Imithi pancreatic: imithi eminye esebenza ngempumelelo

Pathology kwamanyikwe kuvamile namuhla. Lezi zifo ezibangwa ngokuvamile ukuhlukumeza umzimba umsebenzi, nakho kuphakama kusukela abonobangela abahlukeneko (izinqubo ukuvuvukala, isibonelo). On isithombe yomtholampilo, isimo jikelele isiguli ziyonquma ukuthi uhlobo umuthi udokotela pancreatic sinquma. In izifo zomzimba abavunyelwe self-ukuphatha izidakamizwa. Kuyadingeka ukubona onguchwepheshe.

Kukhethwa izidakamizwa

Ngokuhamba yokwelapha wezokwelapha pancreatitis ezingamahlalakhona ngokuvamile inikezwa lamathuluzi. Lapho le nhlanganisela analgesics, spasmolytics futhi holinopreparatov olukhonjiswa njengedifolthi H2 blocker futhi antacids, kanye ukuvutshelwa izindlela antifermental.

Lapho izinqubo ukuvuvukala kuvame anqunyiwe izidakamizwa ezifana "Cha-spa," "papaverine", "Platifillin", "Atropine". Le mishanguzo ngoba pancreatic iqondiswa ngomlomo noma ifomu umjovo ongama (ngenxa yobuhlungu acute, isibonelo). Against isizinda exacerbation of pancreatitis ezingamahlalakhona kubaluleke ngokukhethekile ukwehluleka exocrine isitho. Kule ndaba, Kunconywa enzyme ejenti, H2 blocker, kanye nemithi antacids.

Phakathi nalokhu kwesibili, kufanele imithi efana "Fosfalyugel" Almagel waphawula "nezinye ingxube ane-alikhali izidakamizwa liquid. H2 blocker esetshenziselwa ukwelapha ubuhlungu obukhulu. Inikezwe ngu-, isibonelo, izidakamizwa ezifana" Femotidin "," Ranitidine ", nabanye.

izindlela enzymatic

Abanye imithi iziguli isikhathi eside. Yokwelapha akusiyo ngaphandle enzyme amalungiselelo. It Kunconywa, amathuluzi ethile njengokugxeka Amylase, lipase, trypsin. Le mishanguzo osetshenziselwa yokutakula kwamanyikwe. Isenzo sabo kuhloswe nokucindezela uketshezi pancreatic. Ngokuvamile, izindlela enzymatic inikezwa ngokushesha ngemuva ukususwa wokuba kuhlaselwe acute, ephelezelwa ubuhlungu. Ukuphumelela le mithi kuzibonakalisa ekunciphiseni dyspepsia. Lokhu, kubonakala kuqiniswa uyaca kanye ukumisa sohudo. Njengoba umkhuba ubonisa, isimo okubi kakhulu zisuswe ngaphakathi emavikini amathathu noma amahlanu kusukela ekuqaleni ukusetshenziswa kwezimali. Qedela nokuqedwa pancreatitis acute waphawula ngemva kwezinyanga eziyisithupha noma unyaka. Phakathi izimali enzyme kuzomele sifake izidakamizwa ezifana "Pancreatin", "Pankurmen", "pantsitrat", "zemikhosi" "enzyme Forte" nabanye. Ngaphezu kwalokho, njengengxenye yemithi ezinjalo kuba Bile samanje.

nemithi antifermental

Kwezinye izinhlobo pancreatitis ezingamahlalakhona nzima ukuvuvukala kwamanyikwe, bamiswe izidakamizwa ezifana "Gordoks" futhi "Contrycal". Lezi imithi iphathwa isiguli ngemithambo yegazi (ukuvuza). Omunye imiphumela engemihle mithi abe amanyikwe, kuyinto ukusabela nomzimba. Ingozi ivela khona ngesikhathi yokwelapha impela high. Cishe ukuba kuholele ukushaqeka anaphylactic. Kule ndaba nemithi antifermental aqokwa ngokucophelela okukhulu.

Antispasmodics futhi analgesics

ejenti analgesic anconywe nokuqedwa ubuhlungu. Lezi zihlanganisa, ngokukhethekile, zihlanganisa izidakamizwa ezifana "Analgin", "Baralgin" futhi "paracetamol". Sesinamandla isimo sokugembula isiguli ukwenza imijovo esicutshini. Ngemva ekunciphiseni nesineke ubuhlungu syndrome umfutho idluliselwe temlomo ukuthatha le mithi. Uma buhlungu lisusiwe, Udokotela angase anikeze isiguli analgesics kwezidakamizwa. Abenzi kuphela ifa umphumela analgesic, kodwa ukwandisa umphumela imishini kwezidakamizwa. Lesi sigaba izidakamizwa ahlanganisa zinhlungu, imithi yokucindezeleka nezidambisa antipsychotics. Lokhu kusho ukuthi, phakathi kwezinye izinto, ukuqeda ukukhathazeka nokucindezeleka elivame ukuhambisana izifo kwamanyikwe. Ngokusho kochwepheshe, okuvela kuyo izinhlungu ezihambisana sphincter ka Oddi ukungasebenzi, dyskinetic wamathumbu neziyaluyalu, ephelezelwa amajaqamba. Ukuqeda uthi ezinjalo zifana ukusebenzisa imithi efanele (elisho ukuthi "Cha-spa", isibonelo). Antispasmodics sinomthelela zokunciphisa imisipha, kungakhathaliseki uhlobo imvelaphi yabo.

antacids

Uma izifo pancreatic zenzeka ihambisana esingamahlalakhona exocrine ngesisekelo ubuhlungu futhi dyspeptic syndrome, ekwelapheni amanxusa asetshenziswa, okuyinto ukucindezela Ukukhetha esiswini hydrochloric acid. Leli qembu kwemithi libizwa antacids. Evamile, le mithi ukuze pancreatic izigaba ezimbili: ukuncela kanye ukuncela izindlela.

Iqembu lokuqala kufanele zifakwe magnesium oxide, i-sodium ne-hydrogen carbonate nabanye. izidakamizwa Isigaba hhayi ugxile zihlanganisa lezo zidakamizwa ngoba pancreatic ngokuthi "Fosfalyugel", "Gelyusil", "Almagel" nabanye. Le mithi ukunciphisa umsebenzi acid ngesikhathi adsorption yayo futhi kancane ogeleza neutralization ukuphendula. Ndawonye nale enzyme inciphise inani libhujiswa esiswini. nomuthi Antacid ekwelapheni pancreatic nomthelela esebenzayo ku ukululaza hydrochloric acid. Nokho, ithonya labo imfushane kakhulu.

Ingabe likhona ikhambi kangcono umdlavuza pancreatic?

Ochwepheshe unganikezi impendulo ocacile wokuba yalo mbuzo. Pathology ka ukuphakamisa ezimweni eziningi yokwelapha eziyinkimbinkimbi. Njengoba sekushiwo ngenhla, kukhethwa izidakamizwa kuzoncika isithombe emtholampilo. Nokho, engayitholi enzyme njengoba replacement therapy isikhathi eside iyona ngempumelelo kakhulu. Nokho, umkhuba, kute kuzuzwe kubuyela okuphelele ngenxa yalesi sifo kungenzeka ngokuvamile akunjalo. Ngokuvamile, ama-ejenti ezifana emisebenzini evamile kwamanyikwe. Abanye imithi kungukuthi kuphela uhlaliseke uketshezi, kodwa futhi kuvimbela okuvela sokuwa inflammations (izidakamizwa ezinjalo zihlanganisa, isibonelo, "enzyme Fort"). Nokho, qaphela ukuthi noma yimuphi umuthi ukuze kuvikelwe (amanyikwe) ngeke abe wusizo uma ungenawo ukugcina ukudla. Ukudla ngokufanele ekwelapheni pancreatitis nezinye pathologies yomzimba wathi kubaluleke kakhulu.

izidakamizwa eliphumelelayo pancreatic: "Creon"

Lokhu ejenti has isenzo i-enzyme, kuthuthukisa inqubo ukugaya. Esebenzayo isithako ekhona yokwakheka izidakamizwa ekwelapheni amanyikwe - pakreatin - kusiza ukugaya amafutha, amaphrotheni, ama-carbohydrate. Lokhu kuholela ukumuncwa kwabo okuphelele. izidakamizwa Itholakala ifomu capsule. Lapho udle, ukukhululwa kwe-asebenzayo iqala engamakhulu mini-microspheres. Basuke exutshwe okuqukethwe emathunjini bese kujwayeleke ukusatshalaliswa enzyme. Ukukhululwa asebenzayo enzyme pancreatic nomuthi kwenzeka lapho mini-microspheres emathunjini amancane. Protease, Amylase futhi lipase, pancreatin kufakwe Ukwakheka abonise isenzo eholela nokwahlukana lipid molecule yesitashi namafutha.

izinkomba

Nomuthi "Kreon" Kunconywa njengoba replacement therapy ye exocrine esingamahlalakhona of amanyikwe umsebenzi ngemuva izimo ezifana:

- pancreatitis eqeleni ezingamahlalakhona;

- umdlavuza kwamanyikwe;

- pancreatectomy;

- cystic fibrosis;

- ductal isimiso kusukela neoplasm ukubukeka;

- ukunciphisa emathunjini fermentoobrazuyuschey ukuguga esebenzayo kanye nezinye izifo.

Umthamo zomuthi usetha udokotela mathupha. Kunconywa ukuba nengxenye noma ingxenye yesithathu umthamo owodwa ukuthatha ku ngokushesha ngaphambi kokudla, lonke - ngezikhathi zokudla.

Imiphumela emibi kanye contraindications

Akunconyelwe yokwelapha pancreatitis oyingozi noma exacerbation ifomu yakhe njalo hypersensitivity. Prakthiza libonisa ukuthi izidakamizwa ibekezelelwe kahle. Phakathi ezingavamile side effects waphawula ubuhlungu besisu, ukuhlanza okungapheli noma isicanucanu, ushintsho sezinyawo (uhudo noma ukuqunjelwa). Ezimweni ezingavamile, iziguli ukuzwa ukusabela nomzimba. Ngokuvamile, ihlobene hypersensitivity kuya izingxenye ejenti.