Anam'peza matenda a m'matumbo. Chithandizo njira ndiwofatsa

Odwala matenda ndi yaikulu nonspecific anam'peza matenda a m'matumbo, mankhwala ikuchitika zinthu kuchipatala. M'chipatala cha odwala m'pofunika kuti kudziwa zofunika achire miyeso pamaso pa matenda concomitant kagayidwe kachakudya ndi matenda a dongosolo hematopoietic. Chifukwa imfa ya mabuku yaikulu ya madzimadzi ndi electrolytes kudzera rectum, anam'peza matenda a m'matumbo chithandizo pansiyi kumafuna kulowetsedwa mankhwala (makonzedwe mu njira m'magazi ena ndende ndi buku) ndi magazi (magazi).

Zovuta ilinso achire enteral zakudya (oyamba a zakudya m'matumbo gawo angathe woyamwa).

Chithandizo cha matenda a m'matumbo anam'peza nonspecific bwino kwambiri ndi ntchito corticosteroids ndi wothandizila immunosuppressive. Tikumbukenso Komabe, kugwiritsa ntchito mankhwala amachititsa zochita kwambiri chowawa.

Ngati pali sing'anga yokoka anam'peza matenda a m'matumbo, mankhwala wapatsidwa "prednisolone" mu mlingo tsiku la 40-60 mg. Khalani limasonyeza kuti mlingo uwu ndi ogwira zokwanira kuthetsa vutoli. Ngati pali choopsa anam'peza matenda a m'matumbo, mankhwala wapatsidwa parenteral (mtsempha) utsogoleli wa mankhwala "Methylprednisolone" kapena "Hydrocortisone". Tikumbukenso kuti corticosteroids zimathandiza kwambiri kuthetsa yogwira gawo kudwala. Choncho ntchito zawo pa mlingo yaing'ono chikhululukiro (mpumulo) samaletsa chitukuko cha muyambirenso (akubwereza).

M'kupita kwa mankhwala wodwala akulimbikitsidwa kudya zakudya zapadera, kuti kuchiza matenda a m'matumbo popanda kudya zakudya zopatsa nthanzi siwoyenera ndiponso operewera.

Loonetsa analenga umakaniko wofatsa, mkulu mapuloteni (zidyeke). Zikuphatikizapo, poyamba pa zonse, mwatsopano kanyumba tchizi, Taphunzira nyama ndi nsomba. Osavomerezeka chifukwa zipatso kapena ndiwo zamasamba. Zakudya ayenera kukhala fractional, chakudya chochepa. Zamgululi sayenera wozizira kapena wotentha. Limati aakulu Komanso anatumizidwa parenteral (mtsempha) zakudya. Onetsetsani kuti monga mavitamini mu chakudya.

mankhwala kulowetsedwa ikuchitika pofuna kuchotsa poizoni m'thupi, komanso malangizo a madzi ndi bwino electrolyte, ndi mapuloteni.

Malinga ndi tilinazo microflora mu m'mimba yoikidwiratu mankhwala opha tizilombo.

Kuthetseratu akuvutika m'mimba (m'mimba) ntchito antiholinergeticheskie mankhwala (Tingafinye ndi tincture wa ndi belladonna, mankhwala "Platifillin", "Solutan"). Tiyenera kukumbukira kuti nthumwi izi contraindicated odwala ndi glaucoma. Komanso, wothandizila kumangako amaikidwa pa maziko a mbewu (msuzi peel khangaza, Kanthanga mbalame chitumbuwa zipatso infusions, etc.).

Pankhani ya mavuto monga kukha mwazi buku, kutsekeka kwa mu matumbo perforation (kudzera-khoma kudzitsitsa) zilonda, anam'peza matenda a m'matumbo katundu mofulumira mwapang'onopang'ono (si yeniyeni), sichimachotsa ankachititsa mankhwala komanso khansa ya m'matumbo, mankhwala opaleshoni.

Monga ulamuliro, njira yaikulu ya alowererepo opaleshoni ndi:

• palliative (sanali kwakukulu) ntchito;
• kwakukulu opaleshoni;
• reductively reconstructive opaleshoni.

Yogwira machenjerero opaleshoni akulimbikitsidwa ana ndi anam'peza matenda a m'matumbo m'njira kwambiri, pakalibe mofulumira Poyankha zabwino mankhwala umagwiritsidwa ntchito. Kawirikawiri, opaleshoni ndi muyeso yaukapolo. Tikumbukenso kuti njira opaleshoni amadzetsa mpumulo, makamaka pa nthawi imene ndi kudwala amakhala mosalekeza relapsing Inde.