Matenda kapamba - chithandizo pa exacerbation ndi chikhululukiro

Matenda kapamba ndi matenda a kapamba yotupa chilengedwe ndi kusintha kwake mtanda ducts. Ndi njira yaitali kukhala kapamba parenchymal limba sclerosis ndi imfa ya exocrine ndi endocrine ake ntchito. Mu chitukuko cha matenda amatengamo matenda ofunika a dongosolo m'mimba. Choncho, ngati matenda kapamba aakulu, chithandizo cha matenda ayenera ikuchitika molumikizana ndi mankhwala a comorbidities ena. Chithandizo cha kapamba ndi yaitali, mwadongosolo, mosalekeza pa exacerbation ndi chikhululukiro.

Matenda kapamba: chithandizo mu gawo pachimake

Exacerbation matendawa kuwawonetsera kutchulidwa matenda chithunzi, ululu. Pa exacerbation anasonyeza azichitira aakulu kapamba motere m'chipatala. M'pofunika kuthetsa mavuto onse ndi njira tizilombo chitukuko matenda. Polankhula zimayambitsa zikubweretsa maonekedwe a zizindikiro za matenda, muli ukhondo wa ndulu ndi kapepala biliary, chithandizo cha matenda pachimake ndi aakulu m'mimba, wathunthu osadya mowa.

Mu masiku oyambirira a mankhwala kuti ziletsa pancreatic katulutsidwe Kwalamulidwa njala ndi madzi a mchere, amene amagwiritsa ofunda wothwanima madzi mchere. Kuwonjezera kuvomerezedwa zakudya ozizira pa dera epigastric, maganizo ndi thupi zina, tubeless kukhumba zonse madzi muzituluka. Kuonjezera outflow wa madzi opangidwa ndi kapamba, mankhwala MANKHWALA OLETSA VUTOLI ndi anticholinergics (mankhwala "No-spa," "Platifillin", "Baralgin", "atropine", "papaverine"). Kuchepetsa zotsatira stimulatory madzi chapamimba kutumikiridwa monga Mankhwalawa ayenera kumwedwa (kutanthauza "Almagell" "Fosfalyugel"), H2 cholandilira blockers (mankhwala "Ranitidine", "Kvamatel") ndi zoletsa purotoni mpope (mankhwala "Omeprazole"). Pofuna kuchepetsa ntchito ya michere proteolytic kutumikiridwa vutrivennoe ka zoletsa yakeyo (kukonzekera "Contrycal" "Trasylol", "Gordoks").

mankhwala Diuretic mu kapamba aakulu kutumikiridwa monga okodzetsa osati kuchepetsa kawopsedwe ndi kuchotsa mankhwala kuwola, komanso ziletsa ntchito michere pancreatic. A kuchita chimodzimodzi amapangidwa ndi asidi epsilon-aminocaproic ndi mapuloteni hydrolysates.

Pamene ululu mwamphamvu limasonyeza ntchito analgesics zosiyanasiyana. Ntchito opioids ali contraindicated. Kuti tikonzedwe matenda microcirculation ndi madzi amchere kuwombola reopoligljukin ntchito, njira zina saline.

Mu exocrine insufficiency ndi cholinga mankhwala m'malo ntchito yokonzekera enzyme ( "Pancreatin", "zoikidwa", "mezim").

Pamene mitundu owononga kapamba m'nsinga kutumikiridwa cytostatics (mankhwala "Cyclophosphamide", "Fluorouracil").

Pamene kulephera m'thupi England kapena tableted ntchito insulin wothandizila hypoglycemic.

Pofuna kupewa suppurative kutupa mankhwala mankhwala.

Tsopano ife tikudziwa mmene tiyenera kuchitira kapamba mu pachimake. Koma matenda ali Inde aakulu n'kofunika kwambiri pa matenda a chikhululukiro, monga izi ndi kuteteza maonekedwe zizindikiro pachimake ndi kupitirira matenda.

Matenda kapamba: chithandizo chikhululukiro

Chithandizo cha kapamba aakulu mu chikhululukiro ndi kuteteza matenda, kulimbikitsa chitukuko ndi mankhwala yake. Pathogenetic mankhwala mu chikhululukiro ndi matenda a katulutsidwe chapamimba, kufufutidwa dyskinesias thirakiti biliary, komanso kukondoweza njira regenerative mu kapamba. Chifukwa chaichi Kwalamulidwa izi chakudya zakudya ndi kuchepetsedwa mafuta ndi kuchulukitsa mapuloteni okhutira. Kusintha mapuloteni kagayidwe chapansipansi mapuloteni zakudya Kwalamulidwa anabolic mankhwala (mankhwala "Retabolil," Nerobolum "). Pamaso pa zolimbitsa endocrine insufficiency ndi mitundu ofatsa a shuga kuchepetsa kudya chakudya. Ngati magazi shuga si dekhetsa, kutumikiridwa kukonzekera insulin. Wodwala ayenera kwathunthu kusiya ntchito mowa pamoyo wawo kutsatira chakudya chamagulu.

Matenda kapamba, mankhwala ikuchitika malinga ndi pamwamba, nthawi zambiri inasanduka okhalitsa chikhululukiro, si limodzi ndi chitukuko cha matendawo.