Qhov tshwm sim ntawm tus mob pancreatitis yog vim muaj kev txhim kho muaj zog ntawm cov txheej txheem inflammatory hauv cov ntaub so ntswg ntawm tus txiav. Kev nruj nruj ntawm nws tus kheej cov tshuaj enzyme, uas tau qhib ncaj qha rau hauv lub cev thiab ua rau lub cev zom zaub mov ntawm nws tus kheej cov ntaub so ntswg, underlies lub pathology. Ntawm cov kev kho mob tshwm sim ntawm tus mob pancreatitis, ntuav, mob, xeev siab, ua npaws, tsis qab los noj mov, discoloration ntawm daim tawv nqaij thiab ntau dua.
cov ntaub ntawv dav dav
Tus mob pancreatitis raug cais raws li qhov hnyav:
- Teeb - me ntsis kev puas tsuaj rau lub caj pas. Kho sai sai, qhov kev cia siab yog qhov zoo.
- Severe - daim duab qhia tau hais tias, kev puas tsuaj rau lub cev. Cov teeb meem feem ntau ua raws.
Cov neeg ua phem ntawm cov txheej txheem inflammatory yog:
- nquag haus;
- malnutrition - tsim txom ntsim, kib, rogkhoom noj;
- kev raug mob;
- muaj kab mob kis thiab kab mob;
- congenital anomalies;
- kab mob caj ces;
- kev ua neej nyob;
- noj tshuaj ntau npaum li cas;
- kab mob ntawm plab hnyuv;
- kab mob endocrine;
- Kev ua haujlwm tsis ua haujlwm ntawm pancreatic vim muaj kev cuam tshuam kev phais.
Pharmacotherapy rau mob mob pancreas
Tus mob pancreatitis yog kho nrog cov tshuaj ntawm pawg kws tshuaj hauv qab no:
- Proteolysis inhibitors ("Aprotinin") - neutralize qhov kev txiav txim ntawm cov enzymes uas muaj kev cuam tshuam rau kev ua haujlwm ntawm lub qog.
- Cov tswj dej thiab electrolyte tshuav - "Gastrolit".
- Anspasmodics - Mebeverine, Drotaverine, Papaverine.
- Proton twj blockers - Omeprazole, Lansoprazole.
- H2-histamine receptor blocker - "Ranitidine", "Famotidine".
- Antacids - Phosphalugel, Almagel, Maalox.
- Y Diuretics - Furosemide, Acetazolamide.
- Ancholinergics - "Atropine", "Platifillin"
- Hepatoprotectors - Essentiale, Karsil, Gepabene.
- Tshuaj tua kab mob - pawg ntawm fluoroquinolones, cephalosporins thiab macrolides.
- Vitamin complexes - "Viitrum", "Duovit"
- YEnzymes - Festal, Pancreatin, Creon, Mezim.
Yam cuam tshuam rau qhov pom ntawm gag reflex
Ua rau ntuav hauv tus mob pancreatitis:
- Kev xavmob - tus neeg muaj kev ntshai vim mob hnyav, uas ua rau ntuav.
- Intoxication ntawm lub cev - qhov chaw ntuav, nyob rau hauv lub medulla oblongata, activates lub siab concentration ntawm toxins.
- Kab mob ntawm cov kab mob biliary nyob rau theem mob thiab mob ntev.
- Tam sim no kab mob plab hnyuv thiab txo qis ntawm pancreatic enzymes.
- plab hnyuv obstruction uas tshwm sim los ntawm o.
Kev ntuav ntuav vim mob pancreas
Qhov tshwm sim ntawm ntuav hauv tus mob pancreatitis tuaj yeem ua rau muaj cov kab mob hauv qab no:
- Electrolytic - lees paub tias hnyav tshaj plaws. Kev ntuav tawm tsam tawm tsam sodium, calcium thiab chlorine ions los ntawm lub cev ntawm tus neeg, uas ua rau cov leeg tsis ua haujlwm thiab txo qis hauv cov hlab ntsha. Raws li qhov tshwm sim, tus neeg lub siab tsis nco qab, ntuav nkag mus rau hauv lub ntsws. Qee tus neeg mob tau ua pa ua pa.
- ntuav ntuav hauv mob hemorrhagic pancreatitis. Nyob rau hauv cov ntaub ntawv no, ntuav ua provoke lub reflux ntawm plab hnyuv txheem. Raws li qhov tshwm sim ntawm kev raug mob hnyav, cov kab mob erosive thiab ulcerative raug tsim, uas tuaj yeem ua rau muaj kev loj hlob ntawm Mallory-Weiss syndrome (qhov txhab ntawm cov hlab pas esophageal mucosa).
- Hypovolemic shock, uas tus neeg mob pom cov tsos mob hauv qab no: poob siab, tsis nco qab, hypoxia. Hauv qhov no, yuav tsum tau kho mob sai.
Tus mob pancreatitis yuav tsum tau kho ntxov kom tsis txhob muaj teeb meem loj.
Dab tsintuav hauv mob pancreatitis?
Thawj zaug, tus kab mob uas tau tshwm sim hauv qab yog qhov hnyav heev. Ib tug neeg dheev tsim ib qho mob hnyav nyob rau sab laug hypochondrium, uas sai sai kis thoob plaws hauv lub plab thiab tawg mus rau sab nraub qaum. Mob nrog rau kev tawm tsam ntawm xeev siab. Tom qab ib lub sij hawm luv luv, ntuav tshwm, tshwm sim los ntawm intoxication thiab o nyob rau hauv lub txiav. Nyob rau tib lub sijhawm, nws yog qhov mob, rov ua dua ntau zaus thiab tsis ua rau muaj kev ntxhov siab. Kev xeev siab tsis nres ntawm kev tawm tsam.
Nws yuav tsum tau muab sau tseg tias ntuav nyob rau hauv mob edematous lossis hemorrhagic pancreatitis txawv. Nyob rau hauv thawj rooj plaub, nws yog ntau thiab nrog ib tug loj npaum li cas ntawm ntuav. Lawv muaj cov seem ntawm cov khoom noj uas tsis tau noj, kua tsib, kua qaub. Tom qab ob peb sips dej, muaj qhov nce hauv ntuav. Muaj tsawg zaus, ntuav zoo li kas fes hauv av. Yog vim li cas rau qhov tshwm sim yog los ntshav los ntawm eroded hlab ntsha ntawm lub cev. Kwv yees li ntawm hnub thib peb, pom kev zoo, ntuav nres tom qab lub sijhawm teem tseg ntawm kev kho mob tsim nyog thiab tshem tawm ib feem ntawm edema.
Hauv qhov thib ob, ntuav tsis tu ncua thiab muaj ntau. Cuam tshuam cawv, hnoos hauv qhov sib xws, muaj cov zaub mov tsis zoo, kua tsib thiab ntshav.
Tus yam ntxwv ntuav. Tshuaj kom tshem tau nws
Nyob rau hauv qhov mob hnyav ntawm tus kab mob, qhov kev xav ntawm xeev siab thiab ntuav muaj nyob hauv ntau dua cuaj caum feem pua ntawm cov neeg mob. Qhov tshwm sim ntawm ntuav hauv tus mob pancreatitis yog reflex, uas yog, lub teeb liab rau nws tau muab tso rau hauv pancreas.qog. Nws sai sai mus txog qhov ntuav qhov chaw nyob hauv medulla oblongata, thiab tom qab ntawd ua rau ntuav nws tus kheej ua raws ncaj qha. Tsis tas li ntawd, lub reflex mechanism tuaj yeem tshwm sim thaum muaj teeb meem xws li kev ua haujlwm hauv plab hnyuv. Nyob rau tib lub sijhawm, intoxication los ntawm cov khoom tawg ntawm cov ntaub so ntswg pancreatic provokes qhov tshwm sim ntawm ntuav ntuav.
Tshuaj rau xeev siab thiab ntuav yog blockers ntawm cov receptors hauv qab no:
- Dopamine - Raglan, Cerucal, Torekan, Motilium.
- Histamine - "Bonin".
- Serotonin - Navoban, Zofran.
Qhov tshuaj ntawm cov tshuaj saum toj no rau ntawm lub cev ntawm tus neeg txawv. Thaum noj lawv, nco ntsoov paub koj tus kheej nrog cov contraindications. Qhov kev xaiv raug tsuas yog ua los ntawm tus kws kho mob tuaj koom. Qhov nrov tshaj plaws yog cov tshuaj rau xeev siab thiab ntuav, xws li Cerucal thiab Motilium.
Kuv yuav ua li cas yog kuv ntuav?
Thaum muaj kev tawm tsam, koj yuav tsum:
- Cia tus neeg thiab muab kev thaj yeeb nyab xeeb rau lawv.
- Tshem tawm lossis tshem tawm cov khaub ncaws nruj kom ua pa thiab txav mus.
- Pab tus neeg mob mus rau qhov chaw xis kom txo tau qhov mob. Cia nws tsis txhob ua pa tob tob.
Tsis tas li ntawd, cov tshuaj tau pom tias pab ua kom cov electrolyte tshuav thiab kua dej hauv tus neeg mob lub cev:
- Infusion daws.
- Analgesics (raws li kws kho mob tau sau tseg). Kev tswj hwm tus kheej raug txwv.
- Anspasmodics.
- Antiemetics - lawv siv rau ntuav ntuav, txawm tias tawm tsam keeb kwm ntawm kev kho tsis tu ncua. Feem ntau, siv cov tshuaj hauv qab no, uas yog txhaj tshuaj: Osetron, Domperidone, Metoclopramide. Cov tshuaj ntuav rau tus mob pancreatitis tsis zoo, vim lawv tsis muaj sijhawm los nqus.
Kev kho mob xwm txheej ceev yog qhov tseem ceeb tshaj plaws, vim qhov mob ntawm tus txiav ua mob hnyav ua rau tus neeg lub neej.
khoom noj khoom haus
Nrog kev pab ntawm kev noj zaub mov uas yuav tsum tau ua raws li tus mob pancreatitis, cov xwm txheej raug tsim nyob rau hauv qhov kev zais cia tsis muaj zog ib ntus thiab txiav txiav nyob rau hauv lub xeev ntawm kev ua haujlwm. Hauv lwm lo lus, cov zaub mov noj yuav tsum txo qis kev ua haujlwm ntawm digestive enzymes thiab xyuas kom meej cov kua txiv pancreatic. Nws yog qhov ua tsis tiav ntawm qhov kawg uas ua rau muaj qhov tshwm sim ntawm qhov mob hnyav ntawm tus txiav. Tom qab kev kuaj mob rau ib lub sij hawm ntawm peb mus rau tsib hnub, ua kom tiav kev yoo mov yog pom zoo, thiab tom qab ntawd noj zaub mov tshwj xeeb. Xav txog cov cai yooj yim ntawm kev noj haus:
- Noj txog yim pluas noj ib hnub. Tom qab - tsib.
- Kev qhia txog cov khoom noj uas ua kom digestion, nrog rau kev nce hauv calorie ntau ntau rau 2500 ib hnub, tau ua tiav maj mam.
- Khoom noj yog steamed, boiled, ci los yog stewed.
- Nqaij thib ob lossis thib peb yog siv los ua kua zaub.
- khob cij.
- Kev ntsuas kub yuav tsum yog nruab nrab.
- Nqaij, nqaij qaib thiab ntses yog pre-boiled, thiab ces ntau yam tais diav yog npaj los ntawm lawv.tais diav.
- Tsis pub dhau peb hnub tom qab qhov kev tawm tsam, cov kua dej sov tau muab tso rau hauv me me - decoctions ntawm currants, sawv hips, tshuaj yej thiab kefir dej qab zib, ntxhia alkaline dej tsis muaj roj. Ntxiv mus, qhov ntim ntawm cov kua dej txhua hnub yog maj mam hloov mus rau ob litres.
- Cov khoom noj muaj pes tsawg leeg yog txwv cov carbohydrates thiab cov rog, nce cov protein ntau.
Kev noj zaub mov nruj yog ua raws li ib lub lis piam mus rau ib hlis thiab ib nrab, ces nws raug tso cai hloov mus rau qhov txuas ntxiv. Tus kws kho mob txiav txim siab lub sijhawm ntawm nws kev ua raws li tus kheej, nyob ntawm qhov hnyav ntawm tus kab mob.
Txawm hais tias tus kab mob sib txawv, cov zaub mov hauv qab no raug txwv:
- yuav haus cawv, kas fes, haus dej haus cawv;
- rog ntau yam nqaij qaib, nqaij thiab ntses;
- khoom noj khoom haus - muffins, pastries tshiab;
- -haus luam yeeb thiab haus luam yeeb zoo nkauj;
- chocolate;
- sweets;
- marinades;
- fried foods;
- nqaij npua thiab zaub nqaij;
- legumes;
- zaub tshiab thiab txiv hmab txiv ntoo;
- tsiaj rog;
- butter;
- miv;
- spices.
Koj noj dab tsi nrog mob pancreatitis? Cov khoom hauv qab no tso cai rau kev noj:
- -Axebit, qaib cov txwv, nqaij qaib, nqaij nqaij nqaij ntses, pock, cod, pike, thiab lwm yam
- Tom qab kho cua sov - taub dag, beets, carrots, qos yaj ywm.
- YCereals - buckwheat, oatmeal, barley, mov.
- Nplej ci ci hnub ua ntej.
- pastakhoom.
- txiv roj roj, roj sunflower, butter, mis nyuj thiab qaub cream (ua noj xwb).
- Sour-milk - kefir, tsev cheese, cheese nrog qis feem pua ntawm rog.
- Non-acidic thiab unsweetened jelly, txiv hmab txiv ntoo compotes, tseem ntxhia dej, rosehip los yog blackcurrant decoction, qaug tshuaj yej.
Kev ua raws li kev noj zaub mov nruj tom qab kev tawm tsam tsis yog tsuas yog ua kom rov zoo sai xwb, tab sis tseem txo qis qhov kev pheej hmoo ntawm kev rov qab los thiab ntws ntawm tus kab mob mus rau theem ntev.
Tshuaj "Domperidone" thiab analogues
Nyob hauv lub khw muag tshuaj, cov tshuaj tau nthuav tawm raws li cov npe lag luam sib txawv: Motilium, Motilak, Motonium thiab lwm yam.
Nws muaj kev sib xyaw ua ke. Tsis zoo li lwm cov tshuaj antiemetic, nws thaiv cov peripheral dopamine receptors kom ntau dua, ua rau lub cev muaj zog thiab kev thauj mus los ntawm lub plab, thiab tseem tshem tawm cov nyhuv inhibitory ntawm dopamine ntawm lub cev muaj zog ntawm lub plab zom mov. Raws li qhov tshwm sim ntawm nws qhov kev noj haus, tus neeg mob tshem tawm xeev siab, nres ntuav, thiab ntxiv rau, qhov tshwm sim ntawm kev zom zaub mov yog txo. Domperidone analogues:
- Prokinetic: "Trimedat" - txo cov tsos mob ntawm plab hnyuv siab raum thiab flatulence.
- Full - Metoclopramide, uas zoo ib yam li Domperidone.
- Antiemetics: Ondansetron zoo rau kev kho ntuav.
YEnzyme npaj rau pancreatitis
Vim kev cuam tshuam ntawm kev sib txuasenzymes uas tshwm sim nrog cov kab mob no, kev ua zaub mov ua haujlwm tsis zoo, cov txheej txheem ntawm cov rog sib cais tsis ua haujlwm, thiab qhov mob tshwm sim hauv thaj tsam epigastric. Yog li, txoj kev kho mob nyuaj suav nrog kev noj cov tshuaj enzyme. Cov lus qhia rau kev siv rau Creon (tus nqi thiab kev tshuaj xyuas ntawm cov tshuaj no yog nyob rau hauv tsab xov xwm) qhia txog cov kev cai rau noj nws. Nws pab kom them nyiaj rau qhov tsis muaj pancreatic enzymes, thiab tseem tsim nyog los txhawb kev zom zaub mov hauv lub sijhawm ntev ntawm tus kab mob. Cov muaj pes tsawg leeg ntawm cov khoom xyaw nquag yog ze rau tib neeg thiab yog sawv cev los ntawm amylase, protease thiab lipase. Tus neeg sawv cev, ua raws li cov cai ntawm kev tswj hwm thiab cov koob tshuaj pom zoo, tau txais txiaj ntsig zoo. Nws yog txwv tsis pub noj thaum lub sij hawm exacerbation ntawm mob pancreatitis. Yog vim li cas yog hais tias nyob rau hauv tus mob no muaj ib tug active kev loj hlob ntawm o, thiab noj "Creon" yuav ua rau kom cov tsos ntawm pliaj tshwm sim. Feem ntau lawv muaj cov tsos mob raws plab lossis cem quav, tsis muaj zog, mob plab, ntuav, xeev siab thiab tsis haum tshuaj.
Koj tuaj yeem rov qab noj cov tshuaj tom qab ob lub lis piam, thaum cov txheej txheem ntawm qhov mob thiab qhov mob ploj mus. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev siv lub sij hawm ntev ntawm kev npaj enzyme yog qhov tsis xav tau kom tsis txhob ua kom tag nrho cov khoom ntawm ib tus kheej zais cia. Txhawm rau kom tsis txhob muaj teeb meem, tsis txhob siv cov tshuaj yam tsis tau sab laj nrog kws kho mob - cov lus ceeb toom no kuj muaj nyob rau hauv cov lus qhia rau kev siv Creon.
Nqe thiab tshuaj xyuas yuav tsum sib tham nyias. Nyob ntawm qhovCov ntaub ntawv tso tawm, tus nqi ib pob yog los ntawm 330 txog 1590 rubles. Cov neeg mob hais tias nws tsis kim heev. Koj tuaj yeem yuav cov tshuaj ntawm txhua lub tsev muag tshuaj yam tsis muaj daim ntawv xaj. Tsis tas li ntawd, cov tshuaj no muaj nyob rau hauv daim ntawv teev cov tshuaj dispensed nyob rau hauv cov tshuaj noj dawb. Kev tshuaj xyuas txog cov tshuaj tsuas yog qhov zoo: kom ua tiav cov txiaj ntsig, koj yuav tsum ua raws li cov tshuaj uas kws kho mob tau sau tseg. "Creon" tso cai rau cov menyuam yaus. Cov tshuaj muaj kev nyab xeeb thiab siv tau.
