ʻO ka papa inoa o nā lāʻau lapaʻau no ka mālamaʻana o ka pancreas

ʻAʻole hiki i ka mea ʻike ʻole ma ka anatomy ke haʻi aku e pili ana i ke koho ʻana i ka pancreas, ʻoiai ke nīnau nei i ka nīnau kumu ʻole: he aha ka hana i loko o kā mākou kino?

Akā ʻo ka ʻikepili mua loa ua ʻike ʻia i nā hana a nā poʻe anatomist e noho i mau tausani mau makahiki i hala. I ka Talmud, ka puke o ke ola o nā ola a me nā moʻomeheu i lawe ʻia mai ka Baibala, ua kāhea mua nā pancreas me ka "manamana lima o ke Akua."

ʻO ka lilo ʻana i ʻāpana kūwaho o ke kūloko a me waho, he mea nui ia i loko o ke kaʻina hana a me ka metabolism.

No ke aha i hoʻonā ʻia ai kēia mea nui? No ke aha mākou e hana ai i koi ʻia iā ia e hoʻomanaʻo iā ia ma o ka ʻeha?

ʻO nā kumu o ke mumū pancreatic

ʻO ka pancreas kahi ʻōpala paʻakikī.

I ka hiki ʻole ʻana a hoʻopau paha i nā kumu i hōʻike ʻia ma lalo nei, hiki iā ʻoe ke hōʻoluʻolu i kona ola:

1. Hoʻopuka i ke kino me ka waiʻona.
2. ʻO ka maʻi o ka gallbladder a me kona mau papa (ʻehaʻeha, ʻiliʻī).
3. Nā hōʻeha ʻino.
4. Ke ʻano o ke ala o ka duodenum ma ke ʻano o ka mumū i kāna membrane mucous he duodenitis.
5. Ke lawe nei i nā lāʻau lapaʻau: anticoagulants, antibiotics, anti-inflammatory, sulfonamides a me nā mea'ē aʻe.
6. ʻO nā maʻi e pili ana i nā maʻi koʻikoʻi: hepatitis viral a me B, mau mumps.
7. Hoʻomoʻa i nā hana o nā kūmole parathyroid i pili me kā lākou proliferation a i ʻole ka nui o ka hormone parathyroid.
8. ʻO ka maʻi i loko o ke kino o ka ascariasis he maʻi i hoʻonāukiuki ʻia e ka nāhelehele o nā ʻōpū o nā ascarids.
9. ʻO ka hoʻolike o ka hormonal.
10. Maʻi maʻi Vascular.
11. ʻO ka hoʻonui hoʻonui nui i nā lipum serum - nā mea momona e like me nā mea momona.
12. Predisposition genetic.
13. ʻO nā mea momona kahi momona i nā momona momona a me nā momona.

Nā hōʻailona a me nā hōʻailona o nā loli pathological

Hōʻike ʻia nā hōʻailona mua o kahi maʻi o ka lepa, ma ke ʻano he kānāwai, ma hope o ke kanaha mau makahiki, ʻeha loa i ke kamaliʻi. Hana kēia i ka mea i hōʻeha maikaʻi loa ke kanaka iā ia a pēlā i hōʻike ai iā ia iho.

ʻO ka ʻeha hypypondrium

ʻO ka pancreatitis ma kāna ʻano koi e hōʻike i kēlā mau maʻi me ka ʻeha. Mamuli o ka paʻakikī o ka kahe, ka ʻehaʻeha o ka ʻeha: puolo, koi, ʻoki, huki. ʻO kēia ma muli o ka hana i nā kiko edematous e hoʻoikaika i ka hopena o ke nerve.

ʻĀpepa

Me ka pancreatitis, kahi kūlana concomitant, dyspepsia, pinepine ka hana. ʻO kēia kahi palupalu paʻakikī a kahi o ka digestive tract, i hōʻike ʻia i loko o ka nausea, ka luaʻi a ma hope o ka ʻai ʻana, defecation (ʻeha ʻeha, constipation).

Kēia mau hōʻailona ʻano i hōʻike pinepine ʻia i ka hoʻomaka mua o ka maʻi. ʻO nā kumu paha ke komo pū ʻana i nā kīnā, ka ʻai ʻana i nā meaʻai ʻaʻole i ʻae ʻia e ka ʻōpū, a me ka lawe ʻana i ka lāʻau lapaʻau a me ka waiʻona.

Ke lōkuhi ʻia kahi hōʻailona o ka hoʻohālikelike

Me ka exacerbation o ka pancreatitis, kūlohelohe ka iwi kuʻi, hoʻonāukiuki. I nā 80% o nā hihia, loaʻa kēia ma ka hoʻokuʻu ʻana o ka vomit ma o ka waha.

Ma ke kahua mua - ma muli o nā kiko o ka ʻōpū, a ma nā hihia koʻikoʻi i hoʻoulu ʻia, hoʻokuʻu ʻia ka hoʻokuʻu paʻa ʻana o ka bile. E hoʻomanaʻo, i ka mea e wehewehe ai kekahi i kahi ʻano: ʻaʻohe mea e pohihihi, akā me ka mea e "hoʻohuli" ʻole nā ​​mea a pau - eia ka hihia.

Naʻu?

ʻO kahi hōʻailona koʻikoʻi kēia e hōʻike i ka dehydration. Ma ka loaʻa ʻole o ka "hoʻokomo" koke o ka mālama mālama olakino maʻi, hiki iā ia ke hōʻeha.

ʻO ka poino maikaʻi ʻole wale nō no ke kino, akā no ke ola nui hoʻi, ʻo ka lua a me ke kolu o ka papa o ka maʻi.

ʻIke ʻia lākou i nā hōʻailona me kēia:

• kau kaumaha a hiki i ka 9%;
• ike ke kanaka i ka makewai e hiki ole ai;
• ka make ʻana o ka huelo ʻole i ka waha;
• eʻeleʻele ke kala o ka urine, ua emi aʻe kona kahe ʻana;
• hoʻonui ka palpitations me kahi kuhi i kahi palaualelo;
• hele mai nā mea neurological (ʻike blurred, drowsiness, kamaʻilio waha).

Nā hōʻailona pili kino

Ma muli o ke keleawe o ka hao, hoʻonui ʻia ka nui, hoʻomaka e waiho i ka paipai i kona mau ʻāpana a puni a pale i ka puka ʻana o ka bile.

Hōʻikeʻia kēia ma ka ʻili, loaʻa iā ia kahi pale pale melemele a pale paha.

Eia kekahi, ma muli o ka loaʻa ʻole o ka hanu a me ka nele o ka oxygen, ka uhi ʻana o ka mea i hoʻopili i ka nasolabial, nā kui ma nā wāwae a me nā lima, ka ʻili ma ka ʻōpū a me nā ʻaoʻao.

ʻO nā hōʻailona ʻē aʻe

I ka palpation, hiki i nā hōʻailona hou ke maʻi pancreatic:

1. ʻEha ma ka ʻaoʻao hema a puni ka ʻuʻu o nā iwi a me nā kuʻi.
2. Me kahi kikoʻī koʻikoʻi ma luna o nā poina a puni ka pusaka (i loko a i luna a luna) loaʻa mai ka ʻeha.
3. I ka manawa hoʻohaʻahaʻa iki i nā manamana lima mai ka ʻōpū, hoʻoweliweli ʻia ka ʻeha ʻeha.

ʻO nā mea wikiō e pili ana i nā hōʻailona a me ka mālama ʻana i ka maʻi:

He aha nā lāʻau lapaʻau i lawe ʻia no ka pancreatitis?

ʻO ka maʻi pancreatitis kahi maʻi koʻikoʻi e pono ai ka nānā pono a me kahi hana komo i loko o ke kaʻina mālama.

Ke lawe nei i nā lāʻau lapaʻau, pono ʻoe e hoʻomaopopo pono i ko lākou kumu.

ʻO nā pahuhopu o ka lāʻau lapaʻau:

1. Hoʻopilikia i nā hana hōʻeha.
2. Hoʻopau i nā hana kelepona (pili ʻole).
3. Localization o ke kaʻina hana a me ke kūkulu hou ʻana i ka maʻi maʻi.
4. ʻO ka pale ʻana i nā kumu kōkua i ka hoʻomohala ʻana o nā hana hoʻopiʻi.

I ka hōʻeha ʻana o ka pancreas, e kōkua nā papa āpau e hoʻopaʻa hou i kāna hana a i hōʻoluʻolu hou ʻoe:

1. E hōʻoluʻolu i ka puʻupuʻu a hōʻemi i ka ʻeha - No-shpa, Papaverin, Baralgin e lawelawe i kēia. He mea kūpono ke hoʻomanaʻo o kā lākou pākaha hoʻokahi ʻaʻole lākou ma mua o nā papa ʻelua. Kauka ʻia nā kauka e lawe iā Papaverine me Platifillin. Hiki ke hoʻoluʻolu ʻia kahi ʻeha līlū e hoʻāhewa ʻole e ka kauka ma o ka lawelawe ʻana i kahi mea manawaleʻa.
2. ʻO Mezim, Festal, ʻo Creon i hiki ke hoʻomau a kaupaʻa i ka hana ʻana o nā pancreas - he mau mea kuapo lākou no nā huina.
3. Hiki i ka Diclofenac lāua ʻo Aspirin ke holoi i ka maʻi, a me ia nō ka ʻeha.
4. Kuhi aku nā kauka iā Octreotide i nā maʻi maʻi - ua kau ʻia kēia ʻano meka no ka pancreatitis waha a ua mālama ʻia ma ka naʻau.

Ka papa lāʻau

E hoʻomaikaʻi wale ʻia ke ʻano o ka pancreatitis me nā lāʻau lapaʻau me ka hoʻoponopono nui ʻana i ka meaʻai a me ka hoʻohana pono ʻana i nā mea hana therapeutic āpau.

ʻO ka lāʻau ʻana o nā lāʻau lapaʻau hou ka ʻoi aku ma mua o ka piha o nā lāʻau lapaʻau e hiki ai ke hōʻoluʻolu i ka hoʻomanawanui o ka mea maʻi, hiki ke hōʻoluʻolu i nā exacerbation o nā kaʻina hana a hopena e pā ai i ka papa o ka mea huna pilikino.

Ka helu ʻana o nā lāʻau lapaʻau ma muli o nā pahuhopu o ka mālama ʻana a me kā lākou hopena therapeutic i hōʻike ʻia i ka papa.

Nā moho ʻeha

Ke hahai nei ke kumu o kēia mau lāʻau mai ko lākou inoa, ʻo ia hoʻi, e hōʻoluʻolu i ka ʻeha. He mea pono ia e hoʻomaopopo ʻoiai ʻo ka ʻeha, ke kāʻei ʻia i kahi kala i ʻōlelo ʻia, kauka nā kauka i nā lāʻau lapaʻau i ʻole i loaʻa nā māhele narkotic.

Hoʻopili mau kēia mau:

1. Antispasmodics: ʻAʻohe-Shpa, Mebeverin, Meteospasmil, Papaverine, Buscopan.
2. Nā lāʻau anti-inflammatory non-steroid: Voltaren, Indomethacin, Movalis.
3. Analgesics: Acetamifen, Baralgin, Analgin, Paracetamol.

Nā ʻzyleloʻehā

Pono nā lāʻau lapaʻau o kēia pūʻulu e hoʻomaʻamaʻa i ka hana ʻana o nā pancreas, kahi i haʻalele ʻia i kona mana exocrine.

E like me ke kumu a me ka hoʻokumu ʻana o nā kinina, ka hoʻokaʻawale ʻana o ka ʻano ma mua o nā pūʻulu 5:

1. Ke maʻalahi: Abomin, Betaine.
2. Hoʻohui: Flogenzim, Wobenzin.
3. Nā lāʻau lapaʻau e pili ana i ka pancreatin me kāna mau mea (steapsin, starch, protease): Mezim, Creon, Pancreatin, Mikrasim, Pangrol, Hermitage, Festal.
4. Synthesized mai nā mea kanu: Somilase, Unienzyme, Solisim.
5. Nā lāʻau lapaʻau e komo ai i ka hua bile, ka pancreatin, hemicellulase: Enzistal, Digestal, Festal, Panzinorm.

Antiemetic

Pono e homaʻi ma hope o ka hoʻoilo ʻana i ka meaʻai a me ka pancreatitis e hele i nā ala like ʻole. I ka lua o nā kūlana, he hoʻomau hou ia i kahi ʻano protracted, debligating, ʻaʻole ia e hali i ka hōʻoluʻolu a alakaʻi i ka dehydration o ke kino. I kēia hihia, ʻaʻole kōkua ke lavage gastric laʻa.

Eia, nā kaʻina hana nui e pili ana i ka lawe hoʻowalewale e loaʻa: ʻo nā mea make i kūkulu ʻia i ka wā o ka make ʻana o nā kao e hoʻokomo ʻia ai i ka obullata medulla ma o ke kahe a ka hana ma ke kikowaena huʻu e loaʻa nei ma ka ʻāina pericardial.

ʻO ka ʻoi loa ka hopena no ka spasms he Cerucal. Hoʻohana ʻia ia e like me ka maʻi.

Eia kekahi, me ka hoʻopiʻi ʻana e lawe: Motilium, Bimaral, Torekan.

ʻO Torekan, ka hoʻohālikelike ʻia me ka Etaperazin like, ʻo Haloperidol, ʻo Meterazin, he hoʻohui i ka hopena antiemetic, he ʻoluʻolu ʻoluʻolu hoʻi i ka hopena sedative (calming).

Antidiarrheal

ʻO ka ʻeha a me ke ʻano maʻi o ka hōʻeha ka hopena o ka exacerbation o ka pancreatitis. Kuokoa, me ke kōkua o ke olakino, ʻaʻole hiki ke hoʻokuʻi wale aku i kēia me kēia ʻaʻole wale nō mea e leʻaleʻa loa, akā no ka mea pūpū koʻikoʻi nō hoʻi.

No laila, ʻaʻohe mea kuhihewa ʻo nā kauka i ka maʻi o ka pancreatitis e kuhikuhi i kahi hoʻomaʻamaʻa piha o ka huehue, e noho nei i kēia mau wahi:

1. No ka "pae" ʻana i ke kaʻina hana o ka hoʻowalewale, ua ʻōlelo ʻia nā lāʻau hoʻonaʻenehana: Festal, Mezim, Pancreatin.
2. Enterosorbents - kēia mau lāʻau lapaʻau e pono ai, ʻoiai i loko o ka ʻōpū, ke kau ʻana i nā mea o nā pakanā. I ka wā e hiki mai ana, lawe lākou iā lākou mai ke kino ma ke ala kūlohelohe. Loaʻa kēia mau: Almagel, carbon activated, Polysorb.
3. No ka hoʻonui ʻana i nā nāwaliwali nā nawaliwali o ka rectum a e hōʻemi i ka nui o nā neʻe o ka neʻe e lawe: Loperamide, Lopedium, Immodium.
4. Nā ʻōpū a me nā antispasmodics no ka maʻi palaleka: Baralgin, No-Shpa, Papaverin, Spazmil, Renalgan.
5. E hoʻolaʻa i ka microflora pono o ka wahī, ua kauka nā kauka: Colibacterin, Bactistatin, Lactobacterin.
6. ʻO nā hōʻiliʻili huaora-mineral e lawelawe nei e hoʻoikaika i nā hana pale o ke kino: Supradin, Vitrum, Complivit.

Antacid

Hoʻonui ka nui o ka hoʻokuʻu ʻana i ka waikawa hydrochloric i ka hana o ka huna ʻana o ka pancreatic, he mea kūpono ʻole wale ia inā he exacerbation o ka pancreatitis. Lawe ʻia nā antacids e pale i kēia.

Ua hoʻokaʻawale ʻia lākou i loko o nā ʻano lāʻau inapo ʻae a maikaʻi ʻole. Ke mālama nei i ka pancreatitis, ʻoi aku ke koʻikoʻi o nā kauka kauka i ka lāʻau alumina-magnesium i loaʻa a i ʻole nā ​​lāʻau lapaʻau e mālama ai.

ʻO ka mea kaulana loa iā lākou: Phosphalugel, Almagel, Altatsid, Maaloks, Gastratsid, Maalukol, Alumag.

Nā lāʻau Antisecretory

Hoʻonui ka mea huna o ka wai pākela, me ka hoʻohuihui hydrochloric, e hoʻonāukiuki i kahi exacerbation o ka pancreatitis. ʻO ke kumu nui o nā lāʻau antisecretory, e hōʻemi i ka hoʻokuʻu o ka waikawa hydrochloric.

Ke hele ʻole nei i loko o nā ʻōlelo olakino hohonu, ʻike pono ʻoe e māhelehele ʻia kēia mau maʻi āpau e like me ko lākou mau lāʻau lapaʻau i loko o ka PPI (proton pump inhibitors) a me ka histamine H2 receptor blockers. Hoʻopau lākou a pau i ka pō a me ka hana hoʻomalu waʻa. ʻO ka mea mua wale nō ʻaʻole i hoʻopilikia i ka cholinergic, aʻo ka mea hope ʻaʻole i hoʻopilikia i ka mea hoʻokomo aku i ka histamine.

H2-histamine blockers blockers:

1. Ka Honua o Cementidin: Kahiolelo, Altamet, Belomet, Ulcometin, Tagamet.
2. Ka Honua o Ranitidine: Zantag, Histak, Ranisan, Acidex, Zoran.
3. Ka Hōʻailona o ka Famotidine: Antondine, Ulfamide, Gaster, Quamatel, Pepsid. Topzid.

ʻAi ʻia nā pākuʻi pākuʻi ʻana a i ʻole nā ​​palaka:

1. Nā Generation o Omeprazole: Omez, Zerocide, Omizak, Osid, Erosit.
2. Hōʻailona o ka lansoprazole: Lanzap, Lanzopton.
3. ʻO Generation Pantoprazole.
4. Generation Rabenprazole: Parry.
5. Ka Honua o Esomeprazole: Nexium.

Nā palahalaha ākea ākea

Loaʻa iā lākou ko lākou inoa no ka nui o nā waiwai therapeutic maʻamau. Hoʻonui ʻia kā lākou hopena i nā maʻi like, me ka maʻi pancreatitis.

ʻO ka hanauna hou o nā antibiotics, ka mea maʻamau e hōʻike pinepine ʻia e nā kauka i nā maʻi maʻi, ʻo ia hoʻi:

• Ceftriaxone;
• Azithromycin;
• Cefotaxime.

Akā, e poina i ka mea kahiko, ua hōʻoia ʻia, akā, ʻaʻole ia e hōʻemi i nā lāʻau lapaʻau me ka ākea ākea loa.

• Cefoperazone;
• Doxycycline;
• Kālā ʻia;
• Amoxiclav;
• Ampicillin

ʻO Myotropic antispasmodic

ʻO ke kālele ʻana a me ka wehe ʻana i nā maʻi spastic i nā maʻi o ka pēpē o ka gastrointestinal, pancreas, gall bladder a me nā alanilohi kumu ʻo ia ke kumu nui o nā lāʻau antispasmodic myotropic.

ʻO kēia mau palapala dosage i loaʻa nā waiwai antispasmodic a me vasodilating.

ʻO ka mea e makemake nui ʻia ai kahi huakaʻi.

• Papaverine, Papaverine hydrochloride;
• Mebeverin, Duspatalin;
• Bicyclan, Halidor;
• Drotaverin, Drotaverina hydrochloride, No-Shpa, No-Shpa Forte, Spazmol;
• ʻO Otilonia bromide, Spasmomen;
• Pinaveria bromide, Dicetel;
• Platyphyllin;
• Trimebutin;
• Fenicaberan;
• Flavoxate.

Non-steroidal anti-inflammatory

ʻO ia nā palapala hoʻohālike kaulana a kaulana loa. Ua manaʻo ka mea no ka United States iʻoi aku ma mua o 70 miliona mau kauoha i kuhikuhi no ka kūʻai ʻana o kēia mau lāʻau lapaʻau i kēlā me kēia makahiki.

ʻO nā ʻano āpana āpau o kēia pūʻulu, akā pono e ʻike ʻia ʻoi aku ʻo ia ma mua o hoʻokahi haneli mau inoa like ʻole, nā like like me nā ʻano like: anti-inflammatory, analgesic a me antipyretic.

He aha nā lāʻau lapaʻau maikaʻi loa e lawe ai, he aha e koho ai? Kuhi hewa ʻia ka nīnau.

No ka hoʻopau ʻana i nā kaʻina hana a pili i ka exacerbation o ka pancreatitis, i kuhikuhi pinepine ʻia i nā kauka:

• Acetylsalicylic acid a Aspirin;
• Hoʻololi;
• Sulindak;
• Lysine monoacetylsalicylate;
• Phenylbutazone;
• Nā Indomethacin;
• Flurbiprofen;
• Piroxicam;
• Diclofenac;
• Nabumeton;
• Ibuprofen;
• Ketoprofen;
• Mesalazine a me kekahi mea ʻē aʻe.

Nā wikiō mai Kauka Evdokimenko:

ʻO ke ola me ka momona loa

E hāʻawi i kahi pane pane ʻole i ka nīnau e pili ana i ka lāʻau lapaʻau ikaika loa no ka mālama ʻana i ka pancreas e like me ka ʻole e hakakā ai me ka hoʻopaʻapaʻa a i ʻole e kūʻē ai i ke ʻano o ka ʻāina a i ʻole kahi ʻāina e kūpono ana no ka noho kanaka.

A manaʻo mākou e ʻae ʻoe i ka pane like ʻole a pau, ʻo ia hoʻi: e hilinaʻi ʻia ana ke kino kanaka - e kūpono nō nā koho ʻelua.

ʻO ka maʻi pancreatitis kahi maʻi paʻakikī loa ia e luhi. Nui nā mea e pili ana i ka hoʻolālā a me nā loʻo o ka hoʻopili ʻana i kēia maʻi, ma luna o nā hoʻomākaukau lāʻau i koho ʻia a me kā lākou palapala noi.

ʻOiai hiki i kekahi mau ʻōmiha pili ma ke noiʻi lapaʻau e hiki ke hana.

I ka manawa pinepine, me ka huhū o ka pancreas, kauka nā kauka: nā ʻeha hōʻeha, nā maʻi a me nā lāʻau mai ka hui o ka enzyme.

E pili ana kēia:

1. ʻO nā hoʻomākaukau hana Enzyme: Creon, Panzinorm.
2. Antacids: Gaviscon, Rennie, Phosphalugel, Maalox.
3. Nā pākohi palaka Proton: Omez, Lanzap, Pantoprazop, Lanzopton.
4. Antibiotics: Azithromycin, Cefotaxime.
5. Hoʻopukumu: No-Shpa, Meteoospasmil, Voltaren, Movalis. Baralgin, Paracetamol.

I mea e lanakila kūleʻa ai ʻoe i nā pilikia e pili ana i ka maʻi pancreatic, pono ʻoe e hōʻemi a ʻaʻole wale me ka ahonui. Pono e hahai pono i nā ʻōlelo hōʻike a ke kauka e komo nei a me ka ʻike pono ʻana i ke ola holoʻokoʻa, ʻo ka hoʻohui ʻana a me ka meaʻai, a me ke ʻano o ka hoʻomaha a me ka hana kino.