Mob pancreatitis - kev kho mob thaum lub sij hawm exacerbation thiab zam txim rau

Mob pancreatitis yog ib tug kab mob ntawm lub pancreas inflammatory xwm nrog ib tug kev hloov nyob rau hauv nws tus ntoo khaub lig-ducts. Nrog ntev-lub sij hawm cov hoob kawm ntawm kev tsim pancreatitis parenchymal hloov khoom nruab nrog sclerosis thiab tsis ntawm nws exocrine thiab endocrine muaj nuj nqi. Nyob rau hauv txoj kev loj hlob ntawm tus kab mob ua si ib qho tseem ceeb kab mob ntawm lub digestive system. Yog li ntawd, yog tias koj paub hais tias mob pancreatitis, cov kev kho mob ntawm tus kab mob yuav tsum tau nqa tawm nyob rau hauv nrog cov kev kho mob ntawm lwm yam comorbidities. Kev kho mob ntawm pancreatitis yog ntev, systematic, tas mus li thaum lub sij hawm exacerbation thiab zam txim.

Mob pancreatitis: kev kho mob nyob rau hauv lub mob nyob ntev

Exacerbation ntawm tus kab mob manifests pronounced soj ntsuam daim duab, vim mob mob heev. Thaum lub sij hawm exacerbation qhia treat mob pancreatitis li nram no nyob rau hauv ib tug lub tsev kho mob. Nws yog tsim nyog los tshem tawm tag nrho cov ua rau thiab pathogenic mechanisms ntawm tus kab mob loj hlob. Qhov ua ua mus rau lub tsos ntawm cov tsos mob ntawm tus kab mob, xws li tu vaj tse ntawm lub gallbladder thiab biliary ib ntsuj av tau, kev kho mob ntawm mob thiab kab mob ntawm lub plab, ua kom tiav tsis pub haus dej haus cawv.

Nyob rau hauv thaum ntxov hnub ntawm kev kho mob rau inhibit pancreatic secretion tshuaj starvation thiab alkaline dej, uas siv sov sparkling ntxhia dej. Nyob rau hauv tas li ntawd mus rau lub yuav tsum tau noj cov zaub mov txias rau lub epigastric cheeb tsam, lub siab lub ntsws thiab lub cev so, tubeless qhov aspiration ntawm pais plab kua txiv. Yuav kom txhim kho txoj kev outflow ntawm kua txiv los ntawm lub pancreas, muab antispasmodics thiab anticholinergics (tshuaj "Tsis muaj-spa," "Platifillin", "Baralgin", "Atropine", "papaverine"). Yuav kom txo tau cov stimulatory nyhuv ntawm pais plab kua txiv muab raws li antacids (txhais tau tias "Almagell" "Fosfalyugel"), H2 receptor blockers (tshuaj "Ranitidine", "Kvamatel") thiab proton twj tso kua mis inhibitors (tshuaj "Omeprazole"). Yuav kom txo tau cov kev ua ntawm proteolytic enzymes muab vutrivennoe thawj coj ntawm inhibitors thereof (npaj "Contrycal" "Trasylol", "Gordoks").

Diuretic tshuaj nyob rau hauv mob pancreatitis muab raws li diuretics tsis tsuas mus rau txo toxicity los ntawm kev tshem tawm ntawm lwj khoom, tab sis kuj yuav inhibit cov kev ua ntawm pancreatic enzymes. Ib tug zoo xws li cov nyhuv yog ua los ntawm epsilon-aminocaproic acid thiab protein hydrolysates.

Thaum mob siv qhia tau hais tias cov hauj lwm uas muaj ntau yam analgesics. Kev siv cov opioids yog txhob. Rau kev kho ntawm microcirculation mob thiab dej-ntsev pauv reopoligljukin siv, lwm yam saline daws teeb meem.

Nyob rau hauv exocrine insufficiency nrog aim ntawm hloov txoj kev kho siv enzyme npaj ( "Pancreatin", "Festal", "Mezim").

Thaum tug ntaub ntawv ntawm cov pancreatitis intravenously muab cytostatics (tshuaj "Cyclophosphamide", "Fluorouracil").

Thaum tsis ua hauj lwm hormonal caj pas los yog tableted siv insulin hypoglycemic agents.

Nyob rau hauv thiaj li yuav tiv thaiv kom txhob suppurative o muab tshuaj tua kab mob.

Tam sim no peb paub yuav ua li cas los kho pancreatitis nyob rau hauv mob. Tab sis tus kab mob no muaj ib tug mob kawg thiab yog tsis muaj tsis tseem ceeb nyob rau hauv cov kev kho mob ntawm txoj kev zam txim, raws li qhov no yog los mus tiv thaiv cov tsos ntawm mob cov tsos mob thiab tus mob kev vam meej.

Mob pancreatitis: kev kho mob nyob rau hauv kev so ib pliag

Kev kho mob ntawm tus kab mob pancreatitis nyob rau hauv txoj kev zam txim yog los mus tiv thaiv tus kab mob, pab txhawb lawv txoj kev loj hlob, thiab lawv raws sij hawm kev kho mob. Pathogenetic kho nyob rau hauv txoj kev zam txim yog rau normalize lub pais plab tso pa tawm, deletion dyskinesias biliary ib ntsuj av tau, raws li tau zoo raws li stimulation ntawm regenerative dab nyob rau hauv lub pancreas. Rau lub hom phiaj no muab noj cov zaub mov khoom noj khoom haus nrog txo roj thiab muaj zog protein cov ntsiab lus. Yuav kom txhim kho protein metabolism nyob rau hauv lub keeb kwm yav dhau protein noj cov zaub mov tshuaj anabolic steroids (tshuaj "Retabolil," Nerobolum "). Nyob rau hauv lub xub ntiag ntawm ntsis endocrine insufficiency thiab me me ntaub ntawv ntawm cov ntshav qab zib kom tsis txhob tau ntawm carbohydrates. Yog hais tias cov ntshav qab zib yog tsis normalized, xeem insulin npaj. Tus neeg mob yuav tsum tau kiag li renounce kev siv cov cawv thoob plaws hauv lawv lub neej ua raws li ib tug kuas noj.

Mob pancreatitis, cov kev kho mob yog nqa tawm nyob rau hauv raws li cov saum toj no, feem ntau dhau mus ua ib tug ntev-ntev zam txim, yog tsis koom nrog lub kev loj hlob ntawm cov teeb meem.