzakasiyana, kune mairi maviri: acute uye asingagumi. Chiyero chechirwere chinoenderana nekurapa kwake. Pakutanga kuonekwa kwehutachiona, zvinodhaka zvinodhaka uye zvipfeko zvinonzi zvakasarudzwa, uye kugadzirirwa kwekugara kwenguva refu (kusviba) kunosanganisira maitiro ekukurudzira kuchengetedza, antispasmodics uye boka revamwe vashandi. Idzi mitemo mitatu yakakosha ndeyikuti: kupa murwere rugare, kudya kwakanyanyisa uye kutonhorera kubvisa kutuka.
Kubva pane zviratidzo zvinorayirirwa mishonga yepaccitis, rega zviratidzo zvinotevera. Zvakakosha kubhadhara (nechinangwa chekubvisa) avo vane pathologist vanobva kunotangira chirwere ichi, kunyanya kana chiri:
- chirwere cheshuga mellitus;
- Stomach ulcer ;
- mabwe muhuta;
- kutyisa nemishonga;
- zvirwere zvokufema.
Kurapa kwechirwere chepachikwereti chine mishonga
Kana pancreatitis ichionekwa, chirwere chinopisa chinowanika uye kurapwa kunoitwa kubva pairi, asi pasina kubudirira, chirwere chinogona kuonekwa sechisingagumi. Mumuviri maiva nekuputika, uye chirwere chakaoma chinotarisirwa kubviswa kwezviratidzo zvinodiwa. Ndezvipi zvinodhaka zvinotora nekutengesa kwechimiro chisingaperi? Chirongwa chekurapa chinotevera:
- ane kurwadziwa kwakanyanya achishandisa antispasmodics;
- pakutsvaira mishonga inorwisa mabhakitiriya inogona kusarudzwa kana kusarudzwa;
- Kuti kuderedze acidity yemudumbu, antiacids inopedzwa;
- kudzora basa rinozivikanwa rinonzi inhibitors uye H2-blockers;
- Maitiro ezvinyorwa anorayirwa, zvichienderana nechido chemuviri we lipase;
- Muzviitiko zvisingawaniki, antifoam agents vanobatwa mukati.
Kurapa kwepaccreatitis yakaoma nemishonga
Izvo zvakanyanya pancreatitis zvakaoma kuongorora, kune matambudziko apo zviratidzo zvakafanana nezvimwe zvirwere. Murwere anonzwa kushamiswa kunofadza munzvimbo yemoyo, mapepa, mapepa, hypochondrium. Kusuruvara kunowedzera kuruboshwe rwomuviri, kune kurwadziwa kwakanyanya. Mushure mekudya kwakakwana kune urombo mukati mamuviri, kusuruvara, chirwere . Mamiriro ezvinhu anowedzera, uye zvinokwanisika kuitisa kurapwa muchipatara nekupererwa kwepascreas. Chiremba anonyora mishonga inoita kuti murwere arambe ari mumuviri wakaoma:
- zvinoreva, kuchengetedza mabasa echiropa;
- painkillers;
- zvinodhaka zvinodzivisa kuchengetedzwa kweglandu;
- Kugadzirira kubviswa kweEdema;
- anti-dehydration mishonga.
Ndeapi madhiragi ekurapa kupisa?
Kubudirira kurapwa kwepancreatic pathology ndeyekuita kwenguva refu. Kuvandudza kushandiswa kwechigadzirwa cheglandisi uye kugadzirwa kwepancreatic juice, nzira dzakasiyana dzinoshandiswa. Chinhu chikuru chiri kutora mishonga. Mukudzorerwa kweglandu, mishonga inoita basa guru. Pasi pekutariswa kwepedyo kwegastroenterologist, kuputika kwepakreas kwakavharwa, kurapwa, zvinodhaka zvinorayirwa nemumwe nyanzvi.
Painkillers nokuda kwekuputika
Chimwe chezviratidzo zvisingafadzi zvechirwere chirwere chirwere. Kuvhiringidzika kunogona kusakanganisika kuti murwere anopfuurira uye anotaura achitambudzika. Iyo kurwadziwa kwakasimba, inopa kumashure, kuderedza shure uye zvimwe zvikamu zvemuviri, zvichiratidza chikamu chipi chemuviri chakakanganiswa. Ipapo vanachiremba vanopa mishonga yekuwedzera kwekuputika: simba rakakura, mishonga isina-steroid, marwadzo anonyorwa anotorwa mukati. Kurapa kwepancreatitis ne anesthetics yemapoka akawanda ari kuitwa.
- H2-blockers ye histamine receptors. Kuderedza kubudiswa kwemakemikari epancreatic, mishonga inodzora basa rekusungirirwa inonzi Famotidine, Ranitidine.
- Kana iwe uchida kubvisa mararamiro uye kushandura enzyme excretion, nyora zvinodhaka zvepasmolytic. Nokurwadziwa kukuru, Papaverin, Atropine, Aprofen, No-Shpa anoshandiswa .
- Mishonga isingaitiki inotorwa nekuputika nekurwadziwa - Paracetamol, Ibuprofen, Aspirin, Nimesil. Vanomira kurwadziwa nefivha.
- Analgesics. Somuenzaniso, Baralgin, Analgin.
- Buprenorphine neTramadol vane masimba ane simba ayo anotarisirwa mukati.
Anti-inflammatory drugs ne pancreatitis
Munguva yechirwere chacho, pancreas inobatwa inogadziriswa nemakemikisi ayo, uye muviri unodhakwa. Anti-inflammatory drugs inofanira kusimudza chikumbaridzo chekunzwa kurwadziwa, kuwedzera mishonga yeropa iri pedo nekutsvaira kwekutsvaira, nekusimbisa kurwisa kwemuviri kwepanyama nekuputika. Iboka iri remishonga rinodzivisa kuumbwa kwe thrombi uye rine anti-allergen effect. Kurapa kwepaccreatitis yakaoma nemishonga pamba kunogona, asi zviri nani kupa hutano hwako kune vadzidzisi.
Zvinodhaka zvinodhaka zvinodhaka:
- 2 cubes yaAlgingin uye 3 mL yaBarggina, yakagadziriswa. Chikoro chacho chinoshandiswa nachiremba uye inenge sevhiki.
- Fenicaberan (2 ml / 0.25% r-ra), Atropine (1 cube ye 1% solution) uye Papaverine (4/2%).
- Kugamuchirwa kwemakumbo No-shpy uye Platifillin (1 ml mangwanani uye manheru). Zvinogona kuwedzerwa kuwedzerwa kweProstanone.
- Apo chirwere ichi chinowedzera, ma antibiotics anogona kunyorwa: Cefuroxime, Ampiox, Levomycetin nevamwe.
Zvigadzirwa zvekugadzirira kuputika
Mushure mokunge musunga kurwadziwa nekurwadziwa uye kuguma nenguva yakaoma, kurapwa kwepancreatitis nemishonga kunosanganisira kutora mishonga ine amylase, lipase, uye trypsin. Enzyme yakagadzirwa ne pancreatitis: Creon, Pancitrat, Penzinorm, Mezim, mavhithamini anogadzikana uye mamwe mishonga. Mune zvimwe zviitiko (uye apo chirwere chinonyanya kuisa) inoratidzira anti-enzyme zvinodhaka mukati. Vanodzivisa basa revamwe vanodiridza, asi vane zvakawanda zvakashata zvemigumisiro. Kuzvigadzirira kutakura:
- Contrikal;
- Gordoks;
- Aprotinin;
- Inhistril.
Antacid in pancreatitis
Mukuwedzera kune enzyme agents, zvirongwa zvinoputika zvinorayirwa kuti zvirape pancreatitis, izvo zvinowedzera kubudirira kwezvavanoita. Kuti kuderedze gastric acidity, masanganiswa e-alkaline anoshandiswa, somuenzaniso, Almagel, Fosfalugel nezvimwe. Iyi mishonga inobvisa exocrine kusagutsikana, zvichiita kuti kutyora kwekushanda kwakakodzera kwe duodenum, uye uwandu hwe acidity wepancreatic juzi mukati mudumbu inoderera.
Cholagogue kugadzirira kuputika
Kuti zvive nemigumisiro yakadai sokuderedza dambudziko rekuchengetedza kwepascreas, kubvisa edema uye kupera kwemhepo, kuvandudza kugadzirisa kushandiswa kushandiswa kwecholagogue. Apo mishonga inopiwa chirwere chekuputika, mishonga inorayirwa nachiremba uye, nemvumo yake, mishonga inogona kubhadharwa nemishonga ine zvikamu zvakadai se vitamine C, mafuta anokosha, shuga yemadhipa, tar, menthol, flavones, flavonoids, tannins, nezvimwewo. Mahwendefa anonyanya kushandiswa pane pancreatitis, mishonga yakadai seyi:
- Essentiale;
- Holenzim;
- Hofitol;
- Allochol;
- Libiol;
- Ursosan;
- Odeston;
- Nikodini.
Chirongwa chekurapa pancreatitis nemishonga - zvinodhaka
Mukurapa kwemazuva ano, nzira dzakasiyana-siyana uye maitiro anoshandiswa, nerubatsiro rwekurwiswa kwepascreatitis kubviswa. Basa rinokosha mavari rinowedzerwa nevashambadziri vanoita. Asi zvakakosha kufunga kuti pancreatitis ndeyekukurumidzira mamiriro, kurapwa kunoitwa muchipatara. Kazhinji, varwere vari muchipatara, vanoisa gonhorera, vachitsigira basa rezvikamu zvakasiyana-siyana uye zvirongwa, vachirapa mishonga yekudzivirira zvirwere zvechirwere. Kunyatsotarisirwa kutarisa kuwedzera zvinodhaka mumapancreatitis, izvo zvinoita kuti kuparadzwa kwepascreatic tishu uye kuurayisa utachiona.
Kurapa kwepaccreatitis yakaoma mumusha - zvinodhaka
Kurapa kwepancreatic kuvimba nemishonga kunobvira kumba, asi pamamiriro ezvinhu apo murwere acharamba achitaura nachiremba, uye zvakanyanya kupfuura. Izvi zvinonyanya kuitika pamhando yekusagadzikana kwechirwere ichi. Zvakakosha kuchengetedza rugare rwakakwana, kutevera kudya. Pain syndrome inobviswa ne analgesics uye antibiotics. Kana kurwisa kusati kwekutanga, munhu anogona kutora mishonga:
- Asi-Shpu;
- Papaverine intramuscularly;
- Drotaverine.
Zvinangwa zverapi kune zvirwere zvakaoma kudzivirira zvirongwa zve systemic, necrosis uye utachiona. Kubatwa kwakanyanya kwepachirwere kunogona kutungamirira kune dzimwe zvirwere, uye chirongwa chekurapa chinoenderana nazvo. Kana mamiriro acho asina kugadzikana, kukanganiswa kunoputika, chiremba anorayira mishonga kuisa chimiro ichi:
- Glucagon;
- Calcitonin;
- Somatostatin.
Kurapa kwepaccreatitis yakaoma nemishonga muchipatara
Muzviitiko zvakawanda, apo chirwere chinowanikwa muhuwandu hwakaoma, hospitali inotarisirwa. Chirwere ichi chiri pasi pekutarisirwa kwechiremba muchipatara. Mumazuva okutanga ekugara muchipatara akarayirwa kudya kwakasimba, kunyange nenzara. Kuti abvise kudhakwa, mvura yakawanda yemvura, kusanganisira glucose uye saline, inowanikwa mu droppers, uye zvirwere zvepaccreatitis zvinopiwa uye zvakagadziriswa, uye zvakanyanyisa. Zvichienderana nekuoma kwezviratidzo, mishonga yakasiyana inorayirwa:
- Spasmolytics (Ketanov, Spazmalgon) kubvisa marwadzo mudumbu.
- Dhiyabhorosi zvinoderedza basa repancreas (zvinodhaka zvakadai seSandostatin, Contrikal).
- Zvinogoneka kugamuchirwa kweanoricic narcotic, asi pasi pekudzivirira kwakasimba kwachiremba (Hydromoron, Meperidin).
Mune mhando ipi neipi yehutachiona, kurapwa kwepancreatitis nemishonga kunofanira kuva pasi pekutarirwa kwechiremba anoziva nhoroondo yechirwere uye anoziva zvikonzero zvekuvandudzwa kwehutano. Zvinokurudzirwa kutanga chirongwa pakutanga kwekutanga, kusvikira chirwere chinokonzera kusangana uye hachiendi kumutsara usingagumi.