Phekolo ea lithethefatsi ea pancreatitis e ratoa haholo, hobane ke ka thuso ea eona feela e khonang ho ntlafatsa boemo ba mokuli. Pele o qala ho nka meriana efe kapa efe, o hloka ho bona setsebi.
Pancreatitis ke lefu la setho le kang manyeme. Boloetse bona bo ka hlaha ka lebaka la hore motho o kile a ba le lefu le tšoaetsanoang, hape le ka lebaka la ho ba le likotsi, seso sa peptic, ka lebaka la ts'ebeliso ea lino tse tahang kapa ho nona haholo.
Ntle le moo, sesosa e kanna ea ba lefutso. Matšoao a mantlha a bokuli bona a kenyelletsa matšoao a latelang:
- ha ho na takatso ea lijo;
- ho nyekeloa
- lenyora
- tlolo ea tekano ea likokoana-hloko.
Pheko ea pancreatitis ka lithethefatsi
U lokela ho buisana le ngaka, ho hlahlojoa, ka lebaka leo, ngaka e tla u fa kalafo e hlokahalang ka meriana e nepahetseng.
Phekolo ea lithethefatsi e ka ipapisa le ts'ebeliso ea lithethefatsi tse fapaneng, litekanyetso tsa tsona li ikemiselitsoeng ka bonngoe.
Lingaka li beha chelete ka mokhoa oa li-capsules, microgranules. Mefuta ena ea lithethefatsi e na le ketso e potlakileng haholo.
Ka lebaka la kalafo ka ts'ebeliso ea lisebelisoa tsa bongaka, hoa khonahala ho tlosa matšoao a lefu lena, ho etsa mohlala, lets'ollo, le ka hlahang ka lebaka la ts'ebetso ea ho ruruha gland le ho kenngoa ha mafura hantle.
Bakeng sa kalafo ea bokuli, ho sebelisoa mekhoa e rarahaneng ea kalafo, ho kenyeletsa:
- enhibitors
- li-antibacterial agents
- Li-enzyme
- antispasmodic le anticholinergic lithethefatsi,
- Li-blockers tsa H2
- antacid.
Li-inhibitors (li-blockers) tsa li-enzymes tsa pancreatic.
Enzyme inhibitors (kontrikal, gordok, trasilol, antagozan) e sebelisoa ho fokotsa mosebetsi oa liprotheine tsa pancreatic, tse bakang ho ruruha le ho ata ha li-pathologies.
Lichelete tsena li etsoa ho tsoa makhophong le liphoofolong tsa pulmonary parenchyma ea liphoofolo. E sebetsang ka ho fetisisa ke ts'ebeliso ea li-enzyme tsa enzyme ka letsatsi la pele la lefu.
Li-antibacterial agents.
Li-agents tsena li na le tšebeliso ea ho fokotsa ts'ebetso ea ho ruruha makhophong le linthong tse haufi, hammoho le litho tse senyehileng.
Ka thuso ea litlhare tse thibelang likokoana-hloko, u ka qoba:
- pancreatic pancreatic necrosis;
- ho ruruha ha mokokotlo oa mokotla o tšetseng lintho;
- ho ruruha ha peritoneum;
- sebaka se potolohileng cellulitis cellulose retroperitoneal space.
Etsa litlhare tsa lithibela-mafu ka litlamorao tse fapaneng. Tsena li kenyelletsa: cephalosporin, penicillin, fluoroquinolone, macrolide.
Enzymes
Ts'ebetso tsena li na le enzymes tsa pancreatic tse kang lipase, amylase le protheine: pancectin, creon, pancurmen, festal, enzistal le panzinorm.
Phekolo ka lisebelisoa tse joalo tsa bongaka e na le litlamorao tse latelang 'meleng:
- calms manyeme;
- e phahamisa ho monya hofetisisa ha liprotheine, mafura le lik'habohaedreite;
- e ntlafatsa tšilo ea lijo;
- felisa dyspepsia.
Lithethefatsi tsa antispasmodic.
Ka ho ts'oaroa ke mesifa e boreleli, e amanang le ts'ebetso ea methapo ea methapo le ts'ebetso e senyehileng ea kesi ea methapo, ho hlokahala hore ho nkuoe antispasmodics.
Likonteraka li hlaha ka lebaka la ho se sebetse hantle ha li-sphincters ka har'a pancreatic duct, e leng se etsang hore ho be thata ho kenya lero la pancreatic ka duodenum.
E le molao, ba sebelisa lithethefatsi tsa antispasmodic:
- mebeverin
- papaverine
- no-shpa
- drotaverinum
- spasmodic
- likhopo
- spasmol.
Lithethefatsi tsa anticholinergic
Bokhoni bo ka sehloohong ba lithethefatsi tsa anticholinergic ke ho fokotsa litlamorao tsa likarolo tsa acetylcholine le cholinomimetic.
Ho na le mefuta e joalo ea li-anticholinergics: li-nicotinolytics le muscarinolytics. Bakeng sa kalafo ea pancreatitis e sa foleng, e le molao, ho sebelisoa mascinchtics: pirenzepine, gastril, gastrosipine.
Lithethefatsi tsa Cholinolytic li thibela ts'ebetso ea methapo ho cortex ea mokokotlo le ganglia, sena se baka ho fokotseha ha lebelo la phetoho ea methapo, ha mesebetsi ea bona e le ntho e tloaelehileng, mme lits'ebetso tsa phallo ea makoloi li ntlafala.
Lithethefatsi tsa Cholinolytic:
- metacin
- atropine
- platyphyllin
- chlorazine
- antispasmodic.
Lithethefatsi tsena hangata li sebelisoa e le li-antispasmodics tse sebetsang.
Li-antacid
Tsena ke lithethefatsi tse hlahisoang ke kalafo ea mafu a ts'ehetsoang ke acid ea "gastrointestinal" ho sitisa hydrochloric acid ea lero la mpa.
Karolo e eketsehang ea hydrochloric acid e ntlafatsa secretion ea manyeme, ka lebaka lena, ka mofuta o sa foleng oa pancreatitis, ho sebelisoa li-agents tse fokotsang secretion ea mpa, e fokotsang phello ea hydrochloric acid.
Li-antacids ke tsona tse ananeloang ke 'mele mme li sa kenelle. Ho tsoa ho pancreatitis, litlhare tse se keng tsa monya li boleloa:
- alumag
- Almagel
- maalox,
- altacid
- maalucol,
- gastracid
- palese
Li-antacid tsena li na le lintho tse kang aluminium le magnesium, tse ka amohelang pepsin, lysolecithin, bile acid, hape e sireletsa.
Ha ho phekoloa pancreatitis, li-antacid ha li sebelisoe ka thoko ho li-inhibitors.
Li-blockers-H2
Bakeng sa ts'ebetso ea antisecretory, ho sebelisoa li-H2-blockers:
- ranitidine
- homotidine
- nizatidine.
Motsoako oa antisecretory o sebelisetsoa ho fokotsa sebopeho sa acid ka mpeng, hobane hydrochloric acid ke eona ntho e ka sehloohong ho hlahiseng sephiri, se amehang tlhahisong ea letsoai la bicarbonate ke epithelium ea li-ducts tsa pancreatic.
Ka lebaka leo, phokotso ea bongata ba asiti, hammoho le letsoai la bicarbonate, li eketsa katleho ea pheko.
Litšobotsi tsa Phekolo
Therapy ea pancreatitis e ikemiselitsoe feela ka bomong, joalo ka kalafo ea pancreatitis ka meriana.
Phekolo ea lithethefatsi ea pancreatitis e lokela ho etsoa ho latela ho phomola ka thata ho bethe, lijo tse ikhethileng, haholo-holo tse nang le tlhahiso e matla ea lihlahisoa tsa protheine. Mokuli o lokela ho latela lijo tsena bonyane matsatsi a 21.
Ha mokuli a ntse a mpefala ho fihlela nako ea bokuli, joale tlala ea matsatsi a 'maloa e ka mo thusa, ho bohlokoa haholo ho ea kalafong ka nepo haeba e le pancreatitis e mpe haholo ho bana.
Haeba lisele tse mpe li sebetsa hantle haholo, ka linako tse ling ho thata ho qoba ho buuoa. Ka mor'a moo, laparoscopy e sebelisoa ho phekola pancreatitis.
Phekolo e thusang e ka hlokahala kalafong ea lefu lena. Ebe kalafo ea lithethefatsi ea pancreatitis e kenyelletsa ho nka moriana o kang pancreatin. Ha e le molao, e nkuoa nako e telele. Mokuli letsatsi le leng le le leng mme o nka meriana ena khafetsa.
E boetse e sebelisoa ho phekola pancreatitis:
- lithethefatsi tsa choleretic;
- li-enveloper agents;
- lithethefatsi tsa li-hormonal tsa mofuta oa anabolic le steroid.
Hoa khoneha ho sebelisa lithethefatsi tse kang mezim-forte, festal.
Ha ho na le bohloko bo boholo, lingaka, e le molao, li hlahisa li-antenzyme tse ikhethang.
Ts'ebeliso ea lithethefatsi tsa antispasmodic, analgesics le eona hangata e fetoha tsela e sebetsang ea ho phekola pancreatitis.
