Chirwere pfungwa nomuviri zvemwana asati - kurapwa panguva exacerbation uye nokuregererwa

Chirwere pfungwa nomuviri zvemwana asati chirwere pakati rwatata anogumbura zvakasikwa kuchinja waro muchinjikwa ducts. With kosi-refu kuti dzichiri pfungwa nomuviri zvemwana asati parenchymal nhengo sclerosis uye kurasikirwa ayo exocrine uye kwemakemikari anobudiswa chaitika. In kukura chirwere kuridza inokosha chirwere ari zvomudumbu hurongwa. Naizvozvo, kana chirwere chisingaperi pfungwa nomuviri zvemwana asati, pakurapa chirwere yaifanira pavanoparidza mishonga nezvimwe comorbidities. Mabatirwo pfungwa nomuviri zvemwana asati ari refu, hurongwa, chinoenderera panguva exacerbation nekangamwiro.

Chirwere pfungwa nomuviri zvemwana asati: kurapwa mune rikwanise Danho

Exacerbation chirwere pachena raidudzwa kunotoda mufananidzo, kurwadziwa zvikuru. Panguva exacerbation akaratidza vaitire chisingaperi pfungwa nomuviri zvemwana asati kunotevera muchipatara. Zvakakodzera kubvisa zvose zvinokonzera uye pathogenic zvigadziriswe hosha kukura. Achitaura zvinokonzera inotisvitsa chimiro zviratidzo chirwere, zvinosanganisira utsanana pamusoro gallbladder uye biliary turakiti, Mabatirwo chakasimba uye chisingaperi nezvirwere mudumbu, zvakakwana pakuzvinyima doro.

Mumazuva mishonga mangwanani kutitadzise pancreatic secretion ushandiswe nzara uye mvura alkaline, iyo inoshandisa kudziya ikapenya chicherwa mvura. Kuwedzera kune fanira kudya chando pamusoro epigastric, nharaunda mupfungwa uye mumuviri zororo, tubeless kugara chido pamusoro gastric muto. Kuti uvandudze water drainage kuti muto zvinoberekwa nerwatata, akarayira antispasmodics uye anticholinergics (zvinodhaka "No-Spa," "Platifillin", "Baralgin", "Atropine", "papaverine"). Kuderedza stimulatory mugumisiro nokuda gastric muto wakawanda sezvo antacids (rinoreva "Almagell" "Fosfalyugel"), H2 Kanotokonya blockers (zvinodhaka "Ranitidine", "Kvamatel") uye hwepurotoni pombi FIs (zvinodhaka "Omeprazole"). Kuderedza basa proteolytic makemikari raitongwa vutrivennoe kwokubatsira FIs yayo (kugadzirira "Contrycal" "Trasylol", "Gordoks").

Diuretic zvinodhaka mune chirwere pfungwa nomuviri zvemwana asati raitongwa sezvo diuretics kwete chete kuderedza toxicity kubudikidza nokubviswa kuora zvigadzirwa, asiwo tunodzivisa basa pancreatic makemikari. A ndozvinoitawo iri zvinoberekwa epsilon-aminocaproic asidhi uye mapuroteni hydrolysates.

Kana kurwadziwa kuchinyanya chinoratidza basa analgesics siyana. Kushandiswa opioids vari contraindicated. Nokuti nokururamiswa microcirculation zvirwere uye mvura-munyu Exchange reopoligljukin kushandiswa, mamwe sesaline zvingaitwa.

In exocrine insufficiency nechinangwa yokutsiva mishonga kushandisa enzayemu kugadzirira ( "Pancreatin", "wokupembera", "mezim").

Kana dzinoparadza siyana pfungwa nomuviri zvemwana asati nomutsinga raitongwa cytostatics (zvinodhaka "Cyclophosphamide", "Fluorouracil").

Kana kukundikana hormone shwanu kana tableted kushandisa jekiseni hypoglycemic nevamiririri.

Kuitira kudzivisa suppurative kuzvimba mishonga inorwisa mabhakitiriya.

Zvino tinoziva sei kurapa pfungwa nomuviri zvemwana asati ari chenjera. Asi chirwere ichi ane chirwere kosi uye hakuna kumboderera pakurapa ruregerero, sezvo izvi kudzivirira chitarisiko chazvo zviratidzo uye chirwere kunoita.

Chirwere pfungwa nomuviri zvemwana asati: kunorapwa kanganwiro

Treatment echirwere pfungwa nomuviri zvemwana asati ari rekukangamwirwa ndiko kudzivirira chirwere, kukurudzira kukura kwavo, uye avo nenguva kurapwa. Pathogenetic kurapa mu rekukangamwirwa kuti normalize ari gastric secretion, deletion dyskinesias biliary turakiti, uyewo kweiyi rokuzvivandudza rakaita kuti irambe pezvakaitwa mu rwatata. Nokuti ichi chinangwa ushandiswe zvokudya chikafu pamwe akaderedza mafuta uye kwakawedzera mapuroteni kugutsikana. Kuvandudza mapuroteni muviri necheseri mapuroteni Zvokudya ushandiswe anabolic steroids (zvinodhaka "Retabolil," Nerobolum "). In pamberi mwero kwemakemikari anobudiswa insufficiency uye nounyoro siyana chirwere cheshuga tikadzivisa kudyiwa makabhohaidhiretsi. Kana ropa shuga hakusi normalized, dzakabatwa jekiseni gadziriro. Murwere anofanira kusiya zvachose kushandiswa doro kumarudzi hwavo kuomerera zvinovaka muviri.

Chirwere pfungwa nomuviri zvemwana asati, mishonga rinoitwa maererano apa, kazhinji ichichinja ruregerero refu-refu, haana aine kukura yematambudziko.