Pancreatitis yog ib pawg ntawm cov tsos mob thiab cov kab mob uas tshwm sim los ntawm kev mob ntawm tus txiav. Hauv qhov xwm txheej no, cov enzymes zais cia tsis tso rau hauv duodenum. Lawv tau qhib rau hauv caj pas thiab ua rau nws txoj kev puas tsuaj.
Tus kab mob pancreatitis yog tus cwj pwm los ntawm cov tsos mob xws li mob hnyav hauv thaj tsam epigastric, uas yog tam sim ntawd, muaj zog thiab ruaj khov. Feem ntau, tsis xis nyob nrog xws li mob tshwm sim nyob rau sab laug ib nrab ntawm lub cev. Hauv qhov no, tus neeg mob yuav hnov qhov ntuav tsis tuaj yeem nrog kev sib xyaw ntawm cov kua tsib.
Txhawm rau txo koj tus mob thiab tshem tawm cov tsos mob ntawm tus kab mob, cov kws kho mob pom zoo kom siv cov tshuaj antispasmodics. Nrog rau mob pancreatitis, cov tshuaj no tseem ceeb heev. Lawv tso cai rau koj los daws qhov mob hnyav uas tshwm sim los ntawm spasms (uas yog, tsis muaj kev cog lus tsis txaus ntseeg) ntawm cov leeg nqaij ntawm cov ntaub so ntswg pancreatic.
Dab tsi yog cov tshuaj antispasmodics rau pancreatitisyog qhov ua tau zoo tshaj plaws? Lawv ua haujlwm li cas? Dab tsi yog suav nrog hauv lawv cov muaj pes tsawg leeg? Cov lus nug no thiab lwm cov lus nug tau teb hauv qab no.
cov ntaub ntawv dav dav
Anspasmodics rau pancreatitis thiab cholecystitis yog thawj zaug. Nws txuas nrog dab tsi? Qhov tseeb yog tias qhov kev txiav txim ntawm cov tshuaj no yog tsom rau kev so ntawm cov leeg nqaij fibers ntawm cov kab mob hauv nruab nrog cev, uas tso cai rau tsis tsuas yog kom tsis txhob mob mob, tab sis kuj txhawb cov ntshav. Nws tseem yuav tsum raug sau tseg tias kev siv cov lus hais no tsis cuam tshuam rau cov txheej txheem ntawm kev kuaj mob kom raug.
Yam tshuaj twg yog qhov zoo tshaj rau tus mob pancreatitis?
Qhov kev kho mob ntawm cov tshuaj antispasmodic feem ntau txiav txim siab los ntawm cov kab mob (mob ntev lossis mob hnyav), cov tsos mob hnyav, daim ntawv tso tawm cov tshuaj (cov ntsiav tshuaj, tshuaj txhaj, thiab lwm yam), hnub nyoog ntawm tus neeg mob, nrog rau lwm yam kab mob uas ua rau mob pancreas caj pas.
Xav txog cov npe tshuaj antispasmodics (tshuaj).
Rau tus mob pancreatitis, cov tshuaj hauv qab no feem ntau siv:
- "Drotaverine" lossis "No-Shpa";
- "Papaverine";
- Spazmalgon;
- "Atropine";
- "Duspatalin";
- "Platifillin".
"Drotaverine" lossis "No-Shpa"
Qhov no yog myotropic antispasmodic, cov tshuaj nquag uas yog drotaverine hydrochloride. Nrog rau tus mob pancreatitis, cov tshuaj no feem ntau tau sau tseg.
"Drotaverine" lossis "No-Shpa" muaj qhov ntev thiab haisrelaxing nyhuv ntawm cov nqaij ntshiv ntawm cov hlab ntsha thiab cov kabmob sab hauv. Cov nyhuv ntawm cov tshuaj nyob rau hauv cov ntsiav tshuaj yog pom tsuas yog 30-40 feeb tom qab kev tswj hwm, nyob rau hauv no hais txog, nws tsuas yog siv nyob rau hauv qhov tsis muaj ntuav thiab mob hnyav nyob rau hauv tus neeg mob. Txwv tsis pub, txhaj tshuaj intramuscular, cov txiaj ntsig kho tau pom zoo twb tau 7 feeb tom qab txhaj tshuaj.
Kev siv cov tshuaj tiv thaiv saum toj no hauv kev mob pancreatitis yog txwv tsis pub nyob rau hauv cov xwm txheej hauv qab no:
- nyob rau hauv qhov txo qis;
- nrog mob plawv mob hnyav, suav nrog kev poob siab cardiogenic;
- rau lub raum thiab lub siab ua haujlwm tsis zoo;
- nrog rau tus kheej intolerance;
- mus txog 7 xyoo.
Thaum cev xeeb tub thiab lactation, cov tshuaj no yuav tsum tau ceev faj heev.
Rau cov neeg laus uas muaj tus mob pancreatitis, tshuaj tua kab mob "Drotaverine" lossis "No-Shpu" raug tshuaj 40-80 mg, txog li peb zaug hauv ib hnub. Qhov koob tshuaj ntau tshaj ib hnub yog 240 mg.
Papaverine
Cov tshuaj no muaj ntau hom tshuaj. Tag nrho cov ntawm lawv muaj tib yam active tshuaj - papaverine hydrochloride.
Kev siv cov tshuaj antispasmodic hauv pancreatitis tshem tawm qhov mob los ntawm kev txo qis hauv cov txiav, uas yog tshwm sim los ntawm cov qog nqaij hlav qog. Tsis tas li ntawd, cov tshuaj pab kho cov dej ntws tawm ntawm pancreatic kua txiv thiab cov kua tsib.
Raws li cov lus ntawm cov kws tshaj lij, cov tshuaj no ua haujlwm tau zoo tshaj plaws nrog kev tso dej hauv cov hlab ntsha.infusion thiab txhaj tshuaj subcutaneous.
Qhov txiaj ntsig tseem ceeb ntawm cov cuab yeej no yog qhov ua tau ntawm nws siv hauv kev xyaum menyuam yaus. "Papaverine" nyob rau hauv daim ntawv ntawm suppositories thiab ntsiav tshuaj yog tshuaj los ntawm lub hnub nyoog ntawm 6 lub hlis, thiab nyob rau hauv daim ntawv ntawm kev txhaj tshuaj - los ntawm ib xyoos.
Cov tshuaj uas tau hais tseg tsuas yog xaiv los ntawm tus kws kho menyuam yaus raws li lub hnub nyoog ntawm tus menyuam thiab qhov hnyav ntawm cov tsos mob ntawm tus kabmob.
Contraindications rau kev siv "Papaverine" zoo ib yam li cov "No-shpy" thiab "Drotaverine". Nws kuj tseem tsis tau sau rau cov neeg uas muaj hypothyroidism thiab glaucoma.
Spazmalgon
Peb qhov tshuaj tiv thaiv spasmodics rau pancreatitis suav nrog cov tshuaj xws li Spazmalgon. Cov muaj pes tsawg leeg ntawm cov tshuaj no muaj xws li ib tug analgesic (tsis yog-narcotic) - metamizole sodium, ib tug m-anticholinergic tshuaj - fenpiverinium bromide, thiab kuj myotropic antispasmodic - pitofenone.
Metamizole yog ib qho derivative ntawm pyrazolone. Cov tshuaj no yog anti-inflammatory, analgesic thiab antipyretic. Fenpiverinium (vim cov nyhuv m-anticholinergic) muaj cov nyhuv so ntawm cov leeg nqaij. Raws li rau pitofenone, nws ua zoo ib yam li papaverine.
Kev sib xyaw ntawm peb yam hais txog ua rau tshem tawm qhov mob, so ntawm cov leeg nqaij thiab txo qis hauv lub cev.
Rau cov neeg laus thiab cov menyuam yaus hnub nyoog qis dua 15 xyoos, cov tshuaj no tau muab rau hauv qhov ncauj, tom qab noj mov, 1-2 ntsiav tshuaj, txog peb zaug hauv ib hnub. Kev noj tshuaj txhua hnub ntawm "Spasmalgon" yuav tsum tsis pub tshaj rau 6 ntsiav tshuaj.
Lub sijhawm khosuav tias txhais tau tias yog 5 hnub (tsis muaj ntxiv!). Kev nce qib ntawm cov tshuaj txhua hnub lossis lub sijhawm kho yog ua tau tsuas yog tom qab sab laj nrog kws kho mob.
Tsuas yog tus kws tshaj lij sau tshuaj rau menyuam yaus.
Atropine
Cov tshuaj muaj pes tsawg leeg ntawm tus neeg sawv cev hauv nqe lus nug suav nrog xws li cov tshuaj nquag xws li atropine sulfate. Raws li rau cov khoom ntxiv, lawv nyob ntawm daim ntawv ntau npaum ntawm cov tshuaj.
Cov tshuaj nug yog ib qho alkaloid. Nws muaj cov haujlwm anticholinergic (uas yog, nws tuaj yeem thaiv M-cholinergic receptors).
Kev siv cov tshuaj no ua rau muaj kev nce siab hauv lub cev, amidriasis, tachycardia, kev pab tuag tes tuag taw, xerostomia. Tsis tas li ntawd, cov tshuaj no muaj kev nyuaj siab rau kev tso tawm hws, bronchial thiab lwm yam qog.
Atropine sulfate so cov leeg du ntawm bronchi, nrog rau cov zis thiab biliary kab mob thiab cov kab mob ntawm lub plab zom mov. Hauv lwm lo lus, cov tshuaj tau hais tawm muaj cov nyhuv antispasmodic thiab ua raws li tus neeg tiv thaiv.
Atropine tuaj yeem noj qhov ncauj, txhaj tshuaj subcutaneously, rau hauv cov leeg lossis cov leeg. Qhov ntau npaum ntawm cov tshuaj no yog txiav txim los ntawm tus neeg.
Duspatalin
Cov tshuaj nquag ntawm cov tshuaj hais yog mebeverine hydrochloride. Qhov no yog myotropic antispasmodic, uas muaj nyob rau hauv daim ntawv ntawm cov tshuaj ntsiav thiab ntsiav tshuaj. Nrog exacerbation ntawm pancreatitis "Duspatalin":
- cuam tshuam lub suab ntawm lub sphincter ntawm Oddi;
- txo qis pancreatic spasmsducts;
- txhim kho pancreatic muaj nuj nqi;
- tiv thaiv stagnation ntawm pancreatic kua txiv;
- shows minimal side effects.
Rau lub hom phiaj ntawm kev saib xyuas xwm txheej ceev thaum lub sijhawm mob hnyav, nrog rau qhov mob hnyav, cov tshuaj no tsis siv. Txawm li cas los xij, hauv cov txheej txheem ntev, kev kho mob ntev (txog rau lub hlis) tuaj yeem ua tiav qhov tsis muaj zog ntawm cov tsos mob ntawm tus mob pancreatitis.
Duspatalin tau noj ntawm qhov ncauj ntawm qhov ntau npaum li 100 mg, plaub zaug hauv ib hnub (los yog 135 mg, peb zaug ib hnub).
Thaum qhov kev kho mob tau ua tiav, cov tshuaj qhia tau maj mam txo qis.
Y"Platifillin"
Cov khoom xyaw tseem ceeb ntawm cov tshuaj no yog platyfillin hydrotartrate. Piv nrog rau cov tshuaj "Atropine", cov tshuaj nyob rau hauv nqe lus nug muaj ib tug tsawg pronounced nyhuv ntawm peripheral m-cholinergic receptors thiab n-cholinergic receptors (kwv yees li 5-10 lub sij hawm tsis muaj zog).
Ntxiv rau cov nyhuv antispasmodic, Platyfillin kuj muaj cov nyhuv tsis muaj zog.
Cov tshuaj no yog siv los ntawm qhov ncauj, parenterally, subcutaneously, intravenously, rectally, thiab topically (hauv ophthalmic xyaum). Qhov ntau npaum ntawm cov tshuaj nyob ntawm txoj kev ntawm kev tswj hwm, cov lus qhia thiab hnub nyoog ntawm tus neeg mob.
0, 2% kev daws ntawm "Platiphyllin" yog muab rau kev txhaj tshuaj subcutaneous raws li kev pabcuam thaum muaj xwm txheej ceev los txo qhov mob hnyav.
Cov tshuaj no muaj cov npe txuas ntxiv ntawm cov kev mob tshwm sim loj, thiab yog li ntawd nws tsuas yog siv hauv kev saib xyuas xwbspecialist.
Lwm cov tshuaj rau pancreatitis
Cov tshuaj dab tsi, dhau li ntawm cov saum toj no, siv rau cov kab mob pancreatic? Txhawm rau tshem tawm spasms ntawm cov leeg nqaij leeg, cov lus hauv qab no tau txais:
- Sparex, Niaspam. Cov no yog cov tshuaj zoo, cov khoom tseem ceeb uas yog mebeverine. Txawm li cas los xij, tsis zoo li Duspatalin, lawv tsis tshua kim.
- "Dicetel" nrog cov khoom xyaw nquag - pinaverine bromide.
- "Riabal" (cov khoom tseem ceeb yog prifinium bromide). Qhov no antispasmodic kuj muaj nyob rau hauv daim ntawv ntawm ib tug syrup. Feem ntau nws yog siv rau hauv kev xyaum menyuam yaus hauv cov menyuam yaus hnub nyoog 3 hlis.
- Tablets thiab Halidor tov.
- Buscopan tshuaj. Qhov no yog ib qho tshuaj kho tau zoo uas feem ntau siv los tshem tawm qhov mob spastic hauv tus mob pancreatitis.
- Tshuaj "Nqa", "Maksigan", "Revalgin", "Spazgan", "Spazmalin"
tshuaj nyab xeeb tshaj plaws
Txhua yam tshuaj antispasmodics hauv pancreatitis qhia tau hais tias muaj txiaj ntsig zoo. Txawm li cas los xij, peb yuav tsum tsis txhob hnov qab tias cov tshuaj no muaj cov npe zoo nkauj ntawm ntau yam contraindications. Tsis tas li ntawd, lawv cov kev tswj tsis tau tswj tau feem ntau ua rau muaj kev phiv loj heev. Yog li, ua ntej siv cov tshuaj antispasmodics, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb.
Raws li kev xav ntawm cov kws kho mob feem ntau, cov kev mob tshwm sim tsawg tshaj plaws hauv cov neeg mob tau pom thaum noj tshuaj xws li Drotaverine, Spazgan, No-shpa,"Duspatalin" thiab "Dicetel". Nws yuav tsum nco ntsoov tias kev siv cov tshuaj antispasmodics ntev nyob rau hauv txhua hom tshuaj tuaj yeem ua rau muaj qhov tshwm sim tsis zoo.
