Dabere na ọnụ ọgụgụ sitere na afọ ndị na-adịbeghị anya, ihe fọrọ nke nta ka ọ bụrụ mmadụ 60,000 nọ na Russia na-arịa nnukwu ọrịa pancreatitis kwa afọ. Kemgbe 1980, ọnụ ọgụgụ ndị na-arịa ọrịa a amụbaala okpukpu abụọ, mgbe afọ 2008 gasịrị, edebara aha ndị ọrịa ugboro atọ.
Nnukwu oke oria a na-ejikọta ya na ndu mmadu nke oge a. N'ọnọdụ enweghị oge na mbọ iji sie nri dị mma, ndị mmadụ na-ahọrọ ngwa ngwa nri ngwa ngwa, nke a bụkwa ikpe kachasị mma. Nke kacha njọ bụ na ha na-eri nri ụtụtụ ma ọ bụ nri ehihie kpamkpam, na-anara nnukwu oriri nri ma nwee nnukwu calorie maka nri abalị.
Principleskpụrụ nke ọgwụgwọ ọgwụ
Ọrịa pancreatitis nwere ike bụrụ nnukwu ọrịa na-adịghị ala ala, na-eme dị ka ọrịa mbụ ma ọ bụ na-etolite na ndabere nke ọrịa ndị ọzọ. Mwakpo nke nnukwu mgbu nke pancreas na-apụta n'ihi oke enzymes n'ihi oke mkpịsị ahụ.
N'okpuru mmetụta nke ihe na-adịghị mma, enzymes diges na-abanyeghị obere eriri afọ, kama na-anọgide n'ime gland. N’ihi ya, ha na-agbari anụ ahụ nke ya n’onwe ya. Usoro ogwu nwere ike ịda site n’iji abụba, eghe na oseose, ihe ọ alcoụ alcoụ na-egbu egbu, mkpụrụ ọledụ pickụ na anwụrụ.
Ekwesịrị ịmara na iji ọgwụ a na-etinye pancreas na mbadamba n'oge iwe ọkụ anaghị akpata n'ihi ọgbụgbọ na nnukwu ọgbụgbọ. A na-ahụ maka ọgwụ site na ntụtụ ma ọ bụ infusion, ntapu, usoro.
Ihe e ji mara njiri mara nke nnukwu oria a.
- ụfụ na-ekweghị akwụsị akwụsị na mpaghara epigastric, hapụrụ hypochondrium. Ọ nwere ike ịbụ nke ọdịdị zoster ma nye aka n'ubu ubu aka ekpe. Mgbe ị risịrị nri ma dinara ala na azụ gị, ọnya na-akawanye ahụ;
- abawanye na aru aru;
- ọgbụgbọ na ọgbụgbọ na-adịghị eweta ahụ efe;
- edo edo nke anya, mgbe ụfọdụ anụahụ;
- ihe dyspeptip ifia - bloating, flatulence;
- ihe nlere nke pluish di na murube otube.
Ọgwụ nke pancreatitis dị mgbagwoju anya mgbe niile ma ebum n’obi ya abụghị naanị ikpochapụ ihe mgbaàmà. Isi ọrụ ya bụ ime ihe kpatara ihe butere ọrịa ahụ.
Ndepụta ọgwụ edepụtara maka ịgwọ ọrịa ọrịa pancreatitis bụ ndị a:
- analgesics, gụnyere narcotic. Ejila ọgwụ ogwu nwere mmetụta na-egbu egbu na imeju, - sulfonamides, Tylenol;
- enzyme na mgbochi mbufụt;
- antacids iji belata acidity nke ihe ọricụricụ gastric;
- ọgwụ nje
- ndị na - egbochi ọgwụ dysbiosis;
- enterosorbents;
- ọgwụ iji mezie shuga ọbara;
- ogige vitamin;
- hepatoprotector;
- anticholinergics na-egbochi onye mgbasa ozi acetylcholine.
Enzymes
Mole polymer nke ihe ndị mejupụtara nri ahụ kwụsiri ike n'ọnọdụ nkịtị. N'ime ahụ mmadụ, a ga-agbadasị ha na obere okpomọkụ - 36.6 Celsius. Iji ntụnyere, anyị nwere ike ighe àkwá ọkụkọ, protin nke nke na-egosi naanị na mmiri esi.
Maka mmeghachi omume kemịkal ga-ewere ọnọdụ n'ọnọdụ “adịghị nwayọọ”, ọ dị mkpa iji mmiri na mmiri na-eme nchọpụta ihe. A na - emepụta ihe ndị a n'ime oghere olu, afọ na akụkụ ndị ọzọ nke ngọngọ nri. Enzymes Pancreatic na-amalite ọrụ ha site na-agbari nri na ọkwa ikpeazụ, na-akụda protein n'ime amino acid, abụba n'ime glycerin na carbonxylic acid, na carbohydrates n'ime monosaccharides.
Ọ bụrụ na ọnụ ọgụgụ enzymes ihe ọ pancụ pancụ nke pancreatic belatara, mgbe ahụ, ịmịkọrọ nri na eriri afọ bụ ihe siri ike ma ọ bụ kwụsị. Iji kwụọ ụgwọ maka erughi ha, enyere enzyme ọgwụ - Pancreatin, Mezim-forte, Creon, Panzinorm, Enzibene, Licreaz, Pancreolipase, Mikrasim, Hermitage.
Site na usoro ọnya na-emetụta ọnya na-emetụta ọnya biliary, mbadamba sitere na pancreas kwesịrị ịnwe ọdụdụ ọdụdụ. Ngwá ọrụ ndị dị otú ahụ gụnyere Festal, Enzistal, Digestal, Enzim na Ferestal. Ọgwụ niile nwere enzymes ga-ejupụta na nri.
Kontrikal bụ ọgwụ nke sitere n'okike, n'ihi na e sitere na ngụgụ nke ehi
Ọgwụ mgbochi
A na-eme ọgwụgwọ Antenzyme ma ọ bụrụ na nchọpụta banyere ọrịa pancreatitis dị n'etiti ọrịa kansa, nke yana ọria na hyperamylasemia nke pancreas na-esonyere. N'otu oge ahụ, ọrụ ya na-abawanye nke ọma, na mmepụta nke enzymes na-aputa n'ike n'ike. N'ihi ya, kama ịgbari nri, enzymes catalytic na-amalite ịgbari akụkụ ahụ n'onwe ya ma mebie ya.
Na mgbakwunye, usoro nri niile na-ata ahụhụ, nnukwu ihe enzyme n'ime ọbara na-edugakwa n'arụ ahụ, ọ na-emebikwa ahụ ike. N'okwu a, mbadamba ndị dị otú ahụ maka pancreas ga-adị irè:
- Ntughari;
- Gordox;
- Aprotinin.
A na-atụ aro ka ọ were nkwadebe antienzyme naanị n’ụbọchị ndị mbụ mgbe ọrịa ahụ malitesịrị, ebe ọ ga-eme n’ọdịnihu, ịdị mma ha na-agbada.
Mgbu na-egbu mgbu na ọgwụ mgbochi
Iji belata ihe mgbu, nke nwere ike na-egbu mgbu, a na-eji analgesics - Analgin, Baralgin, Paracetamol. Ntucha na-enyere aka iwepu ọgwụ mgbochi - No-Shpa, Gastrocepin, Atropine, Platifillin, Papaverine.
Ọ bụrụ na afọ na-afụ ụfụ nke ukwuu, enwere ike iji ọgwụ achọtara intramuscularly. Nyocha opioid siri ike bụ Tramadol (Tramal) na Promedol.
Ejiri analgesics na ọgwụ antispasmodics dịka ọgwụ injections ma dị irè karịsịa na pancreatitis na-adịghị ala ala.
Ejiri ọgwụ maka mgbu na pancreas site na ọgwụ ọgwụ mgbochi mkpali na-abụghị steroidal (Diclofenac, Ibuprofen na usoro ha), ebe ọ bụ na ha na-emetụta ọnya afọ nke mucous. Nke a nwere ike ibute oke mgbu.
Ọgwụ mgbochi na mgbochi
A na-ewere Gastrocepin minit 30 tupu nri, usoro a na-eme kwa ụbọchị bụ site na 50 ruo 150 ml
Mwakpo ọgbụgbọ na ọgbụgbọ na-eme na mbufụt nke pancreas na-ebelata ọgwụ dịka Cerucal, Metucal, Metoclopramide. Ọgwụ ndị dị mkpa iji gbochie akpịrị mmiri.
Maka mgbaze nkịtị na duodenum, achọrọ gburugburu alkaline, nke a na-enyekarị site na sodium bicarbonate na ihe ọ pancụ pancụ pancreatic na bile. Ọ bụrụ na ọrụ nke pancreas na mpụta nke bile na-enye nsogbu, mgbe ahụ alk alkas nke nri nri anaghị adị.
Iji wepu ọdịnaya acidic na-abịa site na afọ, a na-enye ọgwụ antacids - Hilak-forte, Fosfalugel, Almagel, Maalox, Enterosgel na ngwọta alkaline ndị ọzọ.
Patientsfọdụ ndị ọrịa nwere ike ịnwe afọ mgbu, ọkachasị na afọ efu. Ọ na-echetara onwe ya mmebi ahụ nke pancreas. N'okwu a, mbadamba ụfụ maka afọ mgbu ga - enyere aka - Omeprazole, Dalargin, Gastal ma ọ bụ Renny. Ọ dị mkpa ịmara na a machibidoro soda maka nzube a. A na-eme ka carbonate, nke etolite ma ejiri ya, na-agbaze n'ime eriri afọ ma na-akwalite mmịghachi nke nri gbarie.
Nje bacteria na Enterosorbents
N'ihi ụkọ enzymatic na pancreatitis, nsogbu acid-base nke nri nri dị na eriri afọ na-enye nsogbu. N'ihi nke a, kama ịgbari nri, usoro ndị na - eme ka mmanya na - amalite amalite, bụ nke na - ebute ọdịdị nke nsị na ihe na - emerụ ahụ.
Polyphepan na - egbochi mmiri ihe niile dị n'ahụ mmadụ dị na ngụgụ nri mmadụ
Dysbacteriosis na-atụnye ụtụ na-emebi emebi na nnabata nke nri na vitamin, oche na -eme ka ike gwụ ya. A na-eji probiotics nwere bifidobacteria na lactobacilli iji weghachi nguzozi n'etiti microorganisms bara uru na pathogenic.
Aha ọgwụ maka dysbiosis:
Ihe ị ga-eme ma ọ bụrụ na shuga dị n’ọbara daa- Linex;
- Bifidumbacterin;
- Lactobacterin;
- Bifiform;
- Acipol;
- Acylact;
- Ọnya afọ
- Biobactone;
- Bifilis;
- Bifikol;
- Probifor.
Usoro nke enterosorbents sitere na nnweta nke nsí yana mmetụta nje. Mgbe ị na-ahọrọ ọgwụ maka otu onye ọrịa, ikike ịgba afa nke ọgwụ ahụ na-eduzi ya, ya bụ, ikike ịmịkọrọ ya.
Site na ọrịa pensụl, ọnụ ọgụgụ buru ibu nke eriri na-egbu egbu na ihe na-egbu egbu na-abanye eriri afọ. N'ihi nke a, ọgbụgba mmiri na-apụta, na - eme ka ihe na - emewanyewanye ike, ma na - agba ume imebi ihe ugboro ugboro.
A na - eji Linex agwọ ọrịa ma gbochie dysbiosis nke mmalite ọ bụla
Enterosorbents enyere iwu ka ekpochapụ ahụ nsị ma mebie ọrụ eriri afọ. Ihe ndị kachasị ewu ewu na ndị a ma ama bụ carbon na-arụ ọrụ. Ọgwụ ndị dị ka Smecta, Polysorb, Polyphepan, Lactulose, Filtrum-Sti dịkwa irè na pancreatitis.
Ekwesịrị iburu n'uche na iji mee ka ọnọdụ ahụ dịkwuo mma, ọ dịghị ezuru otu iko mbadamba ma ọ bụ karịa nke ego ndị a. Achọrọ usoro ọgwụgwọ, nke nwere ike ịdị ọtụtụ ụbọchị ruo otu ọnwa ma ọ bụ karịa.
Ibelata shuga na ogwu
Ọ dị mkpa iji agwọ ọrịa pancreatitis, pancreatic necrosis na neoplasms, yana pancreatitis na-adịghị ala ala na nlọghachi ugboro ugboro site na iji ọgwụ nje. Dabere na ọnọdụ onye ọrịa ahụ, dọkịta na-ekpebi ọgwụ ma ọ bụ ịgba ọgwụ ga-akacha arụ ọrụ. Ọgwụ ndị a na-ejikarị bụ macrolide usoro na cephalosporins - Cefoperazone, Cefixime, Rifampicin, Kanamycin.
N'ihe banyere ọrịa metụtara ọrịa shuga, onye ọrịa endocrinologist zigara onye ọrịa ka o lee ya ule. Dọkịta na-ahọrọ ego iji dozie shuga n'ụdị mbadamba ma ọ bụ depụta inje insulin.
Ya mere, enwere ike ịgwọ pancreas ahụ naanị site na usoro ọgwụgwọ siri ike, nke enyere ya ka ọ bụrụ nyocha zuru ezu. Nchịkwa onwe gị ọgwụ agaghị eme ka obi ruo gị ala, ma kachasị njọ, ọ nwere ike mee ka usoro mkpali ahụ belata. Ya mere, mgbe ihe mgbaàmà nke pancreatitis pụtara, ọ dị mkpa ịkpọtụrụ ụlọ ọrụ ọgwụ wee chọpụta nchọpụta. Nwee ahụike!
