Kupewa kwa chifuwa chachikulu komanso chovuta

Poyamba - zimaphatikizapo kupewa kupangika kwa matenda.

Sekondale - Cholinga chofuna kuthetseratu zinthu zomwe zimathandizira kubwereza ndi / kapena kupita patsogolo kwa CP, imachitika ngati gawo lotsatira.

Kupewa koyamba imaphatikizapo chida chachikulu komanso chokwanira chamankhwala othandizira pancreatitis pachimake kuchipatala. Odwala ambiri amasiya kulandira chithandizo, akumva bwino. Ndikofunikira kudziwa kuti kutupa kumapitirira kwa nthawi yayitali kutatha kwa zizindikiro zamankhwala. Simungamve kupweteka, koma nthawi imodzimodzi, matenda omwe sanalandire amatha kudwala wosachiritsika mawonekedwe.

Popeza gawo la chakudya pazinthu zoyambirira kupewa CP, ndikofunikira kutsatira ma algorithm omwe amalimbikitsa kuti azikhala ndi thanzi labwino:

o kudya zakudya zosiyanasiyana,

o bwino kuchuluka kwa kudya ndi zolimbitsa thupi,

o Kukhala ndi thupi labwinobwino,

o Kusankhidwa kwa zakudya zomwe zili ndi mitengo yambiri ya chimanga, masamba ndi zipatso,

o kusankha zakudya zamafuta ochepa, mafuta odzola ndi cholesterol,

o kusankha zakudya zomwe zili ndi shuga wokwanira,

o Kusankhidwa kwa chakudya chopezeka ndi sodium chloride,

o Ngati mukumwa zakumwa zoledzeretsa, ndiye muzipezeka pang'ono.

o kusiya kusuta.

Kupewa kwachiwiri zikuphatikizapo:

Kupatula mowa.

Pazaka zonse kutsatira malangizo a zakudya.

Kutulutsidwa kwa mankhwala omwe amawononga kapamba.

Kuthandiza pa nthawi yake matenda monga sinusitis, caries, cholecystitis ndi ena.

Popanda kuchulukitsa kwa matendawa, kukhathamira kwa mchere wopanda mchere wa madzi kumasonyezedwa.

Chithandizo cha spa cha nthawi ndi nthawi (Zheleznovodsk, Essentuki, Feodosia, Morshin, etc.),

Maphunziro a kumwa mankhwala a choleretic kwa masiku 25-35 osachepera 2 pachaka,

Kuwunikira kwamankhwala kwa odwala omwe ali ndi CP kumachitika mu chipatala ndi akatswiri othandizira odwala ndi gastroenterologist mosamala mosamala za kupitiriza pakati pa akatswiri awa, ndipo ngati kuli kotheka, ndi dokotala wa opaleshoni. Odwala atachitidwa opaleshoni yamapamba amawonedwa komanso odwala CP.

Mutu 5.1. Mfundo zazikuluzikulu zopewera kunyumba

1. Mtendere wakuthupi komanso wamaganizidwe. Izi ndizofunikira makamaka pakumva kuwawa kwa matendawa, mosasamala kanthu za kuchuluka kwa zochita za pathological. M'gululi la odwala, kupweteka kwapokhazikika, makamaka kumapangitsa kuti kuwonekere kukhala kusakwiya, kusakhazikika kwa malingaliro, kusintha kwachangu kwa malingaliro, komwe kuyenera kuganiziridwa ndikuwonetsedwa ngati chiwonetsero cha vuto lopweteka mukamasamalira wodwala. Wodwalayo amakhudzidwa kwambiri ndi phokoso mchipinda chomwe amapezeka, zachabe komanso kusungidwa mopitilira muyeso kwa anthu omuzungulira, kuchezera kochulukirapo kwa ogwira nawo ntchito, abwenzi ndi abale, ndi zina zomwe sizitsimikizira mtendere. M'mikhalidwe imeneyi, malingaliro owawa akumva kuwawa amakula kwambiri, amakhala opweteka kwambiri, osalekerera pang'ono.

2. Pogona pogona. Poyang'ana pomwe wodwala wokhala ndi pancreatitis yayikulu, kufalikira kwa magazi kwa zikondamoyo kumakhala bwino, malo abwino otulutsira katemera wa kapamba amapangidwa, kuphipha kwa ma pancreatic ducts kumatha. Nthawi yayikulu kugona mokwanira kuyenera kuwonedwa mu nthawi yonse ya ululu wam'mimba komanso kukhumudwa kwambiri. Kukula kwa boma la ntchito zamagalimoto kuyenera kuchitika pang'onopang'ono ndikukulitsa kuchuluka kwa zithandizo zamunthu zolimbitsa thupi. Makalasi ochita masewera olimbitsa thupi poyambira adokotala amayenera kuthandizidwa ndi pulogalamu yochiritsira yolimbitsa thupi.

3. Zotsatira za njira zochizira matenda amkati: dongosolo la biliary, m'mimba ndi duodenum, matumbo, impso, mtima, ndi zina zotere - mawu akhungu a dongosolo la biliary (machubu), mapiritsi otenthetsera, malo osambira paraffin, kuyeretsa komanso kuchiritsa enemas, ma microclysters, malo osambira ndi njira zina.

4. Mankhwala osokoneza bongo. Mndandanda wa mankhwala omwe ali ndi mankhwalawa, kuchuluka kwake ndi zina mwa kayendetsedwe kake sizingafanane ndi odwala omwe ali ndi mikhalidwe yofanana ndi matenda amtundu wa kapamba.

5. Kugwiritsa ntchito madzi am'madzi am'mabotolo kunyumba. Odwala omwe ali ndi pancreatitis yayitali amalimbikitsidwa kuti azikhala ndi mchere wochepa wam'madzi pamtunda wa 37-42 ° C (100 ml 2-3 pa tsiku 30-90 mphindi musanadye, kutengera chikhalidwe cha secretion ya chapamimba). Ndi kusakwanira kwazinthu zolemba ntchito, ndikofunikira kuperekera madzi ofunda a mamineralization maminiti 15 mpaka 20 musanadye. Mlingo wa chidwi pa ntchito ya ma pancreatic enzymes zimatengera mankhwala omwe amapezeka ndi mchere wa madzi. Madzi othandiza kwambiri a chloride-hydro-carbonate-sulfate-sodium-calcium (a mtundu wa Narzan) wamchere wotsika komanso wapakati, komanso madzi a radon.

Madzi ochulukirapo, madzi ozizira sasonyezedwa, chifukwa amatha kuyambitsa kuzungulira kwa zikondamoyo, kuwonjezera mphamvu yamatumbo ndikuwonjezera kuchuluka kwa matendawa.

Zakudya za Zakudya ndi Pancreatitis

Njira yayikulu yodzitetezera kumatendawa ndikutsatira zakudya zapadera, koma ngati matendawa apeza kale mphamvu, ndiye kuti m'masiku awiri oyamba ochizira, chilichonse chimaletsedwa. Ngakhale zivute zitani, muyenera kutsatira zakudya zamafuta. Nawa maudindo ena omwe muyenera kutsatira:

  1. Amaloledwa kuphatikiza nyama yotsamira, nyama yamwana wamkaka, kalulu, nkhuku, (mwanjira ya soufflé, mabatani a nyama kapena zosungunulira) muzakudya zanu.
  2. Mwa mitundu yosiyanasiyana ya nsomba yomwe mungadye pike, cod, carp wamba, pike perch, safironi cod. Muyenera kuphika nsomba banja kapena kuwira.
  3. Mwa zinthu zamkaka, yogati, wowawasa curd, tchizi yofatsa (Dutch kapena Yaroslavl), acidophilus, kefir amaloledwa.
  4. Ndikwabwino kugwiritsa ntchito mkate pouma pang'ono kapena kupangira zotheka mu uvuni.
  5. Osamadya zakudya zotentha kwambiri kapena kuzizira, ziyenera kutentha. Zamasamba onse ayenera kukhala owotchera kapena otentha. Amaloledwa kudya mbale wa kaloti, maungu, zukini, kolifulawa, mbatata, beets.
  6. Pazakudya zochizira pancreatitis, ndikofunikira kuphatikiza chimanga, makamaka oatmeal kapena buckwheat. Mitundu ina, yazomera kwambiri iyenera kuti ikupera kapena kupukuta musanaphike.
  7. Mkate watsopano wokhala ndi kapamba umaphatikizidwa, simungadye ma pie, makeke, mafuta, mchere, wosuta kapena zakudya zonunkhira, soseji, masoseji, nyama yophika, msuzi wowawasa ndi masamba osaphika.
  8. Ndikwabwino kuchotsa msuzi ku nyama, bowa, nkhuku ndi nsomba, msuzi wa kabichi ndi borsch, kirimu wowawasa wokhala ndi mafuta ambiri, mazira, nkhumba ndi mafuta a mutton, nyemba, kabichi yoyera, sipinachi, sorelo, radish ndi radish ku zakudya zanu.
  9. Zipatso zimatha kudyedwa pokhapokha mutakonzedwa, mutha kuphika ma compotes, kuphika zipatso ndi mabulosi, kupaka zakudya, zonunkhira, kumwa timasamba tosakhala acidic, ndikudya zipatso zouma. Kuchuluka kwamafuta omwe amagwiritsidwa ntchito patsiku sikuyenera kupitirira 60 magalamu.

Pancreatitis imatha kubwereranso nthawi yabwino. Ngati pali zovuta kale ndi kapamba, ndiye kuti zakudya za kapamba ziyenera kuchitika pafupipafupi, osati kokha nthawi ndi nthawi panthawi yowonjezera. Ndikofunika kusiya zizolowezi zonse zoyipa ndikuyesetsa kutsatira mfundo za zakudya zoyenera, simungadye kwambiri. Njira zonse zomwe zimatengedwa zimathandiza kupewa matendawa.

Kusiya kumwa mowa kwambiri

Kuledzeretsa ndi chiopsezo chachikulu cha kapamba. Chovulaza chachikulu kwambiri kwa kapamba amayamba chifukwa chomwa mowa tsiku lililonse kapena pafupipafupi, ngakhale osakhala wamphamvu (mowa, vinyo).

Ethanol mulingo uliwonse umawononga maselo a kapamba ndipo imayambitsa masinthidwe angapo a pathological mu chiwalo (edema, mapangidwe amiyala, ndi zina), zomwe zimatsogolera pamapeto pake ku kapamba. Chifukwa chake, yesetsani kuchepetsa zakumwa zoledzeretsa - m'malo osowa (osaposa nthawi 1-2 pamwezi), tengani kumwa mopitirira muyeso (ndikofunika kuti mudzichepetse ku magalasi a vinyo kapena magalasi angapo a mowa wamphamvu) ndikusankha mowa wapamwamba kwambiri. Koma njira yabwino kwambiri ndikukana mowa kwathunthu.

Kumbukirani kuti palibe mitundu ya mowa yoyenera, ndipo kumwa kulikonse kumatayipa nthawi zambiri (osati kokha kapamba).

Kusuta kufafaniza

Palibe amene amakayikira kuti kusuta kumawononga thanzi kwambiri. Komabe, anthu mamiliyoni ambiri akupitilizabe kusuta. Nikotini ndi magawo ena a utsi wa fodya zimakhudza kwathunthu ziwalo zonse ndi thupi lathu.

Kwa kapamba, kuphatikiza kusuta ndi kumwa ndikofunikira kwambiri pomwe zotsatira zake zoyipa zimalimbikitsidwa. Koma ngakhale popanda mowa, kusuta kumakhalanso ndi mavuto ambiri (kumapangitsa secretion ya m'mimba, kumayambitsa kukwiya komanso kutupa mkati mwa mucous membrane wam'mimba, ma carcinogen ochokera ku utsi amawononga maselo a gland). Ngati mumasamala za thanzi lanu, muyenera kusiya kusuta.

Kudya wathanzi

Pakalibe mavuto azakudya, kupewetsa kapamba sikufuna kudya kokwanira: malangizo amomwe amadyera zakudya ndizambiri, komanso monga kukana zakudya zopanda thanzi monga yokazinga, mafuta, zakudya zopanda mchere kwambiri kapena zonunkhira. Onsewa amadzaza kapamba, amaumiriza kuti ugwire ntchito "ndi mphamvu yake yonse" kuti awonetsetse kugaya kwathunthu, ndipo posakhalitsa kutopa ndi kulephera kumachitika ndi chitukuko cha zizindikiro za kapamba.

Kuphatikiza apo, kuchuluka kwa zakudya zomwe zili ndi zinthu zambiri zowononga komanso zowononga thupi (mitundu, zokometsera, zoteteza, zowonjezera zonunkhira ndi zina zowonjezera) ziyenera kuchepetsedwa muzakudya - zimawononga maselo a pancreatic, kwinaku zikuchepetsa kuthekera kwawo kudzitchinjiriza ku zovuta komanso kulepheretsa kuchira.

Kuphatikiza apo, mutha kuchepetsa kuchuluka kwa chakudya chamafuta ochepa (shuga, confectionery), kutsimikizika komwe kumafunikira kuwonjezeka kwa zochitika za maselo a pancreatic beta omwe amapanga insulin.

Koma pankhani yakudya zipatso ndi ndiwo zamasamba zatsopano, nyemba, chimanga ndi zinthu zina zambiri, palibe zoletsa - mosiyana ndi matenda omwe adapangidwa kale, mukawafunikira kuwasiya, kapena aphatikizeni nawo mndandanda mosamala.

Zowonjezera zochokera ku buku la madokotala

Popeza gawo la zakudya zopewera kupewera kwa CP, ndikofunikira kutsatira
Malangizo a algorithm oyenera kudya:

  • kudya zakudya zosiyanasiyana
  • chakudya chamagulu olimbitsa thupi,
  • kukhala ndi thupi labwino
  • chisankho chazakudya zomwe ndizazambiri, masamba ndi zipatso,
  • Kusankha zakudya zamafuta ochepa, mafuta odzola ndi cholesterol,
  • Zakudya zamasamba zophatikiza ndi shuga,
  • Zakudya zamtundu wokhala ndi sodium chloride yambiri,
  • Ngati mumamwa mowa, uzimwa pang'ono.
  • kusiya kusuta.

Prophylaxis yachiwiri ya CP, yomwe ikufuna kuthetseratu zinthu zomwe zimathandizira kubwerezanso ndi / kapena kupititsa patsogolo kwa CP, imachitika ngati gawo lotsatira.

Kuwunika kwamankhwala kwa odwala omwe ali ndi CP kumachitika mu chipatala cha othandizira ndipo
gastroenterologist mosamala mosamalitsa kupitilira pakati pa akatswiri awa, ndipo, ngati kuli kotheka, ndi dotoloyo. Odwala atachitidwa opaleshoni yamapamba amawonedwa komanso odwala CP.

Algorithm yoyamba yoyang'anira odwala malinga ndi dongosolo lokonzanso:

  • kuyimbira kwa odwala kawiri kawiri pachaka, kutengera kuwuma kwa matendawa (odwala omwe ali ndi CP yofatsa amawonetsedwa ndi GP kawiri pachaka. Odwala omwe ali ndi CPE yovomerezeka ndikuwunikira mwachangu ndi gastroenterologist. Kuyesedwa koyang'anira kumachitika katatu konse pa chaka).
  • kuwunika kwa wodwala, madandaulo ndi kuchuluka kwa zinthu,
  • kuyendetsa mayeso, kuphatikiza maphunziro mu mphamvu ya ma pancreatic enzymes mu seramu yamagazi, ndende ya magazi, kuyang'ana maldigestion / malabsorption syndromes (kufufuza kwathunthu kwa patrological, chopondapo cha elastase 1), ultrasound ya kapamba ndi dongosolo la biliary.
  • kuchitira maphunziro a anti-rewall, chithandizo cha mankhwala, mankhwala azitsamba,
  • Mukamalipira njira yodwalayi, mphamvu zoyenera komanso kusowa kwazaka zisanu, odwala omwe ali ndi CP amatha kuchotsedwa pakutsatira. Izi, monga lamulo, zimagwira ntchito kwa odwala omwe amatchedwa sekondale CP, ngati chifukwa chawo chitha (cholelithiasis, stenosis ya duodenal papilla, etc.).
  • Odwala a CP omwe ali ndi insuffory komanso insretory insuffence omwe amachitidwa opaleshoni yamapenchi amayesedwa kwa zaka zonse (zopanda malire) zachipatala.

Popewa kufalikira kwa CP, kupatula zakumwa zokhala ndi zakumwa zoledzeretsa, kusuta fodya komanso kukonza biliary thirakiti ndikuchotsa matenda osokoneza bongo oyambitsa matenda, kuzindikira koyambirira kwa cholecystitis wowerengeka ndi chithandizo chamankhwala chapanthawi yake ndizofunikira kwambiri. Odwala ndi chosaopsa stenosis wa duodenal papilla wamkulu kapena kudwala gawo wamba bile duct ndi pakamwa pancreatic duct, endoscopic papillosphincterotomy amachita.

Ultrasound imawonetsedwa kwa anthu omwe ali ndi mwayi wokulitsa khansa ya chifuwa chachikulu cha PC ndi pancreatic: odwala omwe amamwa mowa kwambiri, amasuta fodya, amakhala ndi chakudya chosakwanira, amakhala ndi vuto la kuperewera kwa matendawa, ali ndi matenda am'mimba komanso gastroduodenal zone, akudandaula zosasangalatsa mu madera akumanzere a hypochondrium ndi epigastric, kupweteka m'chiuno, ndi mawonekedwe a dyspepsia, kuwonda.

Dokotala wa ana ndi madokotala endocrinologist. Maphunziro - bungwe la ana la SSMU. Ndakhala ndikugwira ntchito kuyambira 2000, kuyambira 2011 - ngati dokotala wa ana m'chipatala cha ana. Mu 2016, adachita maphunziro apadera ndipo adalandira satifiketi mu ana endocrinology, ndipo kuyambira chiyambi cha 2017 ndakhala ndikulandila mopitilira…

Kodi mungapewe bwanji kutupa kwa kapamba (kapamba)?

Pancreatitis pachimake ndi matenda oopsa omwe amafunikira kugwiritsidwa ntchito kuchipatala ndi nthawi yayitali. Koma ndi njira yoyenera yokhudza zaumoyo, zitha kupewedwa kapena, pochepetsa njira yodwaladwala. Kupewera kwa kapamba kumaphatikizapo njira zosavuta kuchita, koma kumapereka chithandizo chachikulu kwa thupi. Aliyense amene amasamala zaumoyo wake adzalandira mphotho yoposa: mphamvu, nthawi ndi ndalama sizingagwiritsidwe ntchito pochiza matendawa. Adzapeza ntchito yoyenera kwambiri.

Choyambitsa matendawa chimawonedwa ngati kumwa mowa. Ndipo sitikulankhula zopitilira muyeso. Zakumwa zilizonse za ethyl zimawononga maselo a kapamba, zimayambitsa kukula kwa kapamba.

Zifukwa zina zimaphatikizapo:

  • mavuto a matenda a ndulu,
  • kuphwanya ntchito ya zonyansa za England,
  • poyizoni
  • pamimba
  • matenda oyambalala
  • matenda
  • matenda obadwa nawo.

Kamodzi anavutika pachimake mawonekedwe kupatuka pa zakudya mayankho kumabweretsa zina zovuta kapamba, ndipo pamapeto Kukula kwa matenda.

Dokotala wopita kuchipatala amaphunzira zozizwitsazo, kulandira chithandizo kumayikidwa pokhapokha paumoyo wa wodwala pakadali pano. Kudzichitira pancreatitis amadziwika ndi kuchuluka kwa zovuta ndi zovuta.

Zina zomwe zimayambitsa ngozi za akuluakulu zimaphatikizapo:

  • uchidakwa
  • zakudya zopanda thanzi, moyo,
  • cholowa
  • matenda ena am'mimba thirakiti.

Nthawi zambiri, zomwe zimayambitsa matenda mwa mwana zimawerengedwa kuti ndi zinthu zosayenera ndi mafuta, shuga. Kuvulala kwapam'mbuyo kumathandizanso kuti ndikulimbikitse kumayambiriro kwa matendawa. Chifukwa chake, ndikofunikira kuphunzitsa ana chikhalidwe chabwino komanso kusamalira thanzi lawo kuyambira ali mwana.

Kupewera kwa kapamba mu akuluakulu, monga ana, kumagawidwa potsatira njira zoyambirira ndi zapakati popewa. Prophylaxis yoyamba imatanthawuza njira zoletsa kukula kwa matenda. Kupewa kwachiwiri ndi ntchito yopewa kuyambiranso matenda.

Zomwe ziyenera kuchitika pakupewa koyamba

Kupewera koyambirira kumapangidwira kukonza moyo wamunthu kuti pasakhale matenda a kapamba m'tsogolo: kuphunzitsa ndi kukhazikitsa mfundo za moyo wathanzi komanso thanzi.

  • kusiya mowa ndi zizolowezi zina zoyipa,
  • osachotsa nyama yakufa, yakudya mafuta,
  • chepetsa mchere, shuga,
  • achepetse kumwa kwa zinthu zamagalimoto, zakumwa zozizilitsa kukhosi, zopangidwa ndi mafuta osokoneza bongo,
  • sinthanitsani ndikuwonjezera masamba, zipatso, mbewu zosiyanasiyana mumenyu,
  • Imwani madzi okwanira tsiku lililonse kapena mchere,
  • khalani moyo wokangalika.

Kupewa kwachiwiri kwa kapamba kumasiyana ndi kuchuluka kwenikweni kwa zoletsedwa. Popewa kufalikira kwa mawonekedwe osakhazikika, munthu samangokhala ndi zochitika zolimbitsa thupi, ndizoletsedwa kumwa mowa.

Kupewa matenda a kapamba makamaka chifukwa cha zakudya zosankhidwa bwino zomwe sizimapatula zakudya zomwe siziloledwa ndipo zimapatsa michere yambiri. Kufunsidwa zaumoyo ndikofunikira pano.

Kupewa kufalikira kwa kapamba kumatanthauzanso kukhala ndi madzi osamala. Mutha kumwa madzi opanda kanthu, kapena, motsimikiziridwa ndi dokotala, mchere, koma osakhala ndi kaboni.

Nthawi yeniyeni prophylaxis ndi chithandizo cha ziwalo zina zam'mimba zogwirizana ndi izo - m'mimba, duodenum, chiwindi, ndulu ya ndulu, zitha kukhala ndi zotsatira zabwino pamtunda wa kapamba.

Mankhwala akamagwiritsa matenda ena, ndikofunikira kufunsa dokotala wanu za contraindication chifukwa cha matenda apamba.

Kuti mukhale ndi thanzi lonse lathupi, muyenera:

  • kupuma mokwanira
  • zolimbitsa thupi zolimbitsa thupi
  • zakudya zopatsa thanzi
  • kumwa madzi oyera ambiri
  • kuwala kwa dzuwa, mpweya watsopano,
  • ukhondo
  • malingaliro abwino a zochitika zilizonse.

Pamaso pa zoopsa, mwachitsanzo, kubadwa, gawo lokhala wofufuza pafupipafupi limathandizanso.

Mankhwala achikhalidwe ndiwokonzeka kupereka maphikidwe ake. Kupewera kwa kapamba ndi mankhwala wowerengeka yithupsa kugwiritsa ntchito mankhwala othandizira:

  • A decoction of bay masamba ali odana ndi kutupa kwenikweni.
  • Masamba a Blueberry amadziwika bwino poletsa kapamba. Masamba owiritsa m'madzi osamba, kunena kwa tsiku, kutenga 2 tbsp. l musanadye.
  • Kutola kwazitsamba kwa chamomile, timbewu tonunkhira, calendula, stigmas timathiridwa ndimadzi otentha, timalimbikitsidwa kwa maola angapo. Msuzi wokonzeka umatengedwa mu 30 ml mphindi 30 musanadye.
  • Zitsamba zina: timbewu tonunkhira, hawthorn, dieelle, chamomile. Kuphika momwemonso.
  • Kupewa kufalikira kwamatenda kumathandizira kugwiritsa ntchito njere za fulakesi. Mwa izi, 1-3 tbsp. l njere zimakhazikika mu chopukusira khofi ndikuwonjezera mwachindunji chakudya.
  • Oat kissel ndi njira yabwino yolepheretsa kukula kwa kapamba ndi matenda ena ammimba. Oatmeal ayenera kudzazidwa ndi madzi, kunena kwa tsiku, ndiye kupsyinjika. Wiritsani madzi otsalawo kwa mphindi 5, muchokere theka lina la ola. Kuti mumve kukoma, kiranberi, yophika ndi shuga, mutha kuwonjezeredwa ku zakudya, zomwe zimalimbikitsidwanso kupewa matenda.

Mankhwala omwe amathandizira kupewa kufalikira

Mankhwala ena opanga mankhwala amalepheretsa kuchuluka kwa matenda a kapamba. Ambiri awa ndi ma enzymes omwe amathandizira kugaya chakudya, pomwe nthawi imodzimodzi ndikupatsa kapamba kupuma (Festal, Licrease, Pansitrat).

Kuti mukhale ndi thanzi lathunthu, mavitamini ovuta amakonzekera.

Kumwa mankhwala kuyenera kuyikidwa ndi dokotala wokha.

Kugwiritsa ntchito zinthu zoyipa monga mowa wa ethyl ndi nikotini, kumathandizira kukulitsa matendawa. Mowa umawononga maselo a kapamba, kuchititsa kutupa, kutupa.

Kafukufuku wasonyeza kuti anthu omwe amakonda kugwiritsa ntchito zizolowezi ziwiri zoipa nthawi imodzi amakhala ndi kansa ya kapamba.

Kusuta kumawononga thanzi lathunthu. Ndudu yosuta imapereka chilimbikitso kuti amasulidwe a michere yokumba, ndipo chifukwa chosowa chakudya, izi zimayambitsa kutupika kwa kapamba ndi ziwalo zina zam'mimba.

Popewa kutupa kwa pancreatic, ndikokwanira kupewa kudya kwambiri zokometsera, mafuta, zakudya zokazinga, sodas, kupewa maswiti ochulukirapo, ndikutsatira zakudya. Ndikulimbikitsidwa kuwonjezera kuchuluka kwamasamba, zipatso, mbewu ndi nyemba.

Chakudya chachikulu cha kapamba chimaletsa:

  • ankasuta nyama
  • mafuta msuzi,
  • nsomba zamafuta
  • mafuta a nkhumba
  • mazira (ungathe mapuloteni okha),
  • mkaka wa mbuzi
  • tiyi wamphamvu, khofi,
  • zakudya zachangu.

Ndikofunika kuwunikanso kadyedwe chifukwa cha zinthu zomwe zili ndi utoto, zonunkhira, zoteteza, chifukwa zinthu izi zimakhudza maselo a pancreatic, kusokoneza kuchira kwawo.

Mfundo zotsatirazi zopatsa thanzi zimalimbikitsidwa:

  • osamadya ozizira kapena otentha kwambiri
  • chakudya chawotchi kapena chithupsa,
  • izikhala pansi yabwino, yolowezedwa kuti ipangitse chimbudzi,
  • Idyani pang'ono, koma nthawi zambiri,
  • osachepera maola awiri ayenera kudutsa pakati pa chakudya chachiwiri komanso kugona.

Ngati kuchulukana kwa kapamba kwadutsa bwino, munthu amatsatira njira zoyeserera zokhudzana ndi zakudya ndi moyo, titha kuyembekezera kuchotsedwa. Komabe, popewa kuyambiranso, ndikofunikira kupita kwa dokotala nthawi zina, ngati pakufunika kutero, mudzayesetse mayeso.

Thanzi la munthu aliyense lili m'manja mwake. Zambiri zimatengera kukulera ndi malingaliro opangidwa ndi anthu. Chifukwa chake, ndikofunikira kuzindikira kufunika kokhala ndi thanzi labwino kwa ana kuyambira ali aang'ono.

Pancreatitis ndimatenda ofala am'mimba, omwe amachititsa kuvutika kwambiri. Chithandizo cha pancreatitis chimafuna kuyesetsa kwakukulu kwa madokotala ndi odwala enieni (ndikofunikira kutsatira zakudya kwambiri, kumwa ma enzyme ndi mankhwala ena, kuyeserera kwakanthawi), koma nthawi yomweyo, mankhwalawa sakhala othandiza nthawi zonse.

Tsoka ilo, anthu athanzi omwe alibe vuto logaya chakudya nthawi zambiri saganizira za kapewedwe ka matenda kapamba. Koma kapamba, monga matenda ena, ndizosavuta kupewa kuposa kuchiza. Njira zopewera kapamba ndizosavuta, zimagwirizana ndi mfundo zoyambirira za moyo wathanzi, zomwe zimapereka zotsatira zabwino osati zokhudzana ndi kapamba, komanso thanzi lathunthu.

  1. Kusiya kumwa mowa kwambiri.
  2. Kusuta kufafaniza.
  3. Kudya wathanzi
  4. Moyo wathanzi.

Kuledzeretsa ndi chiopsezo chachikulu cha kapamba. Chovulaza chachikulu kwambiri kwa kapamba amayamba chifukwa chomwa mowa tsiku lililonse kapena pafupipafupi, ngakhale osakhala wamphamvu (mowa, vinyo).

Ethanol mulingo uliwonse umawononga maselo a kapamba ndipo imayambitsa masinthidwe angapo a pathological mu chiwalo (edema, mapangidwe amiyala, ndi zina), zomwe zimatsogolera pamapeto pake ku kapamba. Chifukwa chake, yesetsani kuchepetsa zakumwa zoledzeretsa - m'malo osowa (osaposa nthawi 1-2 pamwezi), tengani kumwa mopitirira muyeso (ndikofunika kuti mudzichepetse ku magalasi a vinyo kapena magalasi angapo a mowa wamphamvu) ndikusankha mowa wapamwamba kwambiri. Koma njira yabwino kwambiri ndikukana mowa kwathunthu.

Kumbukirani kuti palibe mitundu ya mowa yoyenera, ndipo kumwa kulikonse kumatayipa nthawi zambiri (osati kokha kapamba).

Palibe amene amakayikira kuti kusuta kumawononga thanzi kwambiri. Komabe, anthu mamiliyoni ambiri akupitilizabe kusuta. Nikotini ndi magawo ena a utsi wa fodya zimakhudza kwathunthu ziwalo zonse ndi thupi lathu.

Kwa kapamba, kuphatikiza kusuta ndi kumwa ndikofunikira kwambiri pomwe zotsatira zake zoyipa zimalimbikitsidwa. Koma ngakhale popanda mowa, kusuta kumakhalanso ndi mavuto ambiri (kumapangitsa secretion ya m'mimba, kumayambitsa kukwiya komanso kutupa mkati mwa mucous membrane wam'mimba, ma carcinogen ochokera ku utsi amawononga maselo a gland). Ngati mumasamala za thanzi lanu, muyenera kusiya kusuta.

Pakalibe mavuto azakudya, kupewetsa kapamba sikufuna kudya kokwanira: malangizo amomwe amadyera zakudya ndizambiri, komanso monga kukana zakudya zopanda thanzi monga yokazinga, mafuta, zakudya zopanda mchere kwambiri kapena zonunkhira. Onsewa amadzaza kapamba, amaumiriza kuti ugwire ntchito "ndi mphamvu yake yonse" kuti awonetsetse kugaya kwathunthu, ndipo posakhalitsa kutopa ndi kulephera kumachitika ndi chitukuko cha zizindikiro za kapamba.

Kuphatikiza apo, kuchuluka kwa zakudya zomwe zili ndi zinthu zambiri zowononga komanso zowononga thupi (mitundu, zokometsera, zoteteza, zowonjezera zonunkhira ndi zina zowonjezera) ziyenera kuchepetsedwa muzakudya - zimawononga maselo a pancreatic, kwinaku zikuchepetsa kuthekera kwawo kudzitchinjiriza ku zovuta komanso kulepheretsa kuchira.

Kuphatikiza apo, mutha kuchepetsa kuchuluka kwa chakudya chamafuta ochepa (shuga, confectionery), kutsimikizika komwe kumafunikira kuwonjezeka kwa zochitika za maselo a pancreatic beta omwe amapanga insulin.

Koma pankhani yakudya zipatso ndi ndiwo zamasamba zatsopano, nyemba, chimanga ndi zinthu zina zambiri, palibe zoletsa - mosiyana ndi matenda omwe adapangidwa kale, mukawafunikira kuwasiya, kapena aphatikizeni nawo mndandanda mosamala.

Kuyenda tsiku ndi tsiku mlengalenga watsopano, kugona mokwanira komanso kupumula koyenera, kuchotsa kupsinjika, zolimbitsa thupi zolimbitsa thupi - zinthu zonsezi zimalimbitsa thupi, kuziteteza kumatenda osiyanasiyana ndikuwonjezeka kukana zolakwika zakunja.

Popeza gawo la zakudya zopewera kupewera kwa CP, ndikofunikira kutsatira
Malangizo a algorithm oyenera kudya:

  • kudya zakudya zosiyanasiyana
  • chakudya chamagulu olimbitsa thupi,
  • kukhala ndi thupi labwino
  • chisankho chazakudya zomwe ndizazambiri, masamba ndi zipatso,
  • Kusankha zakudya zamafuta ochepa, mafuta odzola ndi cholesterol,
  • Zakudya zamasamba zophatikiza ndi shuga,
  • Zakudya zamtundu wokhala ndi sodium chloride yambiri,
  • Ngati mumamwa mowa, uzimwa pang'ono.
  • kusiya kusuta.

Prophylaxis yachiwiri ya CP, yomwe ikufuna kuthetseratu zinthu zomwe zimathandizira kubwerezanso ndi / kapena kupititsa patsogolo kwa CP, imachitika ngati gawo lotsatira.

Kuwunika kwamankhwala kwa odwala omwe ali ndi CP kumachitika mu chipatala cha othandizira ndipo
gastroenterologist mosamala mosamalitsa kupitilira pakati pa akatswiri awa, ndipo, ngati kuli kotheka, ndi dotoloyo. Odwala atachitidwa opaleshoni yamapamba amawonedwa komanso odwala CP.

Kusiya Ndemanga Yanu