Zakudya ndi kukula zikondamoyo mwana

Kufotokozera kogwirizana ndi 21.02.2018

Kuchita bwino: Kuchiritsa pambuyo 1 mwezi
Madeti: Chaka chimodzi - zaka 5
Mtengo Wogulitsa: 1500-1700 rub. pa sabata

Malamulo onse

Chimbudzi (kapamba) ndichofunikira kwambiri chinsinsi cha thupi la mwana, kuphatikiza ntchito ya exocrine (katulutsidwe ka michere yamagaya yomwe imakhudzana ndi kugaya chakudya) ndi endocrine (kupanga mahomoni ofunikira kwambiri - insulin, lipocoin ndi glucagonkuwongolera shuga). Kukula kwa kapamba mwa ana nthawi zambiri kumadalira msinkhu: kuyambira 3 cm kwa akhanda, 5.5 cm pachaka, ndi pafupifupi 8 cm pofika zaka 10. Imafika pa msinkhu wathunthu wa chitsulo pofika nthawi ya kutha. Komabe, nthawi zina, pakumuyesa mwanayo (ultrasound, computer tomography), kuchuluka kwa kapamba kumadziwika. Pamenepa, chiwonetsero chokwanira chimasiyanitsidwa, pomwe mbali zonse za gland ndizofanana / zofanana kukula kwake komanso kwanuko, komwe gawo limodzi lokha la gland limakulitsidwa (mutu, thupi kapena mchira).

Nkhani ya kukulira kwa pancreatic mwa mwana iyenera kufikiridwa mosamala, popeza pakukula kwake imachulukana kangapo poyerekeza ndi kukula koyambirira ndipo, nthawi imodzimodzi, kukula kwake pamisinkhu yosiyana nthawi zambiri sikufanana. Kuphatikiza pa matenda angapo omwe kapamba amatha kukulira, chodabwitsa ichi chimawonedwa nthawi zonse mu ana athanzi omwe ali ndi ziwonetsero zambiri za kukula kwa thupi (kuchuluka kwathunthu) komanso mwa ana omwe ali onenepa kwambiri (makamaka chifukwa cha kuwonjezeka kwa mutu wa chiwalo). Ndiko kuti, mwa ana oterewa pali zikondamoyo zomwe zimawonjezeka kwambiri poyerekeza ndi anzawo omwe amakhala ndi ziwalo zapamwamba komanso zolemera m'thupi.

Matenda ofala kwambiri omwe amachititsa kuchuluka kwa kapamba mwa mwana amaphatikizaponso kapamba, gallbladder matenda, poyizoni poyizoni, kuvulala, zotupa zamitundu mitundu, abscess, kutsekeka kwa pancreatic duct, matenda opatsirana / parasitic, kukhudzana ndi mankhwala. Komabe, nthawi zambiri, ana omwe ali ndi kapamba wowonjezereka amapezeka ndi kapamba.

Chithandizo cha mwana zimatengera chifukwa chokhacho chomwe chidayambitsa kuchuluka kwa kapamba. Nthawi zina, kuchitapo kanthu opaleshoni (abscess, chotupa) ndikofunikira. Nthawi zina, chithandizo chosasamala cha matenda oyambitsidwa, omwe amachititsa kuwonjezeka kwa chiwalo.

Matenda angapo a pancreatic mwa ana amawonetsedwa ndi zisonyezo za exocrine pancreatic insufficiency, chiwonetsero chachikulu chomwe chiri mushy, chopondapo imvi champhongo chokhala ndi mafuta a Sheen osasinthika. Zotsatira za kusokonezeka kwa chimbudzi ndi kuchepa thupi, hypovitaminosis, makamaka, mavitamini osungunuka mafuta, komanso mwa ana aang'ono - chotupa mu chitukuko cha psychomotor. Chithandizo cha kapamba wokulirapo umakhazikitsidwa:

Kugwirizana ndi matenda azakudya.
Kuponderezedwa kwa ntchito zachinsinsi za gland mothandizidwa ndi histamine receptor blockers / proton pump inhibitors / mankhwala a mahomoni.
Kulandila kwa michere yam'mimba pancreatic kuti ichotse matenda am'mimba.

Gawo lofunika la njira yothandizira mankhwalawa ndi chithandizo cha zakudya, chomwe chikuwoneka pachifuwa. Komabe, ngati mwana ali ndi zizindikiro zopezeka pachimake / kupweteka kwamatumbo, zakudya zopatsa thanzi zimachitika mkati mwa zakudya Ma tebulo nambala 5 – 5G, yomwe imalola kuchepetsa katundu pa kapamba ndi kusintha ntchito yake. Mfundo za kakonzedwe kazakudya kwa akulu ndi ana sizosiyana kwenikweni, komabe, kadyedwe kamasinthidwa malinga ndi zofunikira zogwirizana ndi zaka zofunikira pazakudya zopatsa thanzi komanso kufunika kwa chakudya.

Komanso, tikulimbikitsidwa kuti zaka za mafuta (kupatula mafuta achinyama) zimaphatikizidwanso m'zakudya za ana, popeza masiku ano mankhwala othandizira (mwachitsanzo, Chiboni) kulipirira kusowa kwa lipase. Njirayi imakuthandizani kuti muchepetse thanzi la mwana, zomwe ndizofunikira kwambiri kuti thupi likulire. Kuphatikiza apo, mankhwalawa samachepetsa kugwira ntchito kwapancreatic, ngakhale atakhala nthawi yayitali.

Zomwe zimakhazikitsidwa ndi ndiwo supu zamasamba, nyama yazakudya (nkhuku, kalulu, Turkey), omelet ya mapuloteni (1-2 pa sabata), zophika zoyera, phala la mkaka, nsomba yophika, masamba osenda nyama, zakudya zamkaka ndi masamba ophika. Chovomerezedwa pang'ono: uchi, kupanikizana, kupanikizana, marshmallows, marmalade. Mphamvu imakhala pafupipafupi komanso mosiyanasiyana. Ndikulimbikitsidwanso kuwonjezera mavitamini a enzyme / mavitamini osungunuka mu chakudya cha ana. Zakudya zokhala ndi madzi opanga madzi zimaphatikizika kwa ana: zakudya zokazinga, bowa, nyama, mafupa ndi nsomba.

Matenda apakhungu a ana amapezeka pafupipafupi, motsutsana ndi matenda am'matumbo a duodenum / biliary, ndiye kuti ndi yachiwiri. Fomu yovuta nthawi zambiri imakhala chifukwa cha matenda owopsa; cystic fibrosis, Cholelithiasis, zovuta za sphincter za Oddi, zotsatira za zotupa za ndulu ndi mankhwala. Munthawi yakukhathamira, zakudya zovomerezeka ziyenera kutsatiridwa ndi mwana kwa mwezi osachepera, pambuyo pake mutha kukana kukukuta chakudya, koma njira zophikira ziyenera kukhalabe zosawirira (kuwira, kuwotcha, kuphika).

Chakudyacho chimaphatikizapo nkhuku, nsomba zamafuta ochepa, tchizi tchizi, zakudya zamkaka, pasitala. Onetsetsani kuti mwaphika masamba ophika / ophika muzakudya (kaloti, mbatata, broccoli, zukini, dzungu, kolifulawa, beets). Chakudya sichithiridwa mchere.

Supu / mbatata yosenda ndi wowawasa zonona / mafuta amasamba. Batala yaying'ono itha kugwiritsidwa ntchito kuphala; Pakatha mwezi umodzi, chakudyacho chikukula pang'onopang'ono, koma mfundo zonse zoyambirira Zakudya nambala 5 ziyenera kuonedwa ngakhale pakalibe zizindikiro mpaka chizindikirocho chitatha. Nthawi yomweyo, zovuta zakudya zambiri ndizosafunikira kwakanthawi.

Zinthu Zololedwa

Zakudya zokhala ndi zikondamoyo zokulirapo mwa mwana zimaphatikizira kuphatikizidwa kwa zakudya motere:

Msuzi / masamba msuzi pamsuzi wamasamba, momwe masamba ophimbidwa bwino amawonjezeredwa ndikuwaphika timbale ta mafuta ophika / owiritsa. Msuzi ungapangidwe ndi zonona, batala, kirimu wowawasa, zonona, ndizoletsedwa kugwiritsa ntchito kuwaza.
Khungu lanyama (ng'ombe, kalulu, nyama yamwana wamphongo, nkhuku, nkhuku) mwa mawonekedwe a zinthu zopangidwa ndi minced (masamba omenyera, zikwangwani zakuthengo, souffle, dumplings, mabatani a nyama), otentha. Mbalame / kalulu owiritsa amathiridwa muzidutswa.
Porridge (semolina, oatmeal, buckwheat), mpunga wophika m'madzi ndi kuphatikiza mkaka ndi grated bwino mpaka theka-viscous kusasinthika.
Masamba (owiritsa / grated) mpaka yosenda - zukini, kaloti, mbatata, dzungu, kolifulawa, beets, nandolo zobiriwira, phwetekere wowonda ndi nkhaka zowiritsa. Maungu / kaloti yaiwisi mu mawonekedwe a grated amaloledwa pambuyo pake.
Nsomba yamafuta ochepa (pike, pollock, pike perche, hake, whiting whit, cod, carp, perch). Gwiritsani ntchito ma cutlets, kuphika chidutswa cha banja / chithupsa.
Zamkaka zamafuta ochepa / mkaka wowawasa (tchizi chokoleti, tchizi chofufumitsa mu mawonekedwe a grated, kefir, mkaka wowotchera).
Mkaka / kirimu wowawasa - monga chowonjezera m'mbale.
Mkate wowuma wa tirigu, makeke ophika (mabisiketi).
Amamu mapuloteni omwera (dzira limodzi patsiku).
Suzi pa msuzi wa masamba (musati mwachangu ufa) ndi kuwonjezera kwa kirimu wowawasa / mkaka.
Ma makeke otsekemera, zipatso zosenda bwino. Yophika, mousse, zakudya, maswiti okoma zipatso. Zocheperako - zipatso zosaphika / zipatso.
Mafuta, woyamba amapaka jekeseni mosamala, ndipo pambuyo pake - mafuta oyera a mpendadzuwa.

Zomwe zimapangitsa kukulitsa kwa pancreatic mwa ana

mwana ali ndi zikondamoyo zokulirapo choti achite

Nthawi zambiri, chiwalo chimachulukana kukula (ma hypertrophies) poti katundu wake azikula. Chifukwa chake, minyewa yamtima ya othamanga imakhala yopanikizika, ndipo mapapu ndi chifuwa chosambira zimakula bwino. Kodi chimayambitsa matenda oopsa a pancreatic mwa mwana ndi chiyani?

Choyamba, zimaphatikizapo kuperewera kwa michere ya pancreatic, yomwe, imatulutsidwa mosakwanira m'matumbo a lumen, imapangitsa kuyamwa kosakwanira m'matumbo ang'onoang'ono. Kenako, kuchepa kwa enzymatic kumatha kuchitika chifukwa cha:

aakulu kapamba. Nthawi zambiri zimachitika ndi yunifolomu zakudya.

Ndikofunika kuti ana amakono ali ndi mwayi uliwonse "wowononga" chimbudzi chawo. Chakudya chofulumira, "agalu otentha" osatha, kutafuna chingamu ndi zipatso, kutafuna marmalade, utoto wowotcha wotsika mtengo ndi zinthu zina zomwe zimakhala zokhala ndi utoto ndi zinthu zovulaza zingayambitse kutupa ndi kupweteka, komwe kungagwiritsidwe ntchito kuzindikira matenda oyamba a pancreatitis.

zovuta zapakati pa kapangidwe ka kapamba,
zinchito, zosintha malo. Chitsanzo cha matenda oterewa ndi matumbo a dysbiosis.

Kukopa kwa chodabwitsachi

Chifukwa chiyani kapamba amawonjezeka? Kuti mudziwe chifukwa chomwe chiwonjezere ichi chikukulira, muyenera kudziwa chomwe chimakhala. Pansi pa dzala ndimutu ndi mchira. Kukula kwa kapamba mwa mwana kumatha kukhala kokwanira kapena pang'ono, mwachitsanzo, magawo ena a ndulu: mwina mutu wokha, kapena mchira wokha. Pakhoza kukhala zifukwa. Nthawi zambiri, zotere zimachitika chifukwa cha zochitika zotere:

Systemic autoimmune mavuto.
Kutsekeka kwam'mimba.
Congenital pathologies, nthawi zambiri imakhala cystic fibrosis, yomwe imadziwika ndi kubisala kwa secretion yotupa.
Poizoni wa mankhwala osokoneza bongo.
Mavuto obadwa nawo, mwachitsanzo, mapangidwe a tinthu tating'onoting'ono tingafanane ndi khola la akavalo.
Zilonda za Duodenal.
Kukhalapo kwa kutupa kapena kupweteka kwambiri pachimake.

Kukula kwa kapamba sikuti kumayambitsidwa ndi matenda. Izi zitha kukhala zabwinobwino. Mwachitsanzo, mwana akamakula ziwalo zonse.

Muyenera kungoyembekezera pang'ono ndipo zonse zibwereranso.

Ngati tizingolankhula zazomwe zimapangitsa kukula kwachilichonse, kutanthauza kuti, pamene mchira wa kapamba ukakulitsidwa kapena mutu wake wokha, ndiye kuti zinthu zotsatirazi ndizomwe zimatha kusiyanitsidwa:

Cyst - ikhoza kukhala yabodza kapena yowona.
Chotupa chomwe chimatha kupezeka gland palokha kapena m'dera la duodenum.
Matenda a kapamba, poyambira pomwe ziwalo zake zimasintha.
Abscess (supplement).
Kukhalapo kwa miyala mu kapamba.

Zoyambitsa zonsezi zimadziwika pogwiritsa ntchito njira zodziwonera. Nthawi zambiri, ubwana, matenda obadwa nawo amapezeka, monga cystic fibrosis. Chithandizo chake chidzakhala chokwanira.

Zizindikiro za kukulira kwa pancreatic

Mwa ana amisinkhu yosiyanasiyana, matendawa amayenda mosiyanasiyana, kuphatikiza apo, chilichonse chidzadalira chifukwa cha kukulitsa kwa kapamba. Mwa zina, zizindikiro zimatchulidwa, mwa zina, matendawa amatuluka. Zizindikiro zochulukirapo zimadziwika pamaso pa kutupa m'ziwalo.

Ngati pali chotupa kapena mapangidwe a cystic, ndiye kuti kwa nthawi yayitali matendawa amachitika mwachinsinsi.

Ndi munthawi imeneyi kuti ndikofunikira kuzindikira matendawa munthawi yake kuti muthane nawo mwachangu.

Zizindikiro zakutsogolo zotsatirazi zingachitike:

Ululu Imatha kukhala yopweteka kapena kuphika, imapezeka m'mimba kumtunda ndikufikira nkono kapena kumbuyo.
Maonekedwe akusanza ndikumeta, kuwawa kumawoneka mkamwa, ndipo chilakolako chimatha chifukwa cha mseru nthawi zonse.
Kutsegula m'mimba popanda zina zakudyamo.
Thupi.

Makolo ayenera kudziwa kuti ngati mwana ali ndi kapamba wokulirapo, izi zitha kukhala zifukwa zazikulu kwambiri. Ziwalo zokulirapo za kapamba zimatha kupanikizika ziwalo zoyandikana. Makamaka, mutu wokulitsidwa umatha kufinya duodenum 12, yomwe nthawi zambiri imabweretsa kutsekeka m'matumbo.

Njira zoyesera

Ngati pali zovuta ndi kapamba, ndi pokhapokha nthawi yowoneka yomwe imatha kuwoneka, monga:

khungu
kusanza ndi kusanza
kupweteka pansi pa nthiti za herpes zoster,
mavuto pagawo lakhomopo lamkati,
kutupa kumatha kuwonjezera kutentha kwa thupi,
thukuta, kufooka wamba.

Dokotalayo poyambirira amamuunikira mwanayo ndikuwona momwe alili. Ngati ndi kotheka, ana omwe ali ndi matenda omwe amatumizidwa amatumizidwa kuti adzagwire ntchito.

Ana aang'ono kwambiri amakhala ndi nthawi pamoyo pamene chiopsezo cha kukula kwa pancreatic chikukula:

pakukhazikitsidwa kwa zakudya zowonjezera,
yoyamwitsa ikasinthidwa ndi yokumba kapena yosakanikirana,
munthawi yachakudya,
Ngati mwana ayamba kupita ku sukulu yaukapolo,
kupita ku giredi yoyamba
pa nthawi ya kusintha kwa achinyamata.

Pakupsinjika kwamphamvu kwa kapamba wotchedwa kapamba, kuchitika kwapadera sikofunikira. Dokotala amatha kudziwa matendawa pogwiritsa ntchito zizindikiro zowonekera.

Momwe mungabwezeretsere chitsulocho kukula kwake

Kuti mumvetsetse nkhaniyi, mudzafunika kuthandizidwa ndi gastroenterologist. Ngati mukutsimikiza kuti mwana ali ndi kapamba wokulirapo, yambani kumwa madzi amchere am'mimbamo.

Ngati mukumva kupweteka, ndiye kuti m'malo ano (monga lamulo, amapezeka pang'ono kumanzere kwa navel), onjezani ozizira. Kuti mumve kupweteka kwambiri, imbani ambulansi. Njira zamankhwala zimasankhidwa ndi adokotala, kutengera ndi chidziwitso chazidziwitso. Pali mitundu iwiri ya mankhwalawa: othandizira komanso opareshoni.

Pafupifupi njira yothetsera chithandizo:

Zochita zachinsinsi zimaletsedwa ndi proton pump inhibitors. Mbiri ya receptor blockers imachitika, mahomoni amapatsidwa.
Kuti achepetse kuzizira, phukusi lotentha limayikidwa pamalo owawa.
Pofuna kusintha kapamba, kukonzekera kwa enzyme kumayikidwa.
Zakudya za makolo zimatheka, i.e. jakisoni wokhala ndi zigawo za vitamini amapatsidwa.
Opaleshoniyo kuti athetse cholinga cha kutupa kapena minofu yakufa.

Popeza kapamba amaphatikizidwa pafupipafupi ndi khansa, pankhaniyi ndikofunika kuti mwana azikhala ndi njala kwakanthawi. Pakadali pano, michere yama michere osiyanasiyana imatha kuyambitsidwa m'thupi.

Mukapereka chakudya, chimatchedwa tebulo nambala 5, chomwe chimapereka chakudya chofuna kubwezeretsa kapamba. Zakudya zoterezi zimapereka malamulo awa pakudya:

Nyama yamitundu yamafuta ochepa, iyenera kukhala yophika kapena yowotedwa.
Zinthu zamkaka sizonona mafuta.
Porridge, yophika pamadzi, kupatula mapira. Popita nthawi, madzi amatha kusintha mkaka pang'onopang'ono.
Masamba ophika kapena otentha.
Ngati tiyi, ndiye osalimba, ndi shuga pang'ono. Ndikulimbikitsanso kumwa msuzi wa rosehip.
Zipatso zophikidwa popanda kuwonjezera shuga ndi uchi.
Mkate mu mawonekedwe a crackers kapena uvuni-yowuma.
Mabisiketi.

Zonunkhira ndi shuga ziyenera kukhalapo zochepa. Mafuta, osuta, okazinga ndi zakudya zonunkhira amaletsedwa.Simungadye zipatso zouma komanso zipatso, komanso masamba otsatirawa - adyo, radish, radish, anyezi. Maswiti amtundu wa maswiti, chokoleti, keke nawonso samayikidwa. Ngakhale mutadya pang'ono pazoletsa zonsezi, ndiye kuti kapamba imakulanso.

Pafupifupi michere

Ngati ana osakhazikika kapena ana okalamba ali ndi zizindikiro za kusyasyalika, ndiye kuti kudya michere sikunali kwina. Amasintha chimbudzi ndikuthandizira kugwira ntchito kwa kapamba.

Pakadali pano, mankhwalawa ali ndi mitundu yambiri ya mankhwalawa. Koma simuyenera kudalira uphungu wa anzanu, ndibwino kuti muzimvera kwa dotolo ndikugula mankhwala omwe adamupangirani. Nthawi zambiri, akatswiri amapereka mankhwala ngati awa:

Pa chakudya chilichonse, muyenera kumwa enzyme. Mwana akamva bwino, ndiye kuti zidzatha kukonza mavuto ndi matumbo. Pankhaniyi, zinthu zamkaka ndi mankhwala apadera okhala ndi bifidobacteria, monga Bifidumbacterin kapena Bifacil, atha kuthandiza. Chifukwa cha izi, mwana sangokulitsa chimbudzi, komanso kuchepetsa kukula kwa kapamba.

Ngati mwana ali wathanzi, ndiye kuti kukula kwake, zonse zamaganizidwe ndi thupi, sizivutika. Zambiri zimatengera chakudya cha mwana. Ngati zakudya zopatsa thanzi zilipo m'zakudya zake ndipo makolo ake amawongolera zakudya za mwana wake, ndiye kuti zovuta za kapamba sizingachitike. Ngati chiwalo chikukulitsidwa kale chifukwa cha kubadwa kwa matenda, ndiye kuti ndibwino kukaonana ndi katswiri yemwe angathandize pothana ndi vuto ili.

Zambiri

Chikhansa kwa ana ndi akulu ndichinthu chofunikira kwambiri cha m'mimba, chomwe chimapezeka mkati mwamimba.

Malinga ndi akatswiri, kapambayu amakhala ndi mitundu ingapo ya minyewa ndipo, chifukwa chachilendo cha malo omwe amapezeka, amadziwika ndi kupezeka kovuta. Chifukwa chake, ndizosatheka kuzindikira kutupa kwa chiwalochi ndi palpation. Nthawi yomweyo, ndizotheka kudziwa kukhalapo kwa mavuto aliwonse pokhapokha pokhapokha pazotsatira za kuyesa kwa ultrasound kapena kungoganiza zamagalasi.

Alamu abodza

Tiyenera kudziwa kuti ngati zikondazo zimakulitsidwa mwa mwana, ndiye kuti izi sizitanthauza nthawi zonse kuti ndi matenda oopsa. Chowonadi ndi chakuti gawo ili ndi magawo osiyana (mwachitsanzo, mchira, thupi kapena mutu), magawo omwe sangakhale achiyimira chifukwa cha mawonekedwe apadera kapena mawonekedwe a chinthu china, kuphatikiza ndi chosavomerezeka, chomwe sichingawononge moyo wodwala.

Tiyeneranso kudziwa kuti nthawi zina kudziwika kolakwika kwa matenda amtunduwu monga kuwonjezeka kwa kukula kwa thupi la kapamba kapena mchira wake ndikotheka. Kuti adziwike moyenera, munthu sayenera kungopimidwa ma laboratori, komanso wothandizidwabe.

Makulidwe amakulitsa a ana: zoyambitsa

Chithandizo cha izi chodabwitsachi chikuyenera kuchitika pokhapokha mukaonana ndi dokotala. Kuzindikiritsa zomwe zimayambitsa matenda amenewa kumafunikiranso.

Mankhwala amakono amadziwa mitundu iwiri ya kukulitsa ziwalo zomwe zikufunsidwa:

Mtundu woyamba umadziwika ndi njira yolankhulirana, ndipo chachiwiri - kuwonjezeka kwa gawo lililonse la chiwalo chamkati kumawonedwa.

Nanga bwanji kapamba amakulitsidwa mwa mwana? Zomwe zimachitika ndizambiri. Komabe, ambiri mwa iwo ndi awa:

chilonda cha mucosal
Mitundu yovulala ya ziwalo zomwe zili m'mimba,
chifukwa chokhala ndi zoopsa zingapo,
njira za autoimmune
kutupa kapena kudwala kovuta,
cystic fibrosis,
matenda a duodenum,
kukula kwachilendo kwa kapamba.

Zifukwa zakuchulukirachulukira

Kuwonjezeka kwa mutu wa kapamba, thupi lake kapena mchira wake amathanso kuchitika chifukwa cha zifukwa zosiyanasiyana. Monga lamulo, akuphatikiza izi:

kupezeka kwa cyst wowona kapena wabodza,
zotupa zamavuto osiyanasiyana (zitha kukhala zonyozeka kapena zoyipa),
kukula kwa chithupsa komanso kupindika
m'malo mwa magawo ena a minyewa yolumikizika,
kufalikira kwa ma ducts a Wirsung.

Kodi nchifukwa ninji kapamba amakakulitsidwa mwa mwana?

Akatswiri amati mavuto aubwana omwe amakhudzidwa ndi kukulitsidwa kwa pancreatic ndi ofanana ndi omwe amavutitsa achikulire. Nthawi yomweyo, ana azaka zilizonse ayenera kuyesedwa kuti awonjezere chiwalochi. Izi ndichifukwa choti pakupita nthawi komanso momwe akukula mwana, amatha kukula kangapo. Komabe, kuchuluka koteroko sikumakhala koyenera komanso kotetezeka nthawi zonse.

Nthawi zambiri zimachitika kuti kukula kwa kapamba sikumagwirizana ndi ma graph ndi matebulo omwe amavomerezedwa, komabe, amagwirizana ndi ziwalo zina zonse zoyandikana.

Sitinganene kuti zovuta zapakhansa zimapezeka nthawi yoyamba ndendende ubwana. Pankhaniyi, muyenera kufunsa dokotala yemwe ati akupatseni mankhwala oyenera.

Zizindikiro zazikulu

Kodi tiyenera kuchitira motani ndipo kutupa kwa kapamba kumawonekera bwanji? Zizindikiro ndi chithandizo cha matenda amtunduwu zimatengera zomwe zimachitika.

Mosasamala kanthu za kugonana komanso zaka za munthu, matenda amtunduwu amatha kuchitika mosiyanasiyana. Nthawi zambiri, zoterezi zimakhala. Koma nthawi zina zimakhala zobisika, zomwe zimaphatikizapo maphunziro owonjezera angapo.

Kodi kutupa kwa kapamba kumachitika bwanji? Zizindikiro zake komanso chithandizo cha matendawa ziyenera kuzindikiridwa ndi kuperekedwa ndi adokotala okha. Psychology yotere imadziwika ndi zizindikiro zowala komanso zokulira.

Ndi cystic neoplasms ndi zotupa zosiyanasiyana, zizindikiro zimatha kuonekera patapita nthawi. Zikatero, ndizotheka kuzindikira moyenera komanso mwachangu pokhapokha pongowona zizindikiro zingapo, monga izi:

kusanza mobwerezabwereza, kumva kusawawa mkamwa, mseru, kusowa kudya, kugona,
ululu (kuphika, kupweteka) wa madigiri osiyanasiyana, omwe amatha kuwonekera kumtunda kwa m'mimba ndikupereka kumbuyo kapena mkono,
mavuto ndi chopondapo, chowonetsedwa ndi matenda am'mimba popanda zodetsa zilizonse,
kudumpha kutentha kwa thupi.

Mavuto

Ndi zovuta ziti zomwe zingachitike ngati mchira wa zikondamoyo wakula mwa mwana kapena mbali zina za chiwalo? Mkhalidwe wakudabwitsawu umakhala wowopsa, ngakhale zitakhala kuti zimayambitsa. Kodi ndichifukwa chiyani izi? Chowonadi ndi chakuti pali ziwalo zina kuzungulira kapamba, zomwe zimatha kubweretsa kutsutsana kwawo. Izi ndizowona makamaka pamutu wa kutulutsaku, popeza ndi kukula kwake kwakukulu komwe kumatha kupanikizika kwambiri ndi zilonda 12 zam'mimba za mwana wamng'ono.

Pakhalapo zochitika pamene, ndi ziwalo zokulitsa zotere, wodwalayo amatuluka m'mimba.

Njira Zodziwitsira

Monga tafotokozera pamwambapa, zikondamoyo ndi chitho chomwe chija chimakhala mkati mwa m'mimba. Chifukwa chake, ndi njira yaying'ono yotupa kapena ma pathologies ena aliwonse, sizingatheke kudziwa kukhalapo kwa matenda ndikumverera wodwala. Zosiyana pokhapokha ndizochitika zomwe zikondamoyo zimakhala zazikulu kwambiri kuti zimatsimikiziridwa ngakhale ndi palpation wamba.

Pazokhudzana ndi zonse zomwe tafotokozazi, titha kunena bwinobwino kuti mavuto omwe ali ndi chiwalo ichi amapezeka pafupipafupi pazotsatira zopangidwa zomwe zidafotokozedwa m'nkhaniyi.Koma bwanji ngati zizindikiro zamatenda sizipezekapezeka? Pankhaniyi, madokotala amalimbikitsa kugwiritsa ntchito njira zofufuzira zothandiza. Izi zimaphatikizapo ultrasound ndi MRI.

Ngakhale mtengo wokwera kwambiri wa njira zoterezi, amakupatsani mwayi kuti muwone ngati pali kuthekera kwenikweni kwa kapamba, komanso zomwe zimayambitsa matenda.

Kodi kuchitira?

Kodi matenda oterewa angachiritsidwe bwanji ngati mwana ali ndi chaka chimodzi? Zikondazo zimakulitsidwa - muyenera kulumikizana ndi dokotala wa ana. Kupatula apo, ndi dokotala wokhazikika amene angadziwe chomwe chimayambitsa kupangika kwa njira zoterezi, ndikuzindikiranso zomwe zingawopseze kachilombo kakang'ono.

Dziwani kuti aliyense payekha pancreatic kukulira makanda amapereka kwa aliyense payekha chithandizo. Malinga ndi akatswiri, chithandizo choterechi chimatha kukhala chosasangalatsa komanso chogwira ntchito.

Ngati tirikunena za mfundo zazikuluzikulu zamankhwala, ndiye kuti zimatsata dongosolo lotsatira:

Kuchepetsa kutupa kwa kapamba pothira mafuta ozizira m'dera lomwe lakhudzidwalo.
Kutsatira kokhazikika pachakudya chokhwima, chomwe chimapereka kuphatikizidwa kwathunthu kwa zokometsera, mafuta, komanso zakudya yokazinga. Komanso akatswiri ambiri amalimbikitsa kuti musamadye pang'ono masiku ochepa. Nthawi zina, madokotala amapaka jakisoni m'thupi la wodwalayo ndi jakisoni (wotchedwa makolo ake zakudya).

Kudya

Kuchiza kwa ana omwe ali ndi kukula kwakukulu kwa kapamba popanda zakudya zoyenera komanso zopatsa thanzi ndikosatheka. Monga lamulo, ndi matenda awa, adotolo amafotokozera mwana zakudya zapadera Zakudya 5. Amapatsa kukana zakudya zamafuta ndi zinthu zina zamafuta. Pobwezeretsa, wodwalayo ayenera kuphatikiza zakudya za mapuloteni muzakudya zake zomwe zimapindulitsa thupi.

Tiyeneranso kudziwa kuti kudya No. 5 kumatanthauza kukana kwathunthu zinthu monga:

mitundu ya timadziti, kuphatikizapo yatsopano,
maswiti amtundu wa ayisikilimu, chokoleti kapena kupanikizana,
zipatso ndi ndiwo zamasamba zachilengedwe (monga sizikonzedwa),
zopangidwa mkaka zomwe zimakhala ndi mafuta ambiri (zonona, kirimu wowawasa, mkaka wonse),
msuzi wamafuta, decoctions, komanso mbale zosiyanasiyana zophika pamaziko awo.

M'malo mwa zomwe zalembedwa, mwana ndi bwino kupatsa:

masamba ophika kapena otentha
Nyama yophika ndi yowotcha ndi mbale zomwe zidapangidwa pamiyeso yawo,
tiyi wakuda ndi shuga pang'ono,
zopangidwa mkaka ndi mafuta ochepa,
zipatso zophika, komanso zakudya zofunikira
phala yamtundu uliwonse yophika m'madzi otentha,
Okhwasula, mkate wowuma, makeke amphika a biscuit.

Mankhwala ena

Ziyenera kudziwidwa mwapadera kuti pali zochitika zina pomwe sizothandiza kugwiritsa ntchito chakudya chimodzi chokha, komanso sizothandiza kwa magulu osiyanasiyana a ana (mwachitsanzo, machitidwe a neoplastic m'thupi la mwana). Ndi matenda awa, palibe zakudya, kapena chakudya chokhwima chomwe chingakhudze kukula kwa zotupa mu kapamba. Njira yokhayo yochizira matendawa ndikuchotsa madera okhudzidwawa.

Ndi chitukuko cha pancreatitis pachimake, zakudya zimakhalanso zopanda mphamvu. Ichi ndichifukwa chake ndi matenda otere ndikofunikira kufunsa dokotala wa ana munthawi yake, osagwiritsa ntchito mankhwala omwe, mwa njira, atha kubweretsa mavuto.

Kutupa

Kutupa kwa kapamba mwa munthu wamkulu komanso mwana kumayendera limodzi ndi kupweteka kwambiri. Ululu nthawi zambiri umamangirira, ndipo umachepa, ngati mungatenge malo ena. Panthawi yomwe matendawa atadwala, kuwonjezeka kwa kutentha kwa thupi kumatha. Ndi kutupa kwa kapamba, umachulukana kukula.

Zomwe zili pamwambapa zikuwonetsa kukula kwa kapangidwe kake ka kapamba. Ngati kupweteka kwakubwerezedwa, akatswiri amapanga matenda oyenera - chifuwa chachikulu cha kapamba. Iliyonse ya milandu imafunika chisamaliro chachipatala mwachangu ndi kugona pabedi. Kugonekedwa kuchipatala chakuchita opaleshoni nthawi zina kumasonyezedwa.

Ndikofunika kukumbukira kuti matenda a chiwindi angayambitsenso kutupa kwa chiwalochi. Wokhazikika ndi kapamba, chiwindi ndichinthu chofunikira kwambiri chogaya.

Zomwe zimayambitsa kuchuluka kwa kapamba mwa mwana

Kuchulukitsa kungakhale:

kusokoneza (yunifolomu)
kwanuko (kufalikira kwa minofu ya masamba).

kuvulala kwam'mimba
zilonda zam'mimba
matenda a autoimmune
kutupa kapena kudwala kovuta,
kufalikira kwa malo okhala,
cystic fibrosis,
kuledzera kwambiri.

Kukula kwakula mwa mwana

Nthawi zambiri mwa ana, ndulu yowukulidwa imawululidwa - splenomegaly. Ili mu hypochondrium ya kumanzere, ikangowonjezereka imakhazikika.

Splenomegaly mu wakhanda, mwana wa miyezi isanu ndi umodzi kapena mwana woyamba kusukulu ya pulayimale samakhala wodwala nthawi zonse: m'magulu azaka izi, kupatuka kwa 30%, 15% ndi 3% kukula ndikololedwa. Muli matebulo apadera a kukula kwakukulu ndi kusiyanasiyana kwa ana. Mkhalidwe wa limba umatsimikiziridwa ndi kuyesa kwa ultrasound. Iwunikidwa ndi:

kukula kwake
kapangidwe ka nsalu
kumveka kwamalire amthupi.

Zizindikiro izi zimatsimikizira anomaly kapena momwe zimakhalira. Kuti mumvetsetse chifukwa chake splenomegaly yapezeka, Dr. Komarovsky adalimbikitsa kuti ayesedwe ndi CT scan kapena kuyesa majini ngati kholo limodzi lili ndi lingaliro lakukulitsa ndulu. Kufunsana ndi hematologist ndikofunikira, chifukwa ndulu ndiyo imapangitsa kuti maselo ofiira amthupi apangidwe.

Kukula kwa ndulu kumayambitsa zovuta mu thupi la mwana - kusintha m'magazi kutsimikizika:

ndi matenda angapo aubwana (chikuku, rubella, diphtheria),
mwa akhanda - omwe ali ndi vuto losiyanasiyana pakupanga metabolism (hemochromatosis, matenda a Wilson, hyperlipidemia - matenda amtundu womwe, kuphatikiza ndulu, chiwindi chimakhudzidwa).
pamaso pa cysts, zotupa, kugunda kwa mtima, zilonda zam'mimba, zotupa za m'mimba (echinococcus, schistosome), matenda a mafangasi.

Splenomegaly ilibe chizindikiro chake, ndikuwonetsa matenda ena. Koma kutupa kulikonse komwe kumayendetsedwa ndi ndulu yayikulu, mosasamala kanthu zaumoyo, kumakhala ndi zizindikiro zotsatirazi:

kupweteka kwakukulu ndi kufalikira kumanzere mu hypochondrium,
kusanza, kusanza,
kutsegula m'mimba
kutentha kwambiri (mpaka 400C).

Popeza Zizindikiro zofananira zimawonedwa ndikuwonjezereka kwa kapamba, muyenera kufunafuna chithandizo chanthawi yake kuti katswiri asiyanitse matendawa ndikuwapatsa chithandizo choyenera.

Kodi nchifukwa chiyani mwana amakhala ndi kapamba amakulitsa?

Mavuto aubwana okhala ndi tiziwalo totukuka timafanana ndi omwe amakumana nawo. Ana pazaka zilizonse ayenera kupendedwa mosamala kuti awonjezere gawo logaya chakudya. Izi ndizofunikira kwambiri chifukwa pakupita nthawi zimatha kukula kangapo, koma osati nthawi zonse kuwonjezeka koteroko kumakhala kofanana.

Nthawi zambiri zimachitika kuti kukula kwa kapamba sikungafanane ndi matebulo ndi ma graph, komabe, nthawi yomweyo, ndizofanana ndi ziwalo zina zowazungulira. Kuphatikiza apo, ndikofunikira kudziwa kuti ndikadali mwana pomwe nthawi yoyamba kupezeka ndi malformations obadwa nawo a gland ndi kukula kwake.

Masamba ndi amadyera

zukini0,60,34,624 broccoli3,00,45,228 kolifulawa2,50,35,430 mbatata2,00,418,180 kaloti1,30,16,932 nkhaka0,80,12,815 tomato0,60,24,220 dzungu1,30,37,728 maapulo0,40,49,847

Mphesa ndi chimanga

bulowheat groats (kernel)12,63,362,1313 semolina10,31,073,3328 oat groats12,36,159,5342 mpunga6,70,778,9344

Confectionery

kupanikizana0,30,263,0263 odzola2,70,017,979 marshmowows0,80,078,5304 zipatso ndi mabulosi marmalade0,40,076,6293 pastille0,50,080,8310 maria makeke8,78,870,9400

Zinthu zopangidwa ndi nyama

ng'ombe18,919,40,0187 kalulu21,08,00,0156 yophika nkhuku29,81,80,5137 filimu yophika Turkey25,01,0–130 mazira a nkhuku12,710,90,7157

Nsomba ndi nsomba zam'nyanja

chozungulira16,51,80,083 pollock15,90,90,072 kuyera kwamtambo16,10,9–72 cod17,70,7–78 hake16,62,20,086 Pike18,40,8–82

Madzi ndi ma compotes

msuzi wa apurikoti0,90,19,038 msuzi wa karoti1,10,16,428 peach madzi0,90,19,540 dzungu dzungu0,00,09,038 msuzi wa rosehip0,10,017,670

* Zambiri zili pa 100 g yazogulitsa

Chifukwa chiyani kapamba wonse kapena gawo lina limakulitsidwa

Zowona zonse zitha kungoti thupi la mwana liyamba kukula, adayamba kudya zambiri, ndipo kukula kwa kapamba "amapeza" dongosolo la minofu ndi mafupa. Chifukwa chake kuwonjezeka.

Zomwe zimapangitsa kukulitsa kwa kapamba mwa mwana mokwanira, osati mbali zonse, zitha kukhala izi:

chifukwa chazovuta pamimba ndi mawonekedwe a edema ya England. Koma ichi ndi chizindikiro champhamvu komanso chofunikira, ndipo zonse zili bwino.
pamaso pa cystic fibrosis. Potere, chinsinsi chachikulu chimatulutsidwa chomwe chimasokoneza kukoka kwina kwa mabowo. Koma kudziwitsa koteroko kumachitika nthawi zambiri ali aang'ono kwambiri, nthawi zambiri ngakhale kuchipatala cha amayi oyembekezera,
ndi zotupa zamatumbo (mwachitsanzo, ndi gastroduodenitis),
ndi matenda a autoimmune ndi zovuta zina za chitukuko cha thupilo.

Koma pochitika kuti, mwachitsanzo, mchira wa kapamba ukakulitsidwa mwa mwana, kapena thupi lake, ndiye kuti chifukwa chake chimatha kukhala, ngati akulu, kupangika kwa mwala mumiyendo ya kapamba, mawonekedwe a chotupa. Nthawi zina, koma kawirikawiri, chizindikirochi chimawotcha polankhula za mapangidwe a chotupa, chifukwa chake muyenera kupitiliza kuyesa.

Komabe, zilibe kanthu kuti cholingacho ndichotani, munthu ayenera kulabadira mawonedwe azachipatala. Ngati pali zizindikiro, ndiye kuti zitha kuwonetsa njira zosiyanasiyana za pathological mu gland.

Zizindikiro Zakulitsa Pancreatic

kukulitsa kwa pancreatic mwa ana zimayambitsa

Tiyenera kumvetsetsa kuti palibe "chizindikiro cha chimbudzi chokulirapo." Kuchulukitsa kwa thupi kumatha kuyenda ndi "mavuto" osiyanasiyana, mwachitsanzo, edema, kutupa, ischemia, kunenepa kwambiri. Chifukwa chake, zizindikilo zomwe zimatha kuyambitsa pancreatic hypertrophy mwa mwana ndi izi:

kuwawa mkamwa. Chimawonetsa vuto la bile secretion, kuthekera kwa duodenogastric Reflux, ndiko kuti, kutembenuka kwamtsempha wa bile kulowa m'mimba. Pankhaniyi, kuwonongeka kwa bile pa kapamba kumabweretsa kukula kwa ndulu,
kugona, kulemera pamimba, kugwedezeka ndi kutulutsa, kusalala. Izi ndi zizindikiro za dyspepsia yapamwamba. Kapamba akhoza kukhala chifukwa chawo. Zikatero, ngati matumbo amayenda bwino, ndipo ntchito ya enzyme ndiyabwino, ndiye kuti chakudya chogayikidwacho chimatengedwa m'magazi. Ndipo ngati ntchito ya michere ndi yotsika, ndiye kuti chakudyacho sichikumbidwa kwathunthu, ndikuyamba kupsa m'matumbo. Zotsatira zake, zizindikiro zosasangalatsa zomwe zimakhudzana ndikupanga kuchuluka kwa mpweya kumachitika.
mpando wosakhazikika. Zimawonetsa dysbiosis yomwe idayamba chifukwa cha kupweteka kwa malabsorption, ndiko kuti, kuyamwa kosakwanira. Zotsatira zake, mapuloteni ambiri osasinthidwa adalowa m'matumbo momwe amapangira minofu ya nyama, mafuta osafunikira, omwe adayamba kukhumudwitsa khoma lamatumbo ndikupangitsa m'mimba.
kupweteka kwa epigastric, komanso kupweteka komwe kumakhala ngati. Amawonetsa enzymatic autoaggression, ndipo amalankhula za njira yotheka ya kapamba wamkati ndi kutulutsidwa kwakanthawi.

Nanga bwanji ngati mayesowo atawonetsa kuti pali zolakwika? Kodi ayenera kuchitanji?

Chithandizo cha zikondamoyo zokulitsidwa

Zoyenera kuchita ngati mwana wakula zikondamoyo? Sakani chifukwa. Tiyeni tisiye tokha zinthu zoyambitsa, monga cystic fibrosis, impliital anomalies ndi cysts, ndikuyankhula za "pancreatitis yosatha ya ana asukulu", yomwe imadikirira ana omwe aletsedwa kuyamwa, amapangira zakudya zapakhomo, osinthidwa kudya "zidutswa".

Maziko othandizira kapamba, ndipo nthawi yomweyo, kuwonjezereka kwa kapamba ndizakudya.

Thanzi la zikondamoyo zokulitsidwa

Zakudya zokhala ndi zikondamoyo zokulitsidwa mwa mwana zitha kutumikiridwa atangoona kuti chiwonjezerochi chikuwonjezeka: ngakhale zitakhala kuti zonse zili bwino ndipo nkhawa sizingakhale zofunikira, mulimonse, kupumula kwakanthawi kudzapindulitsa ziwalo zam'mimba. Pancreas yokulira mwa mwana imapuma, ndipo thanzi limathandiza kukonza chimbudzi. Mfundo zachithandizo zochizira pancreatic hypertrophy mwa mwana ndi izi:

chakudya chamadzulo ndi pafupipafupi m'magawo ang'onoang'ono,

kusiyanitsa chilichonse chomwe chimakwiyitsa komanso kuvulaza chimbudzi: ma hamburger, mapiko amkaka onunkhira "Rostiks", "agalu otentha", "Cola", makamaka ozizira pambuyo pamafuta anyezi ndi otentha achi french,

kukana mafuta, kusuta, zokometsera, zokazinga,

Kuletsa zakudya zam'zitini, kununkhira kwakunyumba ndi ma pickles,

kukana zokoma ndi msuzi, mayonesi, kuletsa msuzi wa soya,

mafuta, nsomba zolemera, bowa ndi msuzi wa nkhuku ndi msuzi sizikulimbikitsidwa.

Zakudya zotsatirazi ndizololedwa kwa ana:

dzinthu, chimanga, pasitala,

zakudya zopanda mafuta lactic, casseroles,

supu zamasamba ndi mbale zazikulu, mbale zam'mbali,

msuzi wokoma ndi msuzi wamkaka,

nsomba zamafuta ochepa ndi nyama (nkhuku, nyama ya nkhuku),

nyama ndi nsomba zimathiriridwa zophika, kapena zophika mu owiritsa pawiri,

kuloleza zakudya, tiyi, khofi wopanda mphamvu, madzi amchere opanda mpweya,

zipatso ndi zipatso, kupatula wowawasa kwambiri.

Pochitika kuti mutha kutsimikizira mwana wanu kuti ichi sichakudya chowawa, koma chakudya chapamwamba cha munthu wathanzi, komanso malingaliro athanzi m'thupi lathanzi, izi sizingakhale gawo lalikulu patsogolo pothana ndi vuto linalake la kapamba , koma kwakukulu, sitepe yayikulu yakumtsogolo.

About michere

Kuphatikiza pa zakudya, pamaso pa zisonyezo zakukhazikika, chosakhazikika, ndikofunika kufunsa dokotala wa ana ndikumakonzekeretsa mwana zomwe zimathandizira kugaya chakudya, ndikuthandizira kapamba kuti athe kuthana ndi ntchitoyo. Pali ambiri aiwo, ndipo mutha kusankha chida chilichonse pakukonda kulikonse. Zothandiza kwambiri ndi monga: "Creon", "Festal", "Enzistal", "Pancreatin-forte", "Panzinorm".

Muyenera kumwa mankhwalawa nthawi iliyonse chakudya. Zikakhala bwino, ndiye kuti mutha kusintha kukomoka kwa dysbiosis. Mwanayo akhoza kupatsidwanso mkaka wachilengedwe wowawasa mkaka, komanso makonzedwe okhala ndi bifidobacteria: "Bifacil", "Bifidumbacterin"

Njira zosavuta izi sizingathandize kuthana ndi zizindikiro zosasangalatsa, komanso patapita kanthawi kuti zithetse kuchepa kwa kukula kwa kapamba. Chimbudzi chimayenda bwino, kugona ndikukumbukira kudzasintha. Kupatula apo, palibe chifukwa kunena kuti: "Timadya zomwe tidadya dzulo." Chifukwa chake tiyeni tizingokhala ndi "zomanga" zathunthu. Izi zingathandize kuthana ndi mavuto ambiri a moyo mwana wanu akadzakula.

Makhalidwe a gland

Pancreas ili kumbuyo ndi pansi pamimba pamlingo wa thoracic awiri omaliza - angapo oyamba a lumbar vertebrae. Miyezo yake mwa munthu wamkulu ndi yotalika masentimita 15 mpaka 22 ndipo m'lifupi mwake masentimita 2-3. Unyinji wa chiwalo ndi 70-80 g.akafika zaka 55 ndi okulirapo, kukula kwake ndi kulemera kwake nthawi zambiri kumayamba kuchepa, motero momwe minyewa yake yakunja imasinthidwa pang'onopang'ono ndi minsi yolumikizana.

Mwa makanda, kapambayu amalemera pafupifupi 3 g zokha, ndipo kutalika kwake ndi masentimita 3-6. Kufikira zaka 5, chiwalocho chimakula msanga, mpaka kufika pa 20 g. Pambuyo pake, kukula kwake kumachepa, ndipo pofika zaka 10-12 kulemera kwake kumafikira 30 g

Chenjezo! Ngakhale mwana kapena wamkulu sangamve kapamba ndikuwunika kukula kwake ndikosatheka. Mayeso othandizira okha amatha kuwonekera mwachangu komanso mopanda kupweteka: ultrasound, compression tomography ndi maginito a resonance imaging, sctiggraphy.

Madokotala omwe akuchita maphunziro ngati amenewa alibe ufulu wofufuzira, amangolemba pomaliza: "Zowonjezera zikondamoyo." Zomwe izi zikutanthauza, momwe angasinthire zinthu, zimasankhidwa payekhapayekha ndi gastroenterologist.

Kodi kuwonjezeka kwa kukula kwa ziwalo kumatanthauza chiyani?

Pancreas ili ndi mawonekedwe omwe amalola kuti iwonjezeke kukula chifukwa cha zifukwa ziwiri zazikulu:

ndi kakulidwe ka izo ka njira yotupa kapena yakanthawi kochepa (nthawi zonse imayenderana ndi edema),
monga kuyesera kulipirira ntchito yake yosakwanira.

Kakulidwe kamene kamakula mokulira mwa achikulire nthawi zambiri kumawonedwa pachimake, nthawi zambiri pancreatitis yovuta kwambiri. Zomwe zimayambitsa izi ndi motere:

kufufuma kwamwala
cystic fibrosis,
uchidakwa
kuvulala kwam'mimba
matenda opatsirana: matumbu, chimfine, matumbo, chiwindi, njira iliyonse ya septic,
chosagwirizana ndi kapangidwe ka kapamba ndi ndowe zake: zikondamoyo zooneka ngati zokolola,
calcium yambiri
kumwa mankhwala ena
dyskinesia of the biliary thirakiti, yomwe imayendera limodzi ndi kuphipha kwa phokoso la ku Oddi - minofu yomwe ili papilla wa duodenum, pomwe chimbudzi cha chimbudzi chikutseguka,
njira za autoimmune
kutupa kwa duodenum, komwe kumafikira papilla yake yayikulu, komwe kutulutsa kwapa kumatseguka,
zilonda zam'mimba
ndikuponya zamkati mwa duodenum mu dambo lotsekemera la kapamba,
kuphwanya kwamphamvu magazi ku kapamba mwina chifukwa cha kusintha kwa ma atherosselotic m'mitsempha akuupatsanso, kapena chifukwa chovala mwangozi pakachita opaleshoni, kapena kuwapukusira ndi chotupa chomwe chikukula m'mimba.

Kuchulukitsa kwapancreatic

Pancreatitis yovuta kapena yachilendo sikuti nthawi zonse imayendera limodzi ndi kusintha kwa kutulutsa konse: zimachitika kuti njirayi imagwira kwambiri m'mutu, thupi kapena mchira, zomwe zimapangitsa kuwonjezeka kwawo. Koma palinso mayiko ena omwe kafukufuku wothandiza adzafotokozere zazikulu kuposa zazikulu zina zamitundu yake.

Nkhani yothandiza? Gawani ulalo

Chifukwa chake, mchira wa kapamba ukhoza kukulitsidwa ndi:

chitukuko cha pseudocysts cha tizichitika chifukwa cha pachimake kapamba. Pseudocyst amatchedwa tsamba lodzaza ndi madzi osalala, makoma ake omwe samapangidwa ndi membrane woonda (monga momwe amachitira cyst), koma ndi minyewa
chithuza - malo owonjezera minofu atazunguliridwa ndi kapisozi,
cystic adenoma wa limba - chotupa chotupa kuchokera ku tiziwalo tating'onoting'ono,
zotupa zoyipa, zomwe ndi zazikulu kapena zokulirapo, kapena zokhala ndi kuwola kapena zotupa, zomwe zimatsogolera ku edema yakudziko,
mwala mu Wirsung duct m'dera la thupi la gland.

Zifukwa zomwe mutu wa kapamba amakulitsidwa:

pseudo-cyst mumunda wamapangidwe awa,
Chotupa pamutu wa kutulutsa tizi,
chotupa kapena chotupa choopsa,
cystic adenoma,
duodenitis ndi kutupa kwa papilla yaying'ono ya duodenum, pomwe chimbudzi chowonjezera chomwe chimapezeka kumutu kwa kutulutsa
chotupa cha papilla yaying'ono ya duodenum, chifukwa cha zomwe pancreatic secretion singachotsedwe munjira yake yolunjika,
chilonda cha papilla yaying'ono yamatumbo,
mwala, ukuletsa gawo lina la zodutsazo.

Momwe mungachiritsire kapamba wokulirapo

Ngati pamapeto pa kafukufuku wothandiza atapezeka omwe akufotokoza kuti kapamba wakulitsa, ndichitenji? Ndikofunikira kuti munthu adzifufuze ndi gastroenterologist. Ndi katswiriyu yemwe adzasankhe maphunziro owonjezera omwe angafotokozere, omwe akatswiri oyandikana nawo (awa akhoza kukhala moyo wa dokotala wa opaleshoni, katswiri wa matenda opatsirana, ndi katswiri wa oncologist) kuti alangize munthu.

Uphungu! Musanapite kwa dokotala, muyenera kuchita izi:

osamwa mowa ngakhale pang'ono,
Chotsani zotsekemera, zonunkhira ndi mafuta,
Osatentha pamimba.

Njira zamankhwala zochitira kapamba zokulitsidwa zimadalira zomwe zimayambitsa dokotala:

Mu chilonda chachikulu cha pancreatitis kapena chithupsa, kulandira chithandizo kuchipatala kumafunikira ku dipatimenti yochita opaleshoni, komwe kuchitira chithandizo mosamala kapena kuchitidwa opaleshoni.
Mkhalidwe omwe ma pseudocysts apanga amafunikira kuunikiridwa ndi dokotala. Katswiriyo asankha kuti achotse dera la pathological kapena ayi.
Dokotala wa oncologist athana ndi chithandizo cha chotupa, yemwe amafotokozera njira zake mwatsatanetsatane atatha kufufuza bwino.
Chithandizo cha chifuwa chachikulu cha pancreatitis chimachitika ndi gastroenterologist mu dipatimenti yochizira kapena yapadera. Kuwona ndi kukonza zakudya ndi chithandizo chotsatira zimachitika ndi akatswiri a komweko. Ngati kutupa kwapambuyo kumayamba chifukwa cha kupangika kwamiyala kapena kufinya kwa ma ducts, kutha kuchitidwa opereshoni yotsika mtengo ya endoscopic.
Ngati kukulitsa kwa nduluyo kumayendera limodzi ndi kukula kwa matenda a shuga, munthuyo amapita kwa endocrinologist kukaonana ndi achipatala, omwe amasankha mankhwala ochepetsa shuga, kukonza njira yodyetsera zakudya ndi njira.

Kodi nchifukwa ninji kapamba amakakulitsidwa mwa mwana? Zomwe zimayambitsa matenda amtunduwu zikufotokozedwa pansipa. Tionanso zomwe matendawa amatenga ndi njira zake zochizira.

Chifukwa chiyani zimachitika mwa ana

Kuphwanya kwambiri zakudya - chifukwa cha kapamba

Kapangidwe ka kapamba mu ubwana kumayambitsidwa ndi zotsatira zoyipa za michere yomwe imasungidwa ndi kapamba, yemwe, akadzayambitsa, amachita njira yodzigaya yokha.

Zikatero, minofu, mitsempha yamagazi, komanso ziwalo za chiwalo zimawonongeka ndikukula kwa kutupa, ndipo kuponyera ma enzyme okhala ndi zinthu zovulaza m'magaziwo kumabweretsa kuledzera kwathunthu kwa thupi, kuwononga ziwalo zina zofunika.

Zomwe zimayambitsa matendawa ndi:

kutulutsa kolakwika kwa pancreatic secretion,
kuvulala kwam'mimba
helminthiasis,
kufooka kwa minofu,
vuto la endocrine (matenda a shuga, kunenepa kwambiri),
zovuta pambuyo matenda opatsirana owopsa,
matenda am'mimba
khansa ya kapamba.

Kuphatikiza apo, kuchuluka kwa ma enzymes a limba kumachitika kawirikawiri chifukwa cha zakudya zomwe mwana amadya nazo. Izi zikuphatikiza:

kudya kwambiri, makamaka kugwiritsa ntchito mankhwala osokoneza bongo,
kusasamala kudya zakudya,
Kugwiritsa ntchito mndandanda wazakudya zamtundu wachangu, zakumwa zozizilitsa kukhosi, zopaka, tchipisi, mbale za zonunkhira.

Komanso zoyipa za kukula kwa kutupa kwa kapamba mwa ana zimapangitsa kuti pakhale poizoni wamphamvu, kuwonekera kosiyanasiyana pa zakudya zina, mankhwala.

Mitundu yamatenda

Pancreatitis ya ana ndi matenda oopsa

Njira ya kapamba waumwana imatha kukhala yovuta komanso yopweteka. Munjira yotupa yotupa, pancreatic edema imapangidwa. A kwambiri mawonekedwe a matendawa limodzi ndi hemorrhage ndi kupezeka kwa kwanuko minofu necrosis gawo lililonse la chiwalo.

Pancreatitis imagawidwa m'mitundu, kutengera mtundu wa zovuta zamtundu wa pathological:

pachimake edema
hemorrhagic
purulent
mafuta pancreatic necrosis.

Njira yayitali ya matendawa imasonyezedwa ndi kutalika kwa nthawi yotupa kwa miyezi yoposa isanu. Kukula kwapangidwe kwa kapamba kumaphatikizira mtima sclerosis, mapangidwe a fibrosis ophatikizidwanso ndi minyewa ya pancreatic, komanso kusintha koyipa pantchito yake.

Mawonekedwe owopsa a matenda aubwana ali osowa kwambiri. Mu ana a sukulu, matenda ofala kwambiri amakhala matenda amtundu wanthawi zonse.

Pa latent pancreatitis, palibe chibadwa chovuta kuchipatala, ngakhale kuti mobwerezabwereza pamakhala nthawi zina zowonjezera komanso kutsitsimuka kwa njira yotupa.

Mwa chikhalidwe chake, matendawa amagawidwa m'mitundu:

choyambirira
yogwira (yachiwiri)
ma genetic (mtundu wopambana wa cholowa).

Ngati chithandizo choyenera cha matenda oyambitsidwa omwe amachititsa kuti pakhale chiziromboka chikuchitika molondola, matendawa amatha kuimitsidwa, apo ayi pamakhala ngozi yoti ikupezeka mu mawonekedwe owona.

Zakudya za ana

Zakudya zoyenera - kupewa zapulivaniya

Ngati zizindikiro zazikulu za kapamba zimachitika, mwanayo amapezeka kuchipatala kuchipatala.

Chofunikira chokwaniritsa zotsatira zabwino pobwezeretsa ndikutsatira zakudya zapadera, zomwe zimatanthawuza kupatula kwathunthu chakudya mkati tsiku loyamba la matenda.

Thanzi limachitika ndi njira ya mtsempha wa magazi njira zofunika mankhwala. Pamene kusanza kumayimitsidwa patsiku lachiwiri kuyambira poyambira kuukira, tikulimbikitsidwa kugwiritsa ntchito Mlingo wocheperako, osapitirira 1-2 panthawi yophika, komanso mchere wamchere wopanda mafuta, kulowetsedwa kofowoka kwa chiuno cha rose.

Kuchuluka kwamadzimadzi amatengedwa ngati kutentha, ndikosayenera kupitilira 300 ml. Pa tsiku lachitatu, mbale zotsatirazi ziloledwa kulowa mumenyu wa mwana wodwala:

phala lopangidwa mumkaka ndi madzi Mlingo wofanana,
omele
mbatata yosenda ngati madzi,
masamba ophika monga chofulawa, zukini,
onenepa osowa
pang'ono yazomera zipatso compote.

Ndi thanzi labwinobwino la mwana, amaloledwa kuwonjezera ku msuzi wopanda msuzi wa nyama pamtengo msuzi, phala la nyama yophika yophika.

Pakatha sabata, amaloledwa kudya:

kefir wopanda mafuta atsopano ndi tchizi tchala,
masamba casseroles
nsomba
anaphika maapulo okoma.

Zakudya zololedwa siziyenera kukhala ndi mchere, shuga komanso zimawotha. Pakupita mwezi umodzi, zakudya za ana zimatha kuwonjezereka pang'onopang'ono, ngakhale kuphika kumafunikabe kugwiritsa ntchito njira zophikira, zopatsa mphamvu, ndi kuphika. Nthawi yomweyo, zakudya ndi mbale zimavomerezedwa kuti zivomerezedwe:

tchizi
nsomba
zopangidwa zatsopano mkaka,
nyama yokonda
dzungu
kanyumba tchizi,
mazira ophika owiritsa
kaloti
pudding
pasitala
broccoli
mikate yoyera dzulo
beets
tiyi wopanda mphamvu.

Mu ufa wophika kapena wa pasitala, mutha kuyika chidutswa chaching'ono cha batala, ndikuwonjezera kirimu wowawasa mu osaposa 1 tbsp mu mbatata zosenda. supuni, kapena mafuta mpendadzuwa pafupifupi ola 1. Spoons. M'malo mwa shuga amalimbikitsidwa ma compotes ndi zakudya.

Kodi mungadye chiyani ndi kapamba, komanso zomwe sizingafanane ndi kanema:

Zakudya zabwino za mwana panthawi yamatenda akuchepetsa

Atafika pantchito yosinthira thanzi la mwana, kuwonjezera zakudya zake pang'onopang'ono kumaloledwa. Koma akuluakulu amafunika kuwunika momwe thupi limayankhira pakukhudzidwa kwa zinthu zomwe zidayambitsidwa ndipo, pazizindikiro zoyipa pang'ono za pancreatic, amachotseni pakudya kwa ana.

Madzi opukusa kumene
shuga, wokondedwa
sitiroberi
chinanazi
chimanga chaching'ono
amadyera
mphesa
Tomato
kabichi yoyera
biringanya
nandolo zazing'ono zobiriwira
nkhaka
kupanikizana,
ma apricots
zipatso zabwino za malalanje,
marshmallows, chisangalalo cha Turkey, pastille, marmalade,
wokoma chitumbuwa
vwende
rasipiberi
maula
chovala chakuda.

Kugwiritsa ntchito kwazinthu izi kumachitika pang'ono komanso osati tsiku lililonse. Zakudya zochepa ziyenera kugwiritsidwa ntchito pakadutsa maola atatu kapena anayi pakati pa chakudya.

Pamaso pancreatitis mu mwana, nthawi yayitali yanjala sikuvomerezeka.

Reactive Pancreatitis

Kufufuza kwa dokotala - kwa matenda a kapamba

Chifukwa chakuti yogwira pancreatitis ndi mtundu wapadera wamatenda, imapangidwa chifukwa cha kuyankha kwa kapamba kuti atuluke ziwalo zina zamunthu.

Zimakhudza ana ambiri chifukwa cha chidwi chake chapadera. Zomwe zimayambitsa matendawa amatuluka ndikugwiritsa ntchito zakudya zamafuta kwambiri.

Kukula kwa zamatenda kumayendetsedwa ndi kuwonetsedwa kwa zizindikiro zina zosasangalatsa. Izi zikuphatikiza:

kupweteka kwakanthawi m'mimba pafupi ndi navel,
kuwonjezeka kwa kutentha kwa thupi mpaka kumapeto kwa malire, nthawi zina mpaka kufika pa 38 C thermometer chizindikiro,
matumbo
kusanza
khosi louma
kusowa kwa chakudya
nseru
kubwatula
chisangalalo
kusasangalala.

Palibe chifukwa chomwe muyenera kunyalanyaza kukhalapo kwa zosokoneza mwa mwana kapena kunena kuti chilichonse chikuwonjezera kusangalala kwa mwana. Kutupa kumatha kutenga mawonekedwe osatha a maphunzirowa ndikupangitsa zovuta zambiri, komanso zovuta zina zaumoyo, kuphatikizapo matenda ashuga, kapamba ndi kuchepa kwamkati.

Pancreatitis ya ana imafunikira chithandizo

Kukhazikitsidwa kwa zochizira mokhudzana ndi ana omwe akuwonetsa kutupa kwa kapamba, kapena kukokosera kwa matenda, kumachitika pang'onopang'ono kuchipatala.

Pankhaniyi, choyambirira, kupumula kwama bedi kumakhazikitsidwa. Njira ziwiri zochizira zimagwiritsidwa ntchito, zomwe zimatengera kuopsa kwa matendawa:

Tanthauzo la njira yodzikakamiza yamankhwala ndikukwaniritsa izi:

kutsimikizira wodekha chogwira ntchito,
kusungidwa kwa chakudya chamagetsi pamakina ndi makina,
kupeza ndi kuthetsa komwe kumayambitsa matendawa,
kusiya zizindikiro zopweteka.

Nthawi yamankhwala, kupumula kwa chakudya kumayendetsedwa kwa masiku 1 mpaka 3, kutengera thanzi la mwana wodwala.

Munthawi imeneyi, kugwiritsa ntchito madzi ochepa amchere amchere amaloledwa, chifukwa ndimotulutsa mpweya. Zodziwika kwambiri ndi:
Borjomi, Nagutskaya, Essentuki.

Kuphatikiza apo, mankhwala mothandizidwa ndi antispasmodic ndi analgesic mankhwala amagwiritsidwa ntchito:

Pankhani ya ululu wamphamvu kwambiri mwa odwala achichepere, analcics yapadera ya narcotic, monga Promedol, Omnopon, Tramadol.

Popanda kulephera pogwiritsa ntchito kukoka kwa mtsempha, njira zotsatirazi ndi izi:

mchere njira
shuga
magazi a m'magazi
yankho la ringer
Trisol
proteinase blockers (Aprocal, Contrical, Trasilol, Contriven, Gordoks).

Mankhwalawa amaperekedwa ngati mphamvu yothandizira mwana wodwala, komanso kuchepetsa kuledzera kwa thupi.

Mwanjira ya makonzedwe aubwino, mankhwala awa ndi awa:

Octreotide, Proxyium - mankhwala opangidwa kuti achepetse kupangika kwa michere ya pancreatic.
Pentoxifylline, Wazonite, Persantine - yokhala ndi antianginal action, kukonza kusintha kwamphamvu kwa magazi ndi katundu wamagazi.
Maantibiotic - amagwira ntchito ngati antibacterial wothandizira pakuchitika zochitika za purulent.

Njira yoperekera opaleshoni imayambira ena. Zina mwa izo ndi:

kukulitsa mitundu yamavuto osiyanasiyana,
kupitilira kwa matenda
kupanda mphamvu yawofatsa mankhwala.

Kuchita opaleshoni ya khunyu kwa ana kumaphatikizapo kuchita zina:

kuchuluka kwa cholowa,
necrectomy (kuchotsa gawo lakufa la kapamba),
ngalande zowonjezera.

Akuluakulu ayenera kukumbukira kuti ndizotheka kupewa kufalikira kwa kapamba mwa ana kapena kufalikira kwa matenda omwe alipo, koma nthawi yomweyo ayenera kuyesetsa kuti akwaniritse zabwino.

Choyamba, izi zimakhudza kutsatira kwambiri zakudya zomwe zakhazikitsidwa ndi akatswiri komanso kukhazikitsa malangizo onse azachipatala.

Zizindikiro zake za matendawa

Mawonetseredwe azachipatala omwe amaphatikizana ndi kuwonjezeka kwa kukula kwa kutulutsa zimadalira njira yeniyeni yomwe idapangitsa kusintha koteroko. Amatha kutchulidwa, koma nthawi zina matenda oterewa ndi asymptomatic. Potsirizira pake, kuyezetsa kofunikira ndikofunikira.

Ngati kukula kwa chithokomiro kamodzikamodzi kumawonjezeka chifukwa cha edema yomwe imakhudzana ndi kutukusira kwa minyewa ya chiwalo, ndiye kuti zizindikiro zomwe zimayang'aniridwa zimagwirizana ndi chipatala cha kapamba:

nseru
kusanza kopanda mpumulo
kusowa kwa chakudya
kutsegula m'mimba
kupweteka kumanzere kwa hypochondrium, nthawi zina ya chilengedwe.
A fever n`zotheka limodzi ndi zizindikiro za kuledzera (mutu, chizungulire, kufooka, palpitations.

Pancreatitis mwa ana nthawi zambiri imasunthidwa ndi dysbiosis ndi gastritis. Uku ndikusiyana kwakukulu kuchokera ku matenda amisala mwa akulu. Ndi njira yayitali, kuchepa thupi kumawonedwa. Chipatalachi chimadziwika ndi zambiri zomwe zikuwonekera.

Kuchulukitsa kwanuko komwe kumayenderana ndi puroses process (abscess) muubwana kumayendetsedwa ndi:

Zizindikiro zopweteka kwambiri pamimba lamanzere,
kutentha kwambiri
dyspepsia - nseru, kusanza, kutsekula m'mimba.

Kukula kosasiyananso kwa mutu kapena mchira kumapezeka pamaso pa khansa. Chithunzi cha chipatala pamiyeso yoyamba sichinafotokozeredwe, matendawa amatha kukhala asymptomatic kapena chigoba monga gastritis, zilonda zam'mimba, cholecystitis, dyskinesia wa biliary:

kuchepa kwamtima
odwala kwambiri nseru
kupweteka kosakhazikika, nthawi zina popanda kutulutsa kwina,
asthenic syndrome - kufooka, ulesi, malaise, chizungulire, kupweteka kwa mutu.

M'tsogolomo, matendawa akamakula, zizindikirizo zimawonjezeka: kupweteka kwambiri kumawonekera, kutsutsana ndi mseru komanso kusanza mobwerezabwereza, kutsegula m'mimba.

Kutupa kwa kapamba, komwe kumakhalapo chifukwa chodziwitsidwa ndi zifukwa zilizonse, kumayambitsa kuwonekera kwa mitundu yayikulu yamankhwala mwa mwana. Ambiri a iwo amalumikizidwa ndi chimbudzi cholakwika. Chifukwa chake, mwa mwana yemwe wakulitsa ndi zikondamoyo zoyipitsidwa, zitha kuwoneka kupweteka pamimba. Nthawi zambiri zimakulirakatha mphindi 40-60 kuyambira mphindi yakudya.

Ndikofunika kudziwa kuti ululu wammbuyo umachulukirachulukira ngati mwana wadya zakudya zamafuta kapena zamkaka.

Kuphwanya kwa mpando - komanso chofala chodziwika bwino chomwe chikuwoneka kuti mwana ali ndi zikondamoyo. Poterepa, mwana amakhudzidwa kwambiri ndi matenda am'mimba. Kusokonezeka kwa ntchito mu kapamba kumabweretsa chitukuko cha chizindikiro ichi. Kudya kwakanthawi kwa michere yamafuta m'magazi kumathandizira kuti chakudya chomwe mwana amadya sichimamwiratu. Izi zimawonetsedwa ndi matenda am'mimba.

Makanda a kapamba Nthawi zambiri amachepetsa thupi. Nthawi zambiri chizindikiro chimadziwoneka bwino mu ana aang'ono. Ana otere amatha kutsalira kumbuyo kwa anzawo potengera thupi. Kuchepetsa thupi mukudwala kwambiri kungakhale kofunikira kwambiri. Chilimbikitso cha mwana pankhaniyi, monga lamulo, chimasungidwa kwathunthu.

Kupita kuti?

Madokotala amayenera kuyesa kangapo kuti adziwe matenda. Kuunika koyambira koyamba palpation pamimba. Phunziroli limachitika ndi dokotala wa ana pakakambirana. Kuunika kosavuta koteroko kumathandizira adokotala kuti adziwe kuchuluka kwa kapamba wokhala mwa mwana.

Kuti akhazikitse kuchuluka kwa magwiridwe antchito, ndizovomerezeka kuyesa kwamwazi wamagazi. Poterepa, mulingo wa amylase ndiwongo. Chizindikirochi chimathandizira madotolo kuti athe kuwunika momwe minofu yam'mimba yam'mimba imawonongera, komanso kudziwa kuopsa kwa matendawa. Kuwonjezeka kwa magazi amylase ndi chizindikiro cha kapamba.

Kukula kwa pancreatic amathanso kutsimikiza pogwiritsa ntchito kafukufuku wamakono. Izi zikuphatikiza Ultrasound, makina ophatikizika ndi maginito a resonance. Maphunzirowa ali ndi kusunthika kwakukulu ndipo amatha kuwona pafupifupi vuto lililonse la anatomical.

Mutha kugwiritsa ntchito njira ngati izi mwa ana ngakhale ang'ono kwambiri, popeza sizimabweretsa zovuta kwa mwana.

Zogulitsa kwathunthu kapena pang'ono

Pazakudya zophatikizidwa ndi mwana, zotsatirazi sizikuperekedwa:

Msuzi pa nyama / bowa / msuzi wa nsomba, msuzi wa kabichi, borscht, okroshka, msuzi wa beetroot.
Offal (chiwindi, impso, ubongo, lilime).
Nsomba yamafuta, nyama zosuta, nyama, tsekwe / nyama ya bakha, zakudya zonse zokazinga, nsomba za caviar, mphodza ndi nsomba, masoseji, zakudya zamkati mwachangu, zakudya zamzitini, nsomba zamchere.
Ma coarse fiber masamba (radishes, turnips, rutabaga, kabichi, radish, biringanya), nyemba, bowa.
Watsopano tirigu ndi mkate wa rye, makeke a yisiti, zonunkhira zonona, makeke aanthuwofu, makeke, zikondamoyo, mapira okazinga, zikondamoyo, tchizi.
Mitundu ina ya chimanga (barele, barele wa ngale, chimanga, mapira).
Mafuta achikhalidwe / nyama, zokometsera / zonunkhira, zonunkhira (ketchup, mayonesiise, zitsamba, tsabola, mpiru).
Mazira okazinga / owiritsa kwambiri nkhuku, tchizi wowazidwa mchere, mkaka wamafuta, kirimu, tchizi chamafuta cha acidity yayikulu.
Masamba / zipatso zophika ndi zophika, masamba osaphika ayenera kuyikidwa mosamala.
Chocolate, khofi wamphamvu wamphamvu, ayisikilimu, madzi a mphesa, cocoa, zakumwa zoledzeretsa / zakumwa zoledzeretsa.

Masoseji

soseji yosuta9,963,20,3608 wosuta nkhuku27,58,20,0184 bakha16,561,20,0346 bakha wosuta19,028,40,0337 tsekwe16,133,30,0364

Kodi kudya ndi kuchuluka kwa kapamba?

Chimodzi mwazinthu zomwe zimapangitsa kuti ana ayambe kuchira ndichakudya choyenera komanso choyenera. Zimakhala zothandizira pamankhwala ndikuchotsa zomwe zimayambitsa kukula kwa matendawa. Nthawi zambiri, tikulankhula za zakudya zapadera, zomwe zimakhala ndi dzina "chakudya nambala 5 malinga ndi Pevzner." Amapereka malire pazoletsa zamafuta ambiri zamafuta ndi mafuta m'thupi. Pomaliza, zimapatsidwa mapuloteni omwe amapindulitsa thupi la mwana wodwala.

Zakudya No. 5 zimakhudza kuphatikizidwa kwathunthu kwa zotsatirazi kuchokera ku zakudya za ana odwala:

maswiti amtundu wa chokoleti, ayisikilimu, kupanikizana,
zipatso zamtundu uliwonse, makamaka zatsopano,
masamba ndi zipatso zachilengedwe (sizikonzedwa mwachangu),
msuzi wamafuta, msuzi ndi mbale zophika pamiyeso yawo,
zinthu zamkaka zomwe zimakhala ndi mafuta ambiri (kirimu wowawasa, kirimu, mkaka wonse).

M'malo mwa zinthu zoletsedwa, mwana ndi bwino kuperekanso:

Nyama yophika ndi nyama yophika pamoto,
zopangidwa mkaka ndi mafuta ochepa,
phala yamtundu uliwonse yophika pamadzi,
masamba osenda kapena otentha
tiyi wakuda wokhala ndi shuga pang'ono,
zipatso zophika ndi mchere
buledi wowuma, zopaka, mabisiketi.

Pali nthawi zina pamene kudya zakudya zokha sikungathandize ndipo sikuthandiza kwa ana osiyanasiyana. Izi zitha kukhala mu zochitika ngati pali njira za neoplastic m'thupi la mwana. Palibe zakudya zoyenera komanso kudya mosamalitsa sikungakhudze kukula kwa chotupa mu kapamba. Njira yokhayo yotchinga ndikuchotsa gawo lomwe lakhudzidwa ndi chiwalo. Ponena za kupweteka kwambiri kwa kapamba, pakakhala izi, zakudya sizingakhale zopanda mphamvu.

Komabe, simungathe kuyika chakudya pa pulani yachiwiri, chifukwa ndi ma pathologies awa, ngakhale atachitidwa opaleshoni, ndikofunikira kuonetsetsa kuti kukonzanso kumakhala kofunikira kwambiri kapena njira yayikulu yothandizira mwana. Kuphatikiza apo, ndikofunikira kuti muchepetse nkhawa pazinthuzo, makamaka chifukwa, chifukwa cha kusinthidwa, maudindo ake amakhala operewera. Tisaiwale kuti kudya zakudya zolimbitsa thupi kumachepetsa mwayi obwereranso kukulira kwa mwana, ndipo, muyenera kudziwa zomwe mungadye ndi kuchuluka kwa kapamba, ichi ndichidziwitso chofunikira kwambiri.

Pali zovuta ndi chithokomiro, pomwe zakudya zokhazokha pazokhazo ndizokwanira. Njira imeneyi imathandizira wodwala kuti azitsimikizira mtendere mwamtendere, mwachangu mokwanira kuchepetsa kutupa. Nthawi zina, chithandizo chowonjezera ndi kuyesedwa kwa mwana wodwala kuchipatala chimaperekedwanso.

Kwa matenda aliwonse, pokhapokha ngati zifukwa zikuzindikiridwa munthawi yake komanso chithandizo chamankhwala chamtundu wapamwamba, ndizotheka kunena za zotsatira zabwino. Kuchira koyenera ndikutsatira malangizo onse a dokotala kudzapangitsa kuti zitha kupewa zovuta komanso kuti muchepetse chizindikiro cha matendawa momwe mungathere.

Njira zochizira

Chithandizo cha kapamba ndizovuta komanso motalika. Ana aang'ono, ana omwe ali ndi chitukuko chachikulu cha zowonongeka zamapazi amaloledwa kuchipatala. Pa gawo loyamba la chithandizo, mwana amawonetsedwa kuti apumule pogona mokwanira ndi mthupi mwake.

Chithandizo chamankhwala chovomerezeka, kuikidwa kwa zakudya zapadera, ngakhale opaleshoni ndiyotheka.

Kugwiritsa ntchito mankhwala osokoneza bongo

Kutengera ndi kuopsa kwa vuto la mwana, magulu osiyanasiyana a mankhwalawa amagwiritsidwa ntchito pochiza pancreatitis. Kuti athetse ndi kubwezeretsanso madzi am'madzi, zothetsera zamchere, shuga ndi insulin zimayikidwa motsika.

Ma antispasmodics amagwiritsidwa ntchito kuti athetse kupindika komanso kuchepetsa ululu. Pancreatic secretion inhibitors zoletsa pancreatic enzyme; antihistamines ndiyofunikira.

Antibacterial mankhwala amachepetsa ntchito ya matenda oyambitsidwa ndi matenda, kupewa mwayi wa kapamba. Pambuyo kukhazikika kwa ambiri mkhalidwe wa mwana, mankhwala othandizira olowa m'malo mwake ndi othandizira omwe amachepetsa mamasukidwe akayendedwe a bile, komanso mavitamini a B, amapatsidwa.

Malamulo a zopatsa thanzi

Patsiku loyamba la nthawi yodwala, matendawa amasankhidwa ndi kumwa kwambiri zakumwa zamchere pang'ono, madzi ochepa a mchere. Pa tsiku lachiwiri, timalimbikitsa tiyi wopanda mafuta, msuzi wa rosehip, mutha kuyesa mbewu zosenda, mucous supu pamadzi.

Decoctions a Rosehip amaloledwa pa gawo lililonse la matenda

Kenako chakudyacho chimakula pang'onopang'ono, mkaka wochepa, mkate umawonjezeredwa. Kuyambira pa tsiku la 5 la matenda, mutha kudya masamba ophika, kuyambira 7-10 - nyama yosenda yophika ndi nsomba zimaphatikizidwa muzakudya.

Pakatha mwezi ndi theka, tikulimbikitsidwa kusamutsa mwana kuti adye zakudya zowonjezera zomanga thupi ndi mafuta ochepa. Zakudya ziyenera kukhala zopindika (nthawi 5-6 patsiku), acidic, zokometsera, zakudya yokazinga, masamba osaphika ndizoletsedwa.

Kodi opaleshoni ndiyofunikira liti?

Nthawi zina, popanda mphamvu yawofatsa mankhwala a pachimake kapamba, kuchitapo kanthu kungafunike. Zowonetsa kwa iye ndi:

mawonekedwe ndi kuwonjezeka kwa zizindikiro za peritonitis,
kupita patsogolo kwamatenda ndi chitukuko cha pancreatic necrosis, kugwedezeka, kukula kwa mphamvu yaimpso,
mawonekedwe a zikopa za magazi kuchokera ku ziwiya za pancreatoduodenal zone.

Nthawi zambiri makolo ndiwo amafunika kuti azidana chifukwa cha matenda apamba.Kusagwira bwino ntchito, zakudya zopanda pake, zakudya zamafuta ambiri, chakudya chamafuta osafunikira, komanso kusasamala ndi mwana wanu kumabweretsa kuwonongeka kwakukuru m'mimba. Kudzichitira nokha pancreatic matenda ndikosavomerezeka.

Matenda a kapamba

Nthawi zambiri makolo amasungira ana awo maswiti. Zachidziwikire, simungathandizire kuwononga mwana, koma kudya kwambiri maswiti ndi maswiti ena kumangodzaza mgonero wamwana, zomwe zimayambitsa matenda osiyanasiyana a kapamba. Zimayambitsidwa ndimatenda a metabolic.

Tiyenera kudziwa kuti metabolism imaphwanyidwa osati ndi maswiti, komanso zakudya zosuta, komanso zakudya "zopanda thanzi", zomwe zakhala zotchuka kwambiri komanso zosiririka, mwachitsanzo, tchipisi kapena zakudya zilizonse zamzitini.

Mwana akakhala ndi ziphuphu zoyipa, amakhala ndi ululu wam'mimba, kutsegula m'mimba, kusanza, ndi nseru. Izi zikangowoneka, muyenera kufunafuna chithandizo chamankhwala, omwe ndi katswiri.

Acute pancreatic kutupa, omwe amatchedwa pancreatitis, amawonetsedwa mwa ana omwe ali ndi pafupipafupi monga akulu. Matendawa ndi chotupa pachimake cha chiwalo chokhala ndi zotupa komanso zowonongeka. Zimagwirizanitsidwa ndi kawopsedwe wa enzymatic ndi kutseguka kwa michere ya pancreatic mkati mwa gland. Milandu yotsatirayi ndiosiyanitsidwa:

Kutupa kosalekeza kwa kapamba mwa ana, womwe ndi mtundu wa kapamba. Zimachitika kwa nthawi yayitali, ndipo sizipezeka kawirikawiri, chifukwa zimachitika nthawi zonse molumikizana ndi matenda am'mimba ndi matumbo. Akatswiri amasiyanitsa magawo angapo a kukula kwa matenda osachiritsika mwa mwana:

zinthawi zonse
wodwala, wokhala ndi zowawa zosatha,
kapangidwe.

Mu ana, matendawa amatha kupezekanso:

khansa mchira ndi thupi - kupweteka koyipa,
chotupa - mawonekedwe oyenera,
miyala
lipomatosis - njira zosasinthika zomwe zimayamba chifukwa cha envelopu yokhala ndi minyewa ya adipose komanso kuwonongeka kwa mafuta m'tsogolo.

Khansa ya mchira ndiye matenda oopsa kwambiri ziwalozi.

Kodi kudyetsa mwana ndi zikondamoyo zokulirapo?

Zakudya ndi imodzi mwazinthu zomwe zimapangitsa kuti mankhwala azisokonezedwa ndi kapamba. Ndi mtundu uliwonse wa kapamba (pachimake, osakhazikika, otha ntchito), mwana amayenera kuwonetsetsa mosavomerezeka, komanso kumwa mankhwala.

Cholinga cha zakudya zopatsa thanzi: Kapangidwe ka mpumulo wa zinzake zomwe zakhudzidwa. Izi zimatheka ndi matenthedwe komanso makina pokonza chakudya.

Masabata awiri oyamba akudwala, zakudya zonse ziyenera kuzikiririka kapena kuziwotcha. Chakudya chizikhala chosakanikirana: 6-7 pa tsiku ofunda osenda ang'onoang'ono. Mwanayo azimwa kwambiri - mutha kupatsa madzi oyera popanda mpweya, zakumwa za zipatso, zakudya zonona, tiyi wopanda mphamvu.

M'tsogolomu, ndizotheka kukulitsa chakudya, mutha kuwonjezera gawo. Kuyambitsidwa pang'onopang'ono kwa zinthu kumatenga pafupifupi mwezi.

Zakudya za zakudya zimaperekedwa kwa nyengo zosiyanasiyana, kutengera matenda a kapamba ndi kuwuma kwa vutolo. Pambuyo pancreatitis pachimake, zakudya ziyenera kutsatiridwa kwa chaka chimodzi. Mu nthawi yayitali ya kapamba, kuletsa kwa chakudya kumlingo wina kapena wina womaliza zaka zisanu.

Zakudya zoletsedwa zizikhala zoletsedwa ngakhale pakukhululukidwa. Izi zimaphatikizapo mafuta, zonunkhira, yokazinga, zakudya zosuta. Mwana wazaka chimodzi sayenera kulandira timadzi tokazinga monga zakudya zowonjezera - atha kuwonjezera vutoli. Tikumbukire kuti mwana wakhanda amatha kuyamwa pakudyetsa kosayenera potupa ndi kukulitsa kwa ndulu, makamaka njira ya mphesa ya mphesa imachulukira. Kuphatikiza apo, ziwengo zimatha kupangidwanso, zomwe zimayambitsanso kupweteka, kusowa chilakolako chofuna kudya, kufooka, komanso zizindikiro zina za kapamba.Zipatso, ndiwo zamasamba, timadziti zimayambitsidwa pang'onopang'ono, Mlingo wake uyenera kuchuluka pakanthawi kokhazikika.

Ubwino ndi kuipa

Ubwino	Chidwi
Mumakulolani kuti muchepetse katundu pa kapamba ndikuwonjezera ntchito yake. Zakudya zake ndizoyenera ndipo zimatha kutumizidwa kwa nthawi yayitali. Zotsika mtengo.	Pamafunika luso / luso lazakudya.

Zakudya zamankhwala zokhala ndi kapamba zokulira mwa mwana, komanso kugwiritsa ntchito michere kukonzekera, malinga ndi makolo, ndiye maziko olakalaka zikondwerero ndi kuphatikizika kwa ntchito yake.

"... Pakajambulidwa, mwana wanga anaulula zikondamoyo zokulitsa mchira, ndipo mawonekedwe a fibrosis adapezeka. Palinso mavuto ndi ndulu - cholecystitis, biliary dyskinesia. Pali kudzimbidwa. Anamulembera chithandizo, kuphatikizapo patebulo la chakudya Na. 5. Ndimachikonza mosiyana ndi achibale ena, malinga ndi malangizo akaphika zakudya. Zonse zoletsedwa. Sindikudziwa ngati izi zingathandize. ”
"... Mwana wamkazi adadandaula za kupweteka kwapakati pamimba pafupifupi sabata lathunthu, pomwe chopondapo sichinali chachilendo, kusowa kwa chakudya sikudandaula, ndipo kunalibe zodandaula zina. Adatumizira ultrasound - yogwira pancreatitis, dyscholia motsutsana ndi maziko a kupindika kwa ndulu, kapamba adakulitsa 39 * 17 mm. Amasankhira zakudya kusiyapo zakudya zokazinga, zamafuta / zonunkhira, zonunkhira, zopaka mchere ndi zosuta, zokometsera, sosi ndi zonunkhira. Ndimadyetsa mwana m'magawo ang'onoang'ono, koma nthawi zambiri. Tsopano zinthu zakhazikika pang'ono, tiyeni tikambirane. ”

Mtengo wazakudya

Zakudya zopatsa thanzi ndi zikondamoyo zokulirapo mwa mwana zimakhala ndi zinthu zotsika mtengo, zomwe mtengo wake umasiyana pakati pa 1500-1600 rubles pa sabata.

LAPANI ZOTSATIRA! Zambiri pazakudya zomwe zili patsamba lino ndizodziwikiratu, zomwe zimachokera pagulu ndipo sizingagwiritsidwe ntchito ngati njira yogwiritsira ntchito. Musanagwiritse ntchito zakudya, onetsetsani kuti mwapeza katswiri wazakudya.