Nā kaha pancreatic no ka pancreatitis
Kapa ʻia ka ʻōpala pancreatic i kapa ʻia ʻo ka pancreatitis. ʻO ke ʻano o ke ʻano o kēia maʻi me ka sclerotic, inflammatory and necrotic organ damage. ʻO ke kumu o kēia ʻano, ʻo ka puka maikaʻi ʻana o ka wai i loko o ka duodenum. A laila he nui aʻe o ka neʻe ʻana i nā kaʻe, hōʻino ʻia i nā pūnao o nā huelo. Ke alakaʻi nei kēia i ka autolysis a me ka necrosis o ke kiko gland.
ʻO ka hōʻailona koʻikoʻi o ka patele ke kāʻei ʻeha i ka ʻōpū ma luna. E hoʻomālamalama ʻia ma waho o ka sternum a i ʻole kahi o ka puʻuwai. Ke hoʻonui nei ka ulu ʻana o ka maʻi ʻeha me ka hoʻomau ʻia o ka ʻano hemorrhagic o ka react form o ka maʻi. Ke uhi ʻia ka hoʻopau ʻana o nā lau ma nā necrosis, a laila ua emi ka nui o nā ʻeha.
He aha ka pale pancitisitis
Me ka hoʻomohala ʻana o ka necrosis pancreatic hemorrhagic, kahi hopena lethal e loaʻa ana i loko o 24 mau hola ma hope o ka hoʻomaka ʻana o nā hōʻailona kumu mua. Inā ʻimi koke ka mea maʻi i ka kōkua, hiki ke hōʻoki i nā hōʻailona ma ka pauku 1. Ke hoʻomau nei ka maʻi, aia ka hopena o ka hoʻoulu:
- Peritonitis.
- Necrosis o ka'ōpū.
- ʻO ka hana hema ʻole.
- Edema GM.
- ʻO Renal hiki ʻole.
ʻO ka hopena o ka make i ke ʻano o ka maʻi ʻo 15%. Me nā nekrosis holoʻokoʻa, make ka mea maʻi i 70% o nā hihia. I kekahi manawa ma ke kuaana o ka pancreatitis, he kaʻina oncological a i ʻole ke lolo diabetes.
Kōkua lāʻau no ka maʻi pancreatitis
Ke lawe nei ka hana ʻana i kēia ala ma kahi haukapila. Ma hope o ka hoʻomau ʻana o ke ʻano o ka mea maʻi, hoʻomau ka kauka e hoʻopau i ka maʻi lalo. Hoʻopauʻia ka ʻeha hoʻonā e nā analgesics. E hoʻihoʻi hou i ke kino ma hope o ka hoʻouka ʻana o ka pancreatic, ua kuhikuhi ʻia ka mea maʻi i nā wai ʻiʻo intravenous. Pākuʻi kēia i ka hōʻemi ʻana o ke kino i ka wā o ka hoʻoilo.
Ma mua o ka hōʻea ʻana o ka ambulance, pono e kau ka mea maʻi e kau i kahi anu anu ma luna o ka ʻōpū. Hōʻemi ka ʻemi i ka hōʻeha, e kōkua i ka hōʻemi ʻana i nā hana o ka digestive enzyme e ke kino. Inā ʻaʻole maopopo ka ʻeha, ua ʻae ʻia e lawe i kahi lā 1-2 lā. nitroglycerin. Intramuscularly, hiki ʻoe ke komo i ka nui-shpa a i ʻole Papaverine.
Nā ʻōlelo hoʻohui Antispasmodic
ʻO ka hoʻohana ʻana o nā inikua antispasmodic i ka pancreatitis ma muli ʻaʻole i wale no ko lākou hopena analgesic. Hoʻopono pū kekahi i nā hoʻomaha o nā ʻili o nā kino o loko. ʻO ka manawa kūpono o ka antispasmodics e kāpae i ka nui o ka necrosis. I kekahi manawa pinepine, ua kuhikuhi ʻia ka mea maʻi i nā inikina:
ʻO ka alakaʻi o nā injections o Nitroglycerin e hāʻawi i ka hoʻomaha i ka sphincter o ka ampp hepatic-pancreatic.
Hoʻolālā me nā inikini analgesic
Hoʻonui ka hoʻomaʻamaʻa ʻana i nā kulia e koho ai ʻo Paracetamol, Baralgin, Analgin. Kuhi kēia mau ʻōlelo i ka hōʻoluʻolu o nā spasms mai nā papa o ke kino a me ka pau ʻana o ka wai i ka duodenum.
Hoʻohui pū ʻia kēia mau lāʻau me ka antihistamines. Hoʻohana ʻia ka hoʻohana ʻana o Diphenhydramine, Suprastin, Tavegil. He hopena sedative a me ka antiemetic hopena.
No ka hōʻoluʻolu o ka ʻeha a hōʻemi i ka mea huna o ke kino, ua kau ʻia nā mea inikini Sandostatin i ka mea maʻi. Hoʻohana ʻia ka lāʻau ma nā subcutaneously, ʻaʻole iʻoi aku ma mua o 3 mau manawa / 24. Inā loaʻa mai ka mea maʻi i ka ʻeha ʻeha ʻole, ua ʻōlelo ʻia ʻo ia no ka hoʻohana ʻana o Tramadol a i Promedol. ʻO kēia mau lāʻau i ka hopena ncotic. ʻO ka lōʻihi loa o ka lapaʻau he 3 lā.
Nā huahana pancreatic
Ua kuhikuhi ʻia nā ʻōkuhi no ka hoʻomohala ʻana o ka pancreatitis ʻaʻole wale nō no ka hana ʻana e hoʻokipa ai i nā ʻeha hōʻeha. Me kahi papa lōʻihi, hoʻololi ka maʻi i kahi ʻano maʻi. Kōkua kēia i ka hoʻemi ʻana o ka ʻaila o ka insulin i ke koko, ma hope o ka ulu ʻana o ke kō.
Hoʻokomo ka pancreatitis maʻi i ka hoʻokō ʻana i nā inikini hormone insulin. I ka wā o kahi exacerbation o ka pathology, ua hāʻawi ʻia nā lāʻau lapaʻau i ka mea maʻi. ʻO ka lākaʻomaʻi ikaika loa ka Gentamicin. Kuhi ʻia iā ia i ka mākina 2-4 mau manawa / lā. ʻO ke kumu o kēia lāʻau lapaʻau e kōkua i ka pale ʻana i ka nānā ʻana o nā hoʻopiʻi purulent.
Koho ʻana o Contrycal no ka pancreatitis
ʻO ka Kontrikal kahi hoʻomākaukau no ka ʻoihana kūʻai lāʻau lapaʻau Kiwi e Pliva Khrvatsk doo. Hoʻopilikia kāna intake i ka hana o nā enzyme pancreatic. ʻO ka subgroup pharmaceutical o ka lāʻau e loaʻa ana i nā inhibitor proteinolysis a me nā māka kiʻekiʻe hemostatic.
Loaʻa ka hoʻohālikelike i ke ʻano o ka lyophilisate no kahi hopena i manaʻo ʻia no nā injections. ʻO ka inoa maʻamau maʻamau ʻo Counter-ampoule. Ua hoʻohālikelike ʻia no ka pancreatitis. ʻO ka hana koʻikoʻi o ka lāʻau lapaʻau he aprotinin, a ʻo ke ʻano kōkua o mannitol. Hāʻawi kā lākou hoʻohui i ka lyophysilate. Hoʻopili mua ʻia me kahi solvent, ua hoʻokomo ʻia i loko o ka pua o ka mea maʻi.
ʻO nā kikowaena maʻamau e pili ana iā Gordoks, Pantripin, Respikam. ʻOi aku ka maʻalahi o Gordox ma mua o Contrikal, akā e hoʻokau i nā maʻi pā. Hoʻohana ʻia ʻo Pantripine e pale i ka necrosis pancreatic.
Nā hōʻailona a me nā contraindications
ʻO ka Kontrikal kahi lāʻau lapaʻau kūikawā i hoʻohanaʻia i ka hana a me ka pale ʻana o ka pancreatitis:
- ka maʻi pancreatitis maʻamau,
- ʻOnawa papaʻaila,
- kaʻai maʻi nui o ka pancreatitis,
- ʻoha o ka hemorrhagic,
- hana ʻino kino.
ʻO ka lāʻau lapaʻau ʻia e hoʻōki i ka hana ʻana o ka hoʻopihapiha pono o ka aila. Pēlā nō, ʻo nā inikini ua kuhikuhi ʻia i ka mea maʻi i ka pale ʻana o ka pancreatitis postoperative.
Hoʻokomo ʻia ka lāʻau lapaʻau ma ka hihia e pili ai i ka aprotinin. ʻAʻohe inātina i kuhikuhi ʻia i ka trimester 1st a i ka wā lactation. ʻO ka hopena koʻikoʻi ʻoi hopena he hopena kūlohelohe.
Pehea e hoʻohana ai i ka lāʻau lapaʻau?
ʻO ka mea maʻi e kuhikuhi i nā ʻokiʻoki a i ʻole injections o Contrikal i kahi maʻi pancreatitis maʻa. Hiki ke kau i ka nui o ka lāʻau no nā waiwai haʻahaʻa. No kahi lōʻihi lōʻihi, ke lawelawe nei kahi nui o ka lāʻau lapaʻau i ka mea maʻi, ʻo ia ʻo 300,000 ATPE. A laila hāʻule i kahi 30,000 ATPE.
I ka pancreatitis akuhi, ua hoʻohālikelike ka hopena mua loa ma 200,000 a 300,000 ATPE. Hoʻoponopono ʻia kahi mālama mālama, hōʻemi ʻia e 10 mau manawa, e mālama ʻia ana i kēlā me kēia hola. Me kahi exacerbation o ke ʻano maʻamau o ka maʻi, ka ʻano o ka nui ma waena o 25,000 a 50,000 ATPE / 24 mau hola. ʻO ke ʻano o ka mālama ʻana he 3-6 lā mau lā.
Me ka pīhoihoi obstetric, ʻo ka dosage ka mea he 1,000,000 ATPE. A laila hāʻawi ʻia ka mea maʻi i kahi dropper, kahi e hāʻawi ai i nā kālā i ka wikiwiki o 200,000 ATPE / 60 min.
Hoʻōla ʻia ka lāʻau lapaʻau inā aia ka mea maʻi i kahi kūlana. ʻO ka helu o ka hoʻokele o ka hopena mua o ka lāʻau lapaʻau e ʻokoʻa ma waena o 5-10 ml / m. Hoʻohana ʻia ka mālama mālama ʻana me ka hoʻohana i kahi puʻupuʻu. I ka wā o ka papa therapeutic, pono ia e hoʻolauna i ka 7,000,000 ATPE i ka mea maʻi. Hiki i nā mea maʻi i ka maʻi kūlohelohe, i ka manawa like e pono ai e lawe iā Zyrtec a i ʻole Suprastin.
Nā manaʻo aʻoaʻo
I loko o ka hoʻopili o loko o ka maʻi, e ʻae ʻia ka mea maʻi e ʻai wale ma hope o 4-5 mau lā. Ma mua o kēia, hiki iā ʻoe ke inu i ka wai kohua liʻiliʻi me ka wai ʻole. Pono ka mea maʻi e hahai i ka papa pancreatic. ʻAi ʻia ka meaʻai i loko o nā momona palela maʻalahi.
Ma ke ʻano maʻamau, mālama ʻia ka meaʻai no kekahi mau makahiki. ʻAi pālua, palaoa kīwī, nā moa moa, hoʻokaʻawale ʻia me ka waiʻona. Hiki iā ʻoe ke ʻai i ka iʻa iʻa, nā ʻiʻo, nā mea kanu.
Nā ʻōlelo hoʻohui Antispasmodic
Nā ʻōlelo antispasmodic mai ka pancreitis pancreatic i hoʻohana ʻia ma muli o nā waiwai pono e pili ana:
- Ke kōkua nei kēia mau lāʻau lapaʻau i ka nalo ʻana o ka hōʻeha. ʻO ka hopena, hoʻomaka ka mea maʻi i ka ʻoluʻolu.
- Eia kekahi, kōkua ka hoʻomākaukau ʻana o kēia ʻano i ka hoʻomaha ʻana i nā ʻōpū mākē o ke kino, ma muli o ke ʻano o ke kaʻina o ke kaʻa ʻana o ka wai pancreatic i loko o ka digestive tract.
I ka nui o nā hihia, pono e hoʻohana ʻia nā inikini spasmolytic e hoʻoponopono i ka pancreas:
Platyphyllin. Hoʻohana wale ʻia kēia lāʻau lapaʻau i nā kūlana kūmau me ka nānā ʻana o kahi kauka. I mea e hōʻiliʻili ai i ka pancreas. Hoʻomaopopo ʻia ka mea maʻi e hoʻokomo i ka mililīpō 1-2 mil o ka hopena 0.2% subcutaneously. ʻO ka wili huakaʻi he 12 mau hola.
Odeston. Hoʻokomo kēia lāʻau lapaʻau i ka hoʻopā a me ka pau ʻana o ka bile, hoʻomaha i ka sphincter o Oddi, kāpae i nā kīwī a hoʻopau i nā hōʻailona like me ka hōʻeha, ka luaʻi, ke kaʻa ʻeha a me ke kūleʻa ʻana. Hāʻawi kēia i ka pale ʻana i ka hoʻomohala ʻana o ka hoʻopiʻi o ka pancreatitis e like me cholecystitis.
Metacin. ʻO ka palena kiʻekiʻe o kēia lāʻau lapaʻau nā 2 milligrams. ʻAʻole hiki ke hoʻohana ʻia nā 6 milligrams o ka lāʻau lapaʻau i kēlā me kēia lā i ka mea maʻi. No laila, i ka lā, ʻaʻole hiki i ka nui o ka nui o nā injections hiki ʻole i kahiʻoi aku i ʻekolu inikini.
Atropine Kahi ia ka 0.1% e hooikaikaia ana i ampoules. Hiki ke lawelawe ʻia i ka subcutaneously hoʻomanawanui. Kēia hana like i loko o ka hapa nui i hui pū ʻia me ka hoʻokele ʻana i nā lāʻau lapaʻau oral analgesic. ʻO kahi pākahi hoʻokahi o ka Atropine hoʻokahi wale nō ampoule o ka lāʻau. Inā pono, hiki ke ʻōlelo hou ʻia ka mea hala ma hope o 3-4 mau hola.
ʻAʻohe-Shpa. Hoʻokuʻu ia, ma ke ʻano o ka hopena o ka hoʻonā no intramuscular injection, a no ka hoʻokō intravenous. ʻO ke kumu hoʻohālikelike o ka lāʻau lapaʻau ka 2 milliliters. Inā pono e hoʻokomo i loko o ka vein, ma kahi o 8-10 milliliters o ka paʻakai ka hoʻohui ʻia iā lākou. I mea e hoʻonāukiuki ai i ka hāʻule o ke koko, e mālama ikaika ʻia ka lāʻau lapaʻau no 5 mau minuke.
Papaverine. Hoʻohana ka hoʻohana ʻana i kēia ʻaila i ka hoʻoneʻe kūpono ʻana i ka hua bile, hoʻohaʻahaʻa i ke kaomi i loko o ka pancreas, hōʻemi i ka nui o ka sphincter o Oddi, a hoʻomaikaʻi hou i ka hopena analgesic o kekahi mau lāʻauʻokoʻa.
Hoʻomaʻamaʻa pinepine ʻia ke pancitisitis a me ka maʻi pancreatitis ma luna o nā lāʻau lapaʻau ma luna nei i ke ʻano o nā hoʻonā no ka inikini intravenous, intramuscular a me ka subcutaneous.
Inalgesic injections
Ke hōʻike nei i ka pancreas ma muli o ke kaʻina hana o ka maʻi i loko o ka moku i kahi o ka maʻi i ʻōlelo ʻia me ke kōkua o NSAID.
Paracetamol ʻO ka hoʻomaʻamaʻa ʻana o nā hana o ka pancreas me kahi hāmeʻa ma muli o kona hopena i ke hoʻemi ʻana i ke kiʻekiʻe kiʻekiʻe o ke kino, kāpae ʻana i ka hōʻeha ʻana a me ka hōʻemi ʻana i ke kiʻekiʻe o ka hoʻomohala ʻana o ke kaʻina hana i loko o ke kino. Hoʻokomo ʻia nā hua ʻōlelo no ka pancreatitis me kēia lāʻau lapaʻau me ka hoʻohana ʻana i kahi hāmeʻa me kahi pānaʻi ʻana o 10 milligrams o ka waiwai ikaika i kēlā me kēia milliliter.
Baralgin. Mālama kēia mea kōkua i ka mālama ʻana i kahi maʻi ma muli o nā pono waiwai. I waena o lākou, pono ke hoʻokaʻawale i ka pancreatic anesthesia, ka hemo ʻana i nā palahalaha o nā kinona o ka uaua, ke kāpae ʻana i kekahi oʻeha a me ka hoʻohaʻahaʻa i ke ʻano kino. Hiki i kahi pākeke ke hoʻohana i nā hoʻonā o ka 2.5 a me 5 mau mililiter, no ka ma ka inikua a me nā ʻōpū. Hoʻohui ʻia ka lāʻau lapaʻau me kekahi mau lāʻau lapaʻau e hiki ke hōʻoluʻolu i ke ōlaʻi.
Analgin. E like me nā lāʻau lapaʻau he nui, aia kēia lāʻau lapaʻau i ʻekolu hopena ʻoi aku ka hopena: analgesia, hoʻohaʻahaʻa haʻahaʻa a me ka hoʻemi ʻana o ke ʻano o ka mumū. Loaʻa ka lāʻau lapaʻau i nā ampoule o 1-2 milliliters me kahi hoʻonā o 0.25% a i ʻole 0.5% o ka hana ikaika.
Sandostatin. He synthetic analogue o somatostatin. Hoʻohana ʻia kahi lāʻau lapaʻau i loko o ke ʻano o ka hopena no ka maʻi a i ʻole ka lyophilisate no kona hoʻomākaukau. Ma loko o hoʻokahi ululāʻau ampoule, nona ka nui o 1 milliliter, ka nui o ka 0,05 mg a i ʻole 0.1 milligrams o ka waiwai hana e loaʻa ana. Hiki i Sandostatin ke kōkua i ka pancreas ma muli o ka paleʻana i ka laha o nā mea huna o kēia kino, ma muli o kahi hua pancreatic i hua ʻia i ka liʻiliʻi. Hoʻomaʻa pinepine ʻia nā ʻano lāʻau i nā maʻi ma hope o ka hoʻomaʻamaʻa ʻana. Ma kahi kokoke i nā loiloi e pili ana no ka hoʻohana ʻana o kēia pono ma ka Pūnaewele.
ʻO nā ʻōkuhi no ka pancreas ma ka mālama ʻana o ka pancreatitis e pono ke kuhikuhi wale ʻia e ke kauka ma ka maʻi ma hope o ka hoʻopaʻa ʻana.
Hoʻole ʻia i ka hoʻokō pilikino ʻana i ka hoʻolaʻa ʻana, ʻoiai kahi lāʻau āpau i kahi papa inoa o kāna mau contraindications a me nā hopena ʻaoʻao.
ʻO nā huahana pancreas
I kekahi mau hihia, ʻoi aku i nā analgesics a me antispasmodics no ka pancreatitis, ʻoi aku ka hoʻohana ʻia o nā lāʻau lapaʻau ʻē aʻe.
Nā maʻi insulin. Ma muli o ka hoʻohana ʻana i kēia pono no ka mea me ka lōʻihi o ka papa o ka pancreatitis, kahi hoʻohaʻahaʻa i ka nui o ka insulin i ke koko o kahi mea maʻi. Hoʻomaʻa pinepine, alakaʻi kēia pathology i ka hikiʻana o ka maʻi diabetes.
ʻĀlinini. Hiki ke hoʻohana ʻia kēia mau ʻōkuhi antibiotic intravenous no ka hoʻohana ʻana no ka exacerbation o ka maʻi, i ka wā e hoʻomohala ai kahi kanaka i kahi kaʻina paʻakikī loa i loko o ka pancreas. Pono e lawelawe ʻia ka Gentamicin mai ka 2 a i 4 mau manawa i ka lā. Hōʻalo ke kumu o kēia lāʻau lapaʻau i ka hoʻolālā ʻana o nā ʻano purulent e hoʻohana ana, aia i kekahi mau mea me ka pancreatitis.
Kanakaole. Hoʻopilikia pololei kēia mea hana i ka hana o nā enzyme pancreatic. Hana ʻia kahi hoʻomākaukau ma ke ʻano o ka lyophilisate no kahi hopena i manaʻo ʻia no ka injection. ʻO ka mea nui a ka lāʻau lapaʻau ʻo Aprotinin. Pono hoʻoheʻe ʻia ka huahana ma mua o ka hoʻohana ʻana, a laila puhi ʻia i loko o kahi pua o ka mea maʻi.
He mea kūpono ke mālama i ka inoa o nā lāʻau i kuhikuhi ʻia, ʻoiai ke hoʻohana ʻia ka lāʻau hala hewa e hiki ke hōʻeha i ka hopena o ke olakino kanaka.
Hoʻomaopopo ʻia ka pancreatitis he maʻi maʻi ʻole ka ʻike, no laila ʻaʻole hiki ke pale ʻia ke pale aku i kahi keiki mai kēia maʻi maʻi. ʻAʻole kuhikuhi ʻia e hoʻomaʻamaʻa i nā maʻi ʻē aʻe i ka papa akomi o ka maʻi ma muli o ka hiki ʻole ke kīpē hiki ke helu i nā hopena ʻaoʻao like o kēlā me ka hoʻoiho.
ʻO kekahi loea i ka wikiō ma kēia atikala e kamaʻilio e pili ana i ka mālama ʻana o ka pancreatitis.
ʻO ka lāʻau lapaʻau maʻi pancreatic
I ka pancreatitisʻeha e mālama ʻia, nā lāʻau lapaʻau e hoʻopili intravenously, intramuscularly a i ʻole subcutaneously e hoʻohana ana i nā ʻōpū a me nā inikua..
Hoʻonohonoho ʻia nā papa i loko o ke kahua o ka hōʻea o ka maʻi a me ka mālama ʻana i ka pancreatitis maʻi.
Hiki ke kūpono i ka mālama ʻana i nā lāʻau e lawe ai me ka pancreatitis. ʻO nā lāʻau lapaʻau i koho maikaʻi ʻia e hōʻemi i ka lōʻihi o ka mālama ʻana, pale i nā hōʻeha a me ka nihi ʻana o ka maʻi i loko o kahi ʻano maʻi.
Nui! ʻO nā lāʻau lapaʻau no ka pancreas i ka mālama ʻana o ka pancreatitis i hoʻokaʻawale ʻia i loko o ka hui nui a me ke kōkua.
ʻO ka hui nui:
- antispasmodics
- analgesics
- mākaukau hoʻokūkū
- Hoʻom hoʻomākaukau a Antenzyme
- antacids
- H2-histamine blockers,
- antibiotika
- detoxifiers.
Nā hui mahele a ʻo ia:
- nā lāʻau lapaʻau choleretic
- hōʻiliʻili huaola
- hui hoʻolauleʻa
- hana hoʻomākaukau lāʻau.
Antispasmodics
Kaulana No-spa, ʻo Papaverine, Spasmalgon e hōʻoluʻolu i nā polu o nā manamana, ho'ēmi i ke kaomi i loko o nā pale āpau a laila hoʻopau i ka ʻeha. Ma ka hihia o kahi hōʻeuʻeu, mālama ka mea maʻi i ka intramuscularly a i ʻole intravenously. Hiki i ka Buscopan, Meteospasmil ke lawe i ka wā o ka exacerbation o ka maʻi pancreatitis maʻi. ʻOi aku ka maikaʻi ma mua o ka ʻaina ʻana.
Analgesika
Analgin, Baralgin, Pentalgin hoʻohana ʻia no ka hoʻohemo ʻana i ka ʻeha, he mea kūpono loa nā hoʻonā no ka hoʻonāukiuki. Ua ʻike koke ʻia ka hopena o ka lāʻau.
ʻO Naredotic analgesics Promedol, e hoʻohana ʻia ʻo Tramadol e ho'ōki i ka hōʻeha ʻana i ka hopena ʻeha o nā pākeke. Hoʻohana ʻia nā mea penaʻole o kēia pūʻulu i ka haukapila.
Hoʻomoe a Enzyme
Hoʻopilikia ke kaʻina hana hoʻonoho i ka hana o nā enzyme pancreatic. I mea e kōkua ai i ka pancreas i ke kaʻina hana, hāʻawi ʻia ka hoʻomākaukau ʻana o ka enzyme. Hoʻohana pinepine ʻia nā manawa ma ke kala ʻana, akā kēlā me kēia kanaka. ʻO ka mea kaulana loa ʻo Mezim, Festal, Panzinorm, Creon. Ua kuhikuhi ʻia ke ʻano me ka lāʻau lapaʻau e ka lāʻau lapaʻau. Pono nā Enzymes me nā meaʻai.
Nui! Ke hōʻeha nei ʻo ka ʻeha ma hope o kahi puʻuwai aloha, ʻaʻole hiki iā ʻoe ke lawe i ka hoʻomākaukau ʻana o ka enzyme - hiki ke hoʻonāukiuki i ke ʻano o ka ʻoihana. ʻOi aku ka maikaʻi e lawe i ka-shpa a i ʻole ka baralgin tablet.
Hoʻom hoʻomākaukau a Antenzyme
Kontrikal, Trasilol, Gordoks, Tsalol. Hoʻomaka ka lāʻau lapaʻau me nā lāʻau lapaʻau i ka lā mua o ka maʻi. a hoʻomau a hiki i ka hoʻomaikaʻi ʻana o ke ʻano o ka mea maʻi. Hoʻokomo ʻia ka Sodium chloride i kahi hopena isotonic me ka hoʻohana ʻana i kahi dropper.
Hoʻohana ʻia no ka maʻi pancreatic e lawe i nā antacids e hoʻokaʻawale i ka acid hydrochloric. Hoʻohana ʻia e hui pū me ka hoʻomākaukau antienzyme. ʻO kēia ʻo Almagel, Alumag, Fosfalugel, Maaloks, ʻoi aku.
H2-histamine blockers
ʻO nā lāʻau antisecretory anti-ulcer e hōʻoluʻolu i ka nalo ma ka hoʻemi ʻana i ka hana o ka waikawa hydrochloric. ʻO kēia mau mea komo ka ranitidine, famotidine, nizatidine. I ka mālamaʻana i ka pancreatitis hoʻonā, hoʻohana lākou mai ka lā mua o ka maʻi ma ke ʻano o nā injections. I ka heleʻana o ka hana palupalu, inu lākou i nā manawa 2-3 i ka lā no 14-20 lā.
Nā hui Antibiotics
ʻAʻohe mea i ʻokoʻa ma ka hoʻohana ʻana i nā lāʻau lapaʻau ma ka mālama ʻana i ka maʻi pancreatitis. Hoʻonohonoho ʻia e pale i ka maʻi me ka cholangitis, maʻiʻaila, popo i ka papa pancreatic. Hoʻohana pinepine ka poʻe antibiotoki ma ka penicillin series (Amoxiclav, Amoxicillin), a i hui pū ʻia paha, me ka penicillin me ka streptomycin.
ʻO ka hoʻolālā no ka mālamaʻana i ka pancreatitis
Hoʻolaha ʻia ka maʻi ahonui i kekahi mau kuhikuhi:
- hōʻole no ka inu ʻona,
- e pili ana i ka ʻai i ka momona (ʻaʻole i emi aʻe ma mua o 80 g i ka lā). ʻAi ʻai i nā papa liʻiliʻi i nā manawa 5-6.
- hōʻeha hōʻeha
- ka mālamaʻana i nā hemahema o ka enzyme,
- ʻona lāʻau
- ka mālama ʻia ʻana o nā pathologies o ka endocrine, hepatobiliary a me nā ʻōnaehana digestive.
Nui! Hoʻoponopono ʻia ke hoʻoponopono ʻia no ka pancreatitis me nā lāʻau lapaʻau e pili ana i nā ʻano pilikino o ka mea maʻi, e pili ana i ke ʻano o ka mumū a me ka pohihihi.
Nā ʻāpana ʻokoʻa o ka hoʻomaʻamaʻa pancreatitis:
- detoxification e ka intravenous infusion ma ka hopena o ka electrolyte a me ka colloidal hoʻonā (Lactosol, paʻakai). Nānā i nā sorbents Reosorbilact, Sorbilact, rheological solution Reopoliglyukin, Refortan, Heparin, ʻōlelo kūʻai glucose 5%, 10%, hepatoprotectors,
- hānai pōʻai a hiki i nā lā 2-3,
- analgesia me nā analgesics, antispasmodics, nā meaʻokoʻa ʻē aʻe,
- ka manaʻo o ka ʻōpū a i ʻole hoʻi e koho i nā antacids,
- ka pale ʻana o ka hana huna ʻili i ka hoʻohana ʻana i ka H2-blockers (Ranitidine, Cimetin). Hoʻohana ʻia inā ʻaʻole hiki ke hānai ʻia nā mea o ka ʻōpū.
- hānoʻi prophylaxis: infusion o plasma, kūlena i ka plasma,
- ka hoʻohana ʻana o ka inhibitorionion huna huna a me nā mea hoʻoliʻi proteolytic,
- enzyme replacement therapy. Hoʻopau ʻia ia ma nā pae like ʻole o ka maʻi,
- Hōʻano maʻi hormon - Somatostatin, Sandostatin, Glucagon, kekahi. ʻO kahi ala e aʻo ai ʻaʻole lawa, akā ʻo ka hoʻohana ʻana o kēia mau kālā he hopena kaumaha i ka mea huna o ka ʻōpū a me nā pancreas. A ʻo ke kumu, hele wikiwiki ka ʻeha a me ke kuni.
Hāʻawi ʻia ka regimen mālama ʻia i nā ʻōlelo maʻamau pehea e hōʻoluʻolu ai i ka maʻi pancreatic me nā lāʻau lapaʻau. Ua koho ʻia nā ʻōlelo āpau e ke kauka!
Nā lāʻau lapaʻau no ka mālama ʻana
ʻO nā lāʻau lapaʻau no ka mālamaʻana i nā pākeke e kuhikuhi ʻia e kahi endocrinologist, gastroenterologist, ʻo ka lāʻau lapaʻau a mea lapaʻau paha. Ma ka manawa like, ua kuhikuhi ʻia nā lāʻau lapaʻau no ka mālama ʻana i nā maʻi concomitant a me ka haʻalele ʻana i nā hōʻailona o ka maʻi.
Hoʻomaka koke nā mea maʻi Pancreatitis ma muli o ka luaʻi a me ka maʻi nausea. ʻO ka antiemetic drug Cerucal i hoʻokumu iā ia iho he mālama no ka pancreitis pancreatic. Hoʻokuʻu ʻia ka lāʻau lapaʻau i loko o ke ʻano o ka hopena no ka inikua i mau ʻmua o 2 ml. E hoʻokomo i ka intravenously a me intramuscularly, ʻo ka nui loa o ke ʻano o kēlā me kēia lā he 80 mg.
Mālama kēia lāʻau lapaʻau i ka pancreatitis, ulia peptic o ka ʻōpū a me ka duodenum, hoʻonāukiuki i ka esophagus. ʻO ka lāʻau lapaʻau e hōʻemi i ka hoʻonaninani o ka ʻōpū, hoʻoemi i ka hoʻoneʻe ʻana i ka wai ʻōpū, ma muli o ke ʻano o ka huhū ʻana, e haʻalele ka ʻeha. Hoʻomaopopo ʻia ka dosage e ke kauka.
He mamao loa a kēia polokalamu. Hoʻol pinepine pinepine ʻia e hōʻemi i ka acidity o ka ʻōpū i ka pancreatitis, nā ʻōpio duodenal a me ka ʻōpū, ka huhū o ka esophagus a me ka maʻi reflux. Hoʻohana ʻia lākou ma ke ʻano o kahi hoʻonā aohake o 2 ml i kahi ampoule a me nā papa o ka 150 a me 300 mg.
Hōʻalo ka lāʻau lapaʻau i ka hanana i ka hope o ka mālamaʻana i ka lāʻau. ʻO ka lāʻau me ka haʻahaʻa haʻahaʻa ʻaʻole e hoʻonāwaliwali i ka kani kino o ka pūpū. Loaʻa i ke ʻano o ka paona.
Loaʻa i ka Novocaine nā hopena anesthetic, anti-inflammatory a me nā antitoxic ma luna o ka mea maʻi. Eia kekahi, ʻo ka lāʻau lapaʻau e hōʻemi i ka hana o ka wai o ka pancreatic a hōʻoluʻolu i ka spasm o nā hōʻalulu māla.
ʻO 100 ml o kahi hopena 0.25% e lawelawe ma ka intravenously ʻelua i ka lā.
ʻO ka lāʻau lapaʻau mai ka hui NSAID. ʻO ka lāʻau lapaʻau maikaʻi kūpono. ʻAʻole maʻa pinepine nā kumu hopena, akā ʻaʻole ia e hōʻike ʻia no nā maʻi me ka uluna peptic.
Sandostatin
Hoʻomaka ʻia ka mālama ʻana o ka pancreatitis i ka wā ʻoi a me ka wā postoperative me somatostatins - hoʻomākaukau ʻana o Sandostatin, Octreotide.
ʻO Sandostatin e hoʻohaʻahaʻa koke i ka mea huna pancreatic, mālama ʻia me ka lāʻau lapaʻau i lawe ʻia mai nā lā mua o ka maʻi. E komo i ka subcutaneously ma 100 mcg 3 mau manawa i ka lā no 5 a mau lā paha. ʻO ka lāʻau lapaʻau e hoʻohālikelike a hōʻoluʻolu i ka nalo ʻana.
Nui! I mea e pale ai i kahi maʻi e like me ka pancreatitis lāʻau, ʻaʻole hiki iā ʻoe ke hōʻola ponoʻī!
ʻO kahi hoʻomākaukau enzyme, kahi mea hou no ka wai pancreatic. Nā ipo i nā ʻano ʻelua-ʻāpana. Loaʻa ka maikaʻi o kēia lāʻau lapaʻau ka mea ikaika i hāʻawi ʻia i ka duodenum. Me ka pancreatitis, ua kuhikuhi ʻia e hoʻopiʻi no ka pale ʻana i ka enzyme pancreatic.
ʻO Inpsitor (ʻo ka papa pancreatic). Hoʻokomo i ka hematopoiesis, hoʻonui i nā pale o ke kino. E lawe i ʻekolu papa ʻekolu ʻekolu i ka lā ma hope o ka ʻaina. ʻO ka lōʻihi o ka papa i ka papa pancreatitis he ʻelua mau pule, ma ka maʻi hoʻokahi a meʻelua a ʻelua paha mau mahina.
Ke lapaʻau nei i ka maʻi o ka maʻi a me ka maʻi pancreatitis e pili ana i ka hoʻohana ʻana i nā hoʻomākaukau antienzyme. Me ka maʻi o ka pancreatic, kahi hoʻokuʻu koi o ka wai pancreatic i loaʻa. Kākoʻo ka hoʻokaʻawale i ka hana o nā enzyme o ka meaʻai, a pale i ka hōʻino kino ʻana o ke kino. Hoʻohana ʻia ka lāʻau lapaʻau ma loko o kahi kūlana hoʻomaha.
He hopena choleretic ka lāʻau mai ka pale i ka hana ʻana o nā pōhaku, hoʻonāukiuki i ka hana o ke kuʻi, no laila ua kuhikuhi ʻia no ka pale ʻana o ka pancreas a me ka palupalu ma kahi kūlana o ke kala ʻana. E lawe i nā papa 2 i 3 mau lā i ka lā.
Nā lāʻau lapaʻau no ka hoʻouka ʻana o ka pancreatitis
Hoʻokomo koke i ka hoʻouka ʻana o ka pancreatitis me kaʻai ʻole, me ka meaʻai a ma hope o 20-25 mau minuke. ʻOi ka maʻamau, hoʻomaka ka hoʻouka ʻana o ka maʻi me 2 mau hola ma hope o ka pāʻina. ʻEha nui ka ʻeha a hiki i kahi kanaka ke nalowale i ʻole ka make a make paha mai ka ʻehaʻeha.
Pono ke maʻi pancreatitis maʻi maʻi e hōʻoluʻolu i kahi huakaʻi o ka pancreatitis ma ka home. He mea nui ia e hoʻohālikelike i ka hoʻomaka ʻana o ka hoʻouka ʻana.
E hana maikaʻi kēia mea analgesics a me antispasmodics. Hiki i nā lāʻau hōʻona maʻalahi nā Analgin a me No-shpa ke pani i ka hōʻeha ma ka hoʻomaka. ^ E Ha yM. Hoʻopili lākou i nā lāʻau intramuscularly.
ʻOi aku kahi ʻōlelo maikaʻi i ka hoʻomākaukau papa papa, ʻoiai ʻoi ka wikiwiki. Eia kekahi, hoʻomāukiuki ka mea maʻi ma ka nausea a me ka luaʻi, paʻakikī ke inu i kahi pāl.
ʻO ka hopena kūpono no ka maʻi pancreatitis no ka hōʻeha ʻo Baralgin. ʻO kēia lāʻau lapaʻau i hui pū ʻia, hoʻohui i kahi analgesic a me antispasmodic. Hoʻomaʻamaʻa ʻia ka lāʻau lāʻau, intramuscularly. Inā hiki ʻole ke hāʻawi i kahi inika, inu i nā mea i loko o ka ampoule a holoi me ka wai.
Kui ʻia ʻo Papaverine e intramuscularly me ka 2 a i ʻole 3 ml no kahi hopena o 2%. Hoʻonui ka lāʻau lapaʻau i ka manawaleʻa o nā io o nā kino o loko.
Hāʻawi ʻia ʻo Nitroglycerin 1-2 mau maʻi no ka hōʻeha nui a me nā pilikia naʻau.
ʻO nā lāʻau anti-inflammatory anti-inflammatory e hōʻoluʻolu i ka mumū. Me ka pancreatitis mai ka mumū, ua hoʻākāka pinepine ʻo Paracetamol. He mau contraindications ka lāʻau lapaʻau, ʻaʻole i kuhikuhi ʻia no nā maʻi maʻi o ka maʻi peptic.
Nui! Hoʻokomo ʻia kahi hau hau ma ka projection o ka pancreas, maikaʻi ʻia e waiho i ka mea maʻi. Pono e ʻike ʻia kahi kauka ambulance e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau, a hōʻike i kēlā mau mea.
ʻO nā ʻōlelo aʻo a nā kauka a pau i iho i ka mea hoʻokahi: ʻoi aku ka maʻalahi o kekahi mau maʻi i ka mālama ʻana. E pono ai ka pale ʻana i ka maʻi.
Hāpai ʻia:
- mālama ʻia ka maʻi a me ka ʻōpū,
- nānā i kēlā me kēia hana maʻamau - ʻai i kekahi manawa, lawa ka hiamoe.
- ʻaʻa kaʻai pono ʻole, mai wikiwiki no ka meaʻai,
- e ʻai ai i nā meaʻai liʻiliʻi
- hāʻawi i nā hana maikaʻi.
ʻAʻole kōkua nā lāʻau lapaʻau maikaʻi inā ʻaʻole hahai ka mea maʻi i ka mea inu a hōʻino maikaʻi i ka wai inu. Hiki i kēia mau ʻōmaʻomaʻo maʻalahi ke pale aku i ka maʻi ʻaʻai o ka pancreas.
Ka hoʻohana ʻana i nā mea kanu
Mai haʻalele i ka lāʻau lapaʻau kuʻuna. ʻOiai me ka exacerbation o ka pancreatitis, ʻaʻole hoʻohana ʻia nā mea kanu, akā, ma ka mālamaʻana i ka pancreatitis maʻi, e lawe mai lākou i ka pōmaikaʻi ʻole. Hoʻomaʻamaʻa pinepine ʻia e inu i nā decoction o nā lau lāʻau i ka hapalua hola ma mua o ka ʻaina. ʻO nā alakaʻi o nā lāʻau lapaʻau lāʻau e mālama ai i ka pancreatitis he chamomile, immortelle, calendula, rose hips.
Pancreatitis: ka hoʻomohala ʻana o ka maʻi
ʻO ka hana nui o ka pancreas ka hana ʻana i nā enzyme e hoʻoikaika ana i ka meaʻai, e wāwahi i nā mea he nui. Hoʻopuka ka gland i ka wai o ka pancreatic, aia nā mea ʻona i loko o kahi ʻano hana ʻole. Hoʻonohonoho lākou i ka duodenum. Inā pīhoihoi ka puka ʻana o kā lākou kumu no nā kumu ʻē aʻe, e hele ana ka hoʻōla o nā huina i loko o nā kinona o ka kelepa ponoʻī: hoʻomaka ka make ʻana o ka meaʻokoʻa. ʻO ka mumū i hoʻomohala i nā kumu:
- ka hoouku ana i nā hana hana me ka adipose a i ʻole ka hoʻopili pili,
- i nā hihia koʻikoʻi, nodrosis nui (make) o nā mea ola kino.
ʻO ka maʻi pancreatitis kūloko a maʻi koʻikoʻi paha i ka hana akomi e hōʻike ʻia e kahi hōʻeha koʻikoʻi o ke kāʻei o ke kāʻei i hoʻopili ʻia me ka luku ʻana i nā ʻoihana i ke kō. Hoʻomaopopo kahi kiʻi haukapila like me ka react pancreatitis. Hele mai inā ka gallbladder a i ʻole nā kumumana o ke aʻi o ka digestive exacerbates. ʻO nā cholecystitis i loaʻa pinepine kahi maʻi kahi pinepine pinepine i kahi hana react i ka pancreas. I loko o kona mau hōʻike ʻana, ua like ia me ka hoʻouka ʻana a me ka maʻi pancreatitis.
Hoʻomaka ka ʻāʻī ma ka ʻaoʻao hema a like me ke kāʻei, e like me ka nui a me ka ʻai ʻana a ma hope o ka ʻai ʻana.
I hui pū i nā hōʻeha koʻikoʻi, ua hui pū ʻia ka maʻi me ka: ke ʻano,
- luka a lōkela ʻaʻole hiki ke hali,
- nā ʻōpū (nā ʻaila ʻaole me nā wahie o ka meaʻai hānai),
- kiʻekiʻe ke kiʻekiʻe.
Nā huina wai Spasmolytic
Inā hiki ke hoʻololi ʻia ke ʻano me ka hana ʻole, e hana ʻia ka hana hou ʻana ma kahi keʻena gastroenterological a i ʻole ka therapeutic department. Nui nā hui o nā lāʻau lapaʻau me nā ʻano hana like ʻole e hoʻohana ai e hoʻihoʻi i nā hana pancreatic. I waena o lākou he antispasmodics, hiki ke kaha i ka maʻi intramuscularly ʻelua a ma ka poʻohiwi a me ka puhipuhi.
Loaʻa iā lākou kahi hopena myotropic (hoʻonui i ka lumen o nā kīʻaha koko, e hoʻomaikaʻi ana i ke kahe koko) a hoʻomaha i ka spasm o nāʻaoʻao maʻa.
Papaverine - kahi lāʻau lapaʻau i loaʻa ka inoa o kāna hana koʻikoʻi. Hōʻike i nā antispasmodics potent. Loaʻa i nā ʻano lāʻau lapaʻau like ʻole, ʻo ia kekahi o kahi hopena no 2% no ka maʻi maʻi. Hoʻohana ʻia ia intramuscularly, akā hiki i kona ʻōkuhi intravenous mahele he ʻāpana pūpili lytic paʻakikī. No ka hana anesthetize maikaʻi, hoʻohana ʻia kahi ʻano hana kīnā e hoʻopuka i nā ʻōnaehana. Kahi ʻia ke ʻano hana o ka hana:
- ma ka maʻamau o ka puka o waho o ka hua bile a me nā wai pancreatic,
- ma ka hoʻemi ʻana ʻana i ke kaomi i loko o ka mea i hoʻopuni ʻia.
- glaucoma
- atrioventricular block (ʻo kekahi o ka ʻano o ka ʻōpū o ka puʻuwai o ke ʻano),
- haehae
- palani lipi
- holomua paʻa.
- hapai
- wahine i ka wā lactation,
- keiki malalo o na makahiki 1.
Ia lākou, hiki ke kahakaha ʻia kēia lāʻau lapaʻau no ka hōʻike kūikawā ʻana e nā kauka wale nō ma muli o nā hopena kūpono:
- nā hopena kūlohelohe
- nā haunaele pāheʻe
- hoʻohaʻahaʻa i ke koko
- ʻehia ka puʻuwai naʻau,
- kaohuu
- eosinophilia i loko o ke ʻano o ke koko (ma ka maʻamau me kahi hua alitine i hua ʻia).
I ka manawa e kuhikuhi ana i ka lāʻau lapaʻau, e aʻo ikaika ʻia ke aʻo. Hoʻohana ʻia kēlā me kēia, me ka noʻonoʻo ʻana i nā maʻi āpau i loaʻa.
Nā kaha pancreatic no ka pancreatitis
I ka hana ino loa a i ʻole he kaʻina hana, i hele ʻia me ka hoʻokuʻu ʻia o ka nui o nā huina, ke hana antienzyme e hoʻohana ʻia ma ke ʻano o ka hana intravenous.
- ʻO Gordoks - 500 tausani mau unahi,
- Kāleka - 200 tausani hui.
'O ka lā lā helu he 1 miliona mau papa a me 400 tausani mau paona, ma kēlā Pale lākou i ka hopena luku o ka enzyme proteolytic. Aine ʻia e waiho i nā ʻekena i kahi wale nō o ka hale hoʻomaha.
Hoʻohana nui ʻia ʻo Kvamatel (hoʻohana ikaika - famotidine) - blocker N2–Anuʻu ʻokoʻa. Hoʻokumu ka histamine i kahi hana hoʻonui o ka wai momona, ma laila e hoʻomaikaʻi ai i ke kaʻina hana. Kvamatel (ʻeka lāʻau lapaʻau ʻewekolu H H2Hāʻawi ka histamine receptors) i nā koena o nā peka pancreatic:
- kūlike ʻole ia i ka hana ʻana o nā enzymes proteolytic,
- hoʻoulu i ka hoʻomohala ʻana o ka pili ʻili ma ke kahua o ka nekrosis.
Hoʻomaka ka mālama ʻana me ka drra intravenous a lawe ʻia i loko o kahi keʻena o ka haukapila.
ʻO Dalargin kahi lāʻau lapaʻau antiulcer, akā hoʻohana ʻia nō hoʻi i ka mālama ʻana o ka pancreatitis:
- pale i ka hana o nā enzymes,
- Hoʻoponopono i nā kiko o ka hoʻopili o ka wahī,
- ua hoʻopili i nā wahi necrotic i nā loko piha.
Ua hōʻike ʻia ka lāʻau lapaʻau e like me nā inikini no ke kaʻe ʻana o ka pancreas intramuscularly a i ʻole intravenously.
Sandostatin (Octreotide) - hoʻohana ʻia e hōʻoluʻolu i ke kaumaha ma ke aʻeha o ke pancreatitis a i ʻole. Hoʻopilikia ia i ka mea huna o ka pancreas, pale ʻia. ʻAʻole pono ka lāʻau no ka hoʻohana ʻana i ka home. I kuhikuhi ia e ke kauka no ka inake ana i ka haukapila ma ke ano o ka hoohana piha ana. Lawa ka lawe ʻana i kekahi mau mau inikua mai ka pancreatitis i ka mana nui o ka amylase i ke koko i ka maʻamau. Hoʻohana ʻia e nā mea lapaʻau ma ka pancreatitis hoʻonāukiuki.
Hoʻokomo ka trental a me solcoseryl i nā wai liʻiliʻi (2 ml) me ka hoʻokele kūloko i ka launa i ka hana maʻamau o ke kaʻe o ke koko i ka mea i hoʻopili ʻia. Pono kēia i nā hoʻomaka mua o ka mālama ʻana i ka maʻi pancreatic maʻa e hoʻoikaika ai i ka hopena o nā lāʻau lapaʻau o nā hui ʻē aʻe.