Maronda colitis. Treatment kuchinja nzira

Varwere nechirwere chikuru nonspecific maronda colitis, kurapwa kuri kuitwa muchipatara ezvinhu. Muchipatara wevarwere chinodiwa kuti kuona zvakafanira kuchirapa zviyero kuvapo concomitant metabolic zvirwere uye zvinetso zviri hematopoietic hurongwa. Nokuda kurasikirwa guru zvemaBhaibheri Urume uye electrolytes kuburikidza mugaranhoko, maronda colitis muchipo kurapwa kunosanganisira aizomupa kurapa (Kutarisirwa kupinda muropa mhinduro vamwe yevasungwa uye vhoriyamu) uye kuwedzerwa ropa (ropa).

The kunzwisisa anosanganisirawo muviri enteral zvokudya (okusuma zvinovaka muviri ari dumbu mugove aigona yakayamwa).

Mabatirwo maronda colitis nonspecific zvinobudirira kwazvo nokushandiswa corticosteroids uye immunosuppressive nevamiririri. Zvinofanira, tinofanira kucherechedzwa Zvisinei, kuti kushandisa zvinodhaka izvi kunokonzera chakakomba nenjodzi.

Kana paine unosvikirwa giravhiti maronda colitis, kurapika anopiwa "prednisolone" mune zuva dose pamusoro 40-60 MG. Practice zvinoratidza kuti chipimo chemushonga iyi inoshanda zvakakwana kuderedza mamiriro. Kana paine zvikuru maronda colitis, kurapwa anopiwa parenteral (intravenous) Vanotarisira mishonga "Methylprednisolone" kana "Hydrocortisone". Zvinofanira kucherechedzwa kuti corticosteroids vari chaizvo kushanda pakumisa kushingaira chokutambudzika zvokurwara. Saka kushandisa kwavo mishonga maduku kuregererwa (zororo) hakutadzisi kukura kuitazve (rinodzokorora).

Mutariri weboka kurapa murwere inokurudzirwa chairo kudya, kuti kurapa colitis pasina kudya zvinovaka muviri ndiko kukodzera uye haushandi.

Govera akasika mechanically munyoro, mukuru mapuroteni (digestible). Izvi zvinosanganisira, pakutanga kwezvose, yakachena yokurenda chizi, wakawondereiko kudai nyama uye hove. Not akakurudzira upi michero kana miriwo. Diet zvinofanira kuva migove fractional, diki. Products havafaniri kuva chando kana kupisa. In kwazvo inoti anowedzera basa parenteral (intravenous) kudya kunovaka. Iva nechokwadi kuti unosanganisira mavhitaminzi zviri zvokudya.

Aizomupa kurapa rinoitwa kuti kubviswa tsvina pamuviri, uyewo kurangwa nemvura electrolyte mwero, uye mapuroteni.

Zvichienderana aikanganiswa zviri microflora huru ura yakatarwa asingaurayiwi zvinodhaka.

Kubvisa chiratidzo manyoka (manyoka) rinoshandiswa antiholinergeticheskie mushonga (mushoma uye tincture pamusoro belladonna, zvinodhaka "Platifillin", "Solutan"). Zvinofanira kurangarirwa kuti vamiririri ava contraindicated pavarwere vane yemaziso. Uyewo, kunyorerana vamiririri vanogadzwa pahwaro chirimwa (muto peel they and and yejasi, acorn, shiri-Cherry muchero infusions, etc.).

Kana yematambudziko akadai ropa vhoriyamu, mhingaidzo pakati ari bowel perforation (kuburikidza-rusvingo kudzikisirana) maronda, maronda colitis rinorema nokukurumidza mberi (non-zvakananga), haritauri kutsakatisa kuitwa kurapa, uyewo nekenza muura, kuvhiya kurapwa.

Kazhinji, chikuru nzira kuvhiya kupindira vari:

• palliative (non-kukuru) akavhiyiwa;
• yakakura Kuvhiya;
• reductively reconstructive kuvhiyiwa.

zvomusejari Active nzira inokurudzirwa vana vane maronda colitis kwazvo siyana, pasina munhu anokurumidza zvakanaka Achipindura kurapwa rikashandiswa. Kazhinji, Kuvhiya chiyero kumanikidzwa. Zvinofanira kucherechedzwa kuti kuvhiya unyanzvi kunozorodza, zvikurukuru zviitiko apo zvokurwara inofambidzana kuramba relapsing kosi.