Zotsatira pambuyo pancreatitis: chakudya pambuyo exacerbations ndi kuchotsedwa

Kuchulukitsa kwa kapamba kumatanthawuza mawonekedwe a matendawa. Ndi chithandizo cholakwika, matenda atha kubweretsa mavuto osasintha kapena kusokoneza dongosolo lonse logaya chakudya.

Pancreatitis ndi matenda omwe kutupa kwa kapamba kumachitika. Kusintha kosasinthika kumachitika m'thupi mokomeranso ndi chipolopolo chakunja. Chifukwa chake, matendawa amayenera kuthandizidwa poyambira pomwe zoyamba zizindikirika.

Zoyenera kuchita kunyumba ndi kuchuluka komanso momwe mungathandizire kupweteka

Ndi kuchulukitsa kwa kapamba, ndikofunikira kudziwa momwe mungatithandizire kuukira kwambiri kunyumba. Choyimira chachikulu ndichakudya chokhazikika chomwe sichimapatula kwathunthu malonda ndi zakudya zochepa m'masiku atatu oyamba.

Mukamadya chakudya, zikondamoyo zimadziwitsidwa ndi ma enzyme ndipo zimakwiyitsidwa kwambiri, zomwe zimapangitsa kukula kwazonse. Chifukwa chake, panthawi yovuta kwambiri ya kapamba, ndikofunikira kumwa madzi oyera pang'ono m'malo ochepa.

Pothandizira kupweteka, mutha kugwiritsa ntchito ayezi, womwe umayikidwa mu epigastric dera (pamimba kumanzere pansi pa sternum). Njirayi imachotsa kupweteka kosasangalatsa, koma ilibe chithandizo.

Mukamachotsa magazi oyenda mwamphamvu komanso okongoletsedwa m'mapazi, mumawotchera kutentha ndi vodka, chifukwa njirayi imachepetsa komanso imathandizira kuchepetsa kusamvana m'dera la kutupa.

Kuchulukitsa kwa kapamba kumaphatikizapo kugwiritsa ntchito mankhwala a antispasmodic. Mankhwala othandiza kwambiri: Maxigan, Drotaverin, No-spa, Spasmolgon. Mlingo mogwirizana ndi malangizo kapena malangizo a dokotala.

Zokonzekera zochizira pancreatitis ziyenera kutumizidwa ndi dokotala pokhapokha atazindikira molondola, motero, wodwala sayenera kumwa mankhwala ena kunyumba.

Kupezeka kwa zodandaulitsa kumafunikira kupita kuchipatala mwachangu, popeza kuchedwa kungayambitse zotsatira zosasinthika komanso zovuta zazikulu. Pakati pachimake cha kapamba, ndimaletsedwa kutenga michere iliyonse, chifukwa ndi omwe angakhudze kwambiri kupitilira kwa matendawa.

Zizindikiro zazikulu

Kuchulukana kwa kapamba kumakhala ndi chizindikiro cha chizindikiritso cha chikhalidwe chotsatirachi, chosonyeza kupweteka kwambiri mu thupi:

• Kupweteka kwambiri mu hypochondrium wamanzere,
• Maso akuthwa,
• Kuteteza khungu,
• Maonekedwe akusanza ndi ma ndende a bile,
• Stool disorder (kutsegula m'mimba kapena kudzimbidwa),
• Kufooka kwakukulu ndi kusweka kwathunthu,
• Kutentha kotsika kwamitengo yapamwamba,
• Kuzizira kwakutali.

Zizindikiro zomwe zili pamwambazi zikuwonetsa kuti matendawa ndi ovuta kwambiri, chifukwa chake, mu nkhani iyi, kugonekedwa kuchipatala mwachangu komanso njira zonse zachipatala zofunika.

Nthawi yochulukirachulukira kwa kapamba ndi yayitali, popeza mu mawonekedwe osakhwima, zizindikiro zoopsa zimawonedwa kwa masiku 5-7. Mu gawo lovuta, mkhalidwe wosakhutira umapezeka mkati mwa masiku 14.

Mankhwalawa amafotokozedwa chifukwa chakuti kapamba amabwezeretseka pang'onopang'ono. Kuti muchepetse kukonzanso kwake, ndikofunikira kutsatira zonse zofunikira komanso zakudya zokhwima.

Zomwe zimayambitsa matendawa

The etiology ya pancreatitis imaphunziridwa bwino ndi madokotala, kotero nthawi zambiri matendawa amapezeka pazifukwa zotere:

• Kumwa mowa mwamphamvu komanso mopitirira muyeso (kuchuluka kwa deta kumapangitsa kuti 60% akudwala matendawa pachifukwa ichi),
• Matenda a gallbladder (kukhalapo kwa miyala).

Nthawi zina, matendawa amakula osakhudzana ndi zifukwa zina zoyipa kapena kupezeka kwa matendawo. Chowoneka cha pancreatitis chagona poti chimachitika kwa nthawi yayitali popanda kutchulidwa, ndipo chikuwoneka kale.
Nthawi zambiri, matendawa amawona amuna okalamba (akulu kuposa zaka 50) ndipo amawapeza ndi mawonekedwe owopsa. Amayi amapezekanso ndi kapamba ndipo nthawi zambiri amakhala wazaka 28-37.

Zizindikiro

Kuzindikira pancreatitis pachimake, kuchita kwakanthawi komanso mwachangu maphunziro onse ofunikira ndikofunikira. Gastroenterologists angaganize za matendawa pazizindikiro zina zodziwitsa:

• Zizindikiro za Voskresensky (kusowa kwa chotupa chamkati mwa sternum),
• Zizindikiro za Grey-Turner mawonekedwe a ma cyanotic owoneka pang'onopang'ono pakhoma lam'mimba),
• Zizindikiro Kerte (kupweteka kwambiri m'dera la kapamba),
• Zizindikiro za Cullen (kupangika kwa cyanosis pafupi ndi navel, komwe kumachitika chifukwa cha ziphuphu zakuphuka),
• Zizindikiro za Razdolsky (zilonda zam'mphepete mwa kapamba),
• Zizindikiro za Shchetkin-Blumberg (kupweteka kwambiri mu peritoneum pamene kanjedza kamizidwa mwakuya m'mimba),
• Chizindikiro cha Mayo-Robson (kupweteka poyang'ana ngodya pafupi ndi msana ndi nthiti kumanzere).

Pazifukwa zokaikira, adokotala amakupangira mayeso otsatirawa:

• Kuphatikiza kwa magazi m'magazi (kuwunika kwa zinthu monga glucose, mapuloteni, lipase, zochita zama protein, kupezeka kwa urea kungasonyeze kukhalapo kwa matenda komanso kuchulukitsa kwa mawonekedwe osakhazikika),
• Kuyan'ana momwe magetsi alili pamagetsi pamagetsi, chifukwa kusowa kwa michere ndi zinthu zina kumatha kubweretsa kuphwanya kwakukulu kwina kofunikira mthupi,
• A urinalysis akuwonetsa kuwonjezeka kwa alpha-amylase ndi kupezeka kwa leukocytes, mapuloteni ndi zina zopanda pake mu urethra, zomwe zikuwonetsa kuti kulakwitsa kwa dongosolo la mawonedwe.

Kuzindikira kwa pancreatitis pachimake kumatsimikiziridwa ndi njira zingapo zofufuzira:

• Kuyesa kwa Ultrasound kuti muwone momwe ziphuphu zimayendera nthawi yambiri
• Radiography (njira yofufuzira miyala mu zolimba za chiwalo ndikuwona kutupa kwamatumbo),
• Kupanga makina ophatikizidwa amakupatsani mwayi wofanana kukula kwa thupi ndikuzindikira kupezeka kwa minofu ya necrotic, madzimadzi mu gland,
• Laparoscopy imachitika pokhapokha ngati pali mawonekedwe omveka bwino komanso ovuta a kapamba (kupenda chiwalo ndi njira ya opaleshoni),
• Endoscopy imapangidwa kuti athe kuwona moyenera chiwalo ndikuwunika momwe awonongera. Njira imeneyi imakuthandizani kuti muwone kuwonongeka kwa ziwalo zoyandikana ndi (duodenum, matumbo).

Acute pancreatitis ali ndi zofananira ndi matenda monga zilonda zophatikizika, cholecystitis, matumbo, kutsitsa, myocardial infarction, mesothrombosis. Chifukwa chake, kungopeza chidziwitso choyenera kumatsimikizira kuperekedwa kwa chithandizo choyenera ndikubwezeretsa thupi.

Njira zochizira pachimake kapamba zimachokera kuchipatala pomwepo wodwalayo ndikuchira kwakanthawi kuchipatala ndikumamatira pogona kwambiri. Kukonzanso kumalimbitsa kukonzanso kubwezeretsanso kwa kapamba ndikuchotsa zisonyezo zonse zopweteka za matendawa.

Chithandizo cha mankhwalawa pachimake kapamba imaphatikizira njira zotsatirazi:

• Maximum analgesia kuti muchepetse kupweteka kwambiri (kulowetsedwa kwa Tramadol ndi Baralgin, novocaine kapena mankhwala opha ululu wam'mimba),
• Kugwiritsa ntchito madzi oundana (kuchuluka kwa kuchepa kwa chonde pantchito yofanana ndi kusangalatsa kwa m'mimba ndi makonzedwe a zakudya za makolo),
• Kupititsa patsogolo kukhathamiritsa kwa mankhwala ophatikizira amkati (Haemodeus),
• Othandizira ma enzyme opanga kuti achepetse zochita zawo (Gordoks, Kontrikal),
• Kupewa kuchepa kwa madzi m'thupi ndi kukhazikitsidwa kwa mchere wa calcium ndi sodium (kukhazikika kwa madzi mu electrolyte mu thupi),
• Nutralizing othandizira m'mimba (Pantoprazole, Omez),
• Maantibayotiki kuti muchepetse matenda opatsirana oyamba. Chothandiza kwambiri ndi ciprofloxacin,
• Njira zoperekera njira yothanirana ndi michere yomwe imasokoneza ma enzyme. Diuretic Lasix amatha kuchotsa poizoni aliyense munthawi imodzi.

Kuthandizira opaleshoni kumachitika pokhapokha ngati pali zoonekeratu:

• Kwambiri matenda ndi mabakiteriya zovuta ndi mankhwala osagwira,
• Kukhalapo kwa calculi mu ducts ya bile,
• Mafuta m'thupi lathu,
• Zotupa zosiyanasiyana, malo a cystic, zotupa za necrotic.

Opaleshoni imakhazikitsidwa chifukwa cha kuwoneka kwa minofu ya necrotic kapena kuchotsedwa kwathunthu kwa kapamba. Njira yochiritsira imafunikira kuti azitsatira mosamalitsa onse azachipatala komanso njira zodzitetezera pofuna kukhazikitsanso wodwala wodwala.

Zithandizo za anthu

Anthu wowerengeka azithandizo mankhwalawa pachimake kapamba ayenera kugwiritsidwa ntchito pokhapokha ngati chithandizo chilolezedwa ndi dokotala. Njira zogwira mtima kwambiri zafotokozedwera m'ndandanda pansipa:

• Kuphatikiza kwa liferi, chamomile, chitsamba chowawa muyezo wofanana ndiwodziwitsidwa mu 300 ml ya madzi otentha. Chotsirizidwa chimatengedwa 100 ml katatu patsiku,
• Kusakaniza kwa calendula ndi yarrow muyezo wofanana kumathiridwa mu chikho chimodzi cha madzi otentha ndikupeza tincture. Chotsirizidwa chimatengedwa musanadye kuchuluka kwa 1 tbsp. Supuni
• Bulosi wa barberry mu kuchuluka kwa 1 tbsp. Supuni imathiridwa ndi 250 ml ya madzi otentha ndikuyika kwa maola awiri. Tilandira tincture kutenga 1 tbsp. Supuni musanadye
• Wosakanikirana ndi wort wa St. John, chingwe, mahatchi, chamomile, sage, chitsamba, elecampane, calendula ndi mizu ya burdock. Gawo lolandirira tincture ndi 1 tbsp. Kusunga supuni mu kapu yamadzi otentha,
• Wotseka mabulosi abulu masamba 1%. Supuni mu kapu yamadzi otentha. Kutalika kwa mankhwalawa ndi masiku 40 katatu patsiku musanadye 250 ml,
• Kuphatikizidwa kwa elecampane, timbewu tonunkhira komanso motsatizana mosiyanasiyana (3 tbsp. supuni pa 400 ml ya madzi otentha). Malirowo amawiritsa kwa mphindi zitatu, kenako amasungidwa kwa maola awiri. Tengani 2 pa tsiku, 80 ml,
• Kumwa tincture wa mowa kuti mupereke anti-kutupa ndi kubwezeretsa. Zachilengedwe zimapereka filimu yoteteza pamizimba ya ziwalo,
• Mwatsopano mbatata ya mbatata mu 200 ml. Chotsirizidwa chimatengedwa pamimba yopanda kanthu musanadye mwachindunji,
• Sauerkraut madzi mu 100 ml kawiri pa tsiku mofunda. Njira ya chithandizo ndi masiku 7, kenako ndikupumula kwakanthawi.
• Kissel wochokera ku oatmeal. Phala limadzazidwa ndi madzi, kenako limawilitsidwa kwa mphindi 20. Zotsatira zouma zouma zimathiridwa ndimadzi ndikuwiritsa kwa pafupifupi ola limodzi. Chotsirizidwa chimakola ndipo nthawi yomweyo chimatengedwa monga momwe akunenera,
• Kugwiritsidwa ntchito kwa buckwheat ndi kefir tsiku lonse magawo ofanana,
• Kutenga supuni ziwiri za cranberries ndi shuga kumakongoletsa kapamba ndikuthandizira kuthetsa kutupa,
• Decoction wa nyemba zosankhwima magawo 4 tbsp. Sipon ya 500 ml ya madzi imatengedwanso pothandiza matenda a kapamba. Kutalika kwa chithandizo kuli pafupifupi masiku 30.

Zakudya zowonjezera ndikuloleza zakudya

Kutsatira zakudya za pancreatitis pachimake kumakhala ndi zochitika zina. M'masiku 5 oyamba, wodwalayo ayenera kutsatira zakudya zamankhwala popanda kupezeka pazinthu zonse komanso kugwiritsa ntchito madzi amchere.

Pambuyo pake, zakudya zotsatirazi zimatha kuwonjezeredwa ku chakudya chonse:

• Mpunga, semolina phala mu mawonekedwe otentha,
• Supu yophika masamba popanda nyama yowonjezera,
• Nyama yotsika
• Nsomba zokhala ndi mafuta ochepa
• Tiyi wokhala ndi masamba ofooka a tiyi.

Mukamaliza kudya, ndikofunikira kutsatira malangizo okondweretsa:

• Zakudya zopatsa thanzi (kudya magawo ochepa osaposa 300 gramu nthawi imodzi)
• Kuchotsedwa kwazinthu zomwe zimakhala ndi zonunkhira, mafuta, zinthu zingapo zojambula ndi zachilengedwe,
• Chepetsa mchere wambiri (osapitirira magalamu 6 patsiku),
• Zipatso zopanda wowawasa, masamba opanda fiber,
• Mbewu zosiyanasiyana (kupatulapo mapira ndi barele).

Zovuta zotheka

Acute pancreatitis ndimatenda oopsa omwe amakhala ndi zovuta zingapo pakumwa mosayenera kapena mwadzidzidzi:

• Kukhazikika kwa imfa chifukwa cha poyizoni wamagazi, peritonitis,
• Maonekedwe akugwedezeka, ndikutsatira kwa kulephera kwa ziwalo zingapo,
• Mapangidwe onyenga,
• Kukula kotheka kwa ascites,
• Kukula kwa machitidwe a oncological,
• Pancreatic fistula atachitidwa opaleshoni,
• Chiwopsezo cha matenda amisala.

Ndemanga za chithandizo cha matenda apakhungu pancreatitis makamaka amakhala ndi mayankho osiyanasiyana, popeza kuchira kwake kumadalira kwakukulu pamatendawo. Nthawi zambiri, matendawa amakhala abwino, malinga ndi madokotala onse omwe amapereka.

Ndimadwala chifuwa cham'mimba, motero ndimatsatira zakudya nthawi zonse. Ngati simutsatira zakudya zoyenera, ndiye kuti mutha kukwiya msanga ndi zotsatirapo zake zonse. Ndikofunikira kugwiritsa ntchito mafuta ochepa osavuta momwe mungathere kukonzekera ndikuchotsa zakumwa zoledzeretsa m'moyo. Pakadali pano, mkhalidwewo ndi wokhazikika, koma nthawi zina umapweteka mu hypochondrium yamanzere.

M'malo mwanga, kupezeka kwa pancreatitis pachimake kunapangidwa kuchipatala atagonekedwa kuchipatala, popeza matendawa adadziwoneka modzidzimutsa. Pankhaniyi, izi zisanachitike sindinapeze vuto lililonse. Poyamba masiku 5 okha madzi ndi ma dontho, kenako pang'onopang'ono woonda ndi sopo. Ndikosavuta kuchira, choncho ndibwino kuti mumayesedwa panthawi yake ngati kuli kotheka.

Mayi anga nawonso adayamba kukhala ndi kapamba mu ukalamba chifukwa cha kuperewera kwa zakudya. Zomwe ndikufuna kunena ndi kuchulukitsa ndi chikhalidwe chowopsa. Mulu wa mapiritsi, otsitsira, chakudya chokhwima. Tsopano timayesetsa kuti tisakwiyitse kapamba ndi kudya bwino. Pankhaniyi, matendawa sangathe kuchiritsidwa kwathunthu.

Kodi matendawa amakhudza bwanji thanzi?

Ngati kukayikira koyamba kwa kapamba kumachitika, ndiye kuti wodwalayo ayenera kupita kuchipatala. Kupweteka kokwanira m'mimba, komanso mavuto am'mimba, kumatha kuwonetsa matendawa. Ngati kuchuluka kwa zowonongeka ndizochepa, ndiye kuti izi zitha kuchotsedwa mothandizidwa ndi mankhwala. Ndi supplement, pang'ono kapena pang'ono kwathunthu kwa kapamba adzafunika. Matenda onse awiriwa amakhudza kwambiri momwe wodwalayo akumvera ndipo akuwonekera kwambiri.

Pambuyo poti wachira, zosokoneza zina pakugwira ntchito kwamanjenje zimatha kupezeka, zomwe zimatha kuwonetsedwa ndi psychosis pamaziko a matenda omwe adasamutsidwa.

Kuphatikiza apo, matendawa amatha kuyambitsa zowonongeka zina mu chiwalo, komanso kukokoloka kwanthawi ndi cystic neoplasms. Ngati chotupa chikutuluka, ndiye kuti magazi amatuluka m'mapapo, ndipo madzi onse omwe amatuluka kuchokera kumapangidwe angayambitse kukula kwa peritonitis.

Zotsatira zamatenda oyamba a kapamba:

1. kagayidwe kachakudya matenda
2. chinsinsi chokwanira cha ma enzymes,
3. matenda ashuga
4. aimpso ndi chiwindi kulephera.

Zotsatira zomwezi ndizodziwika kwambiri pagulu la odwala omwe ali ndi chidakwa chodalira.

Zokhudza kapamba pamimba

Kutupa kwa kapamba kumakhala chifukwa cha kupukusa kwam'mimba.Ndi matenda, makoma am'mimba ndi esophagus nthawi zambiri amatha kuphimbidwa ndi kukokoloka kwakung'ono. Izi ndichifukwa choti njira yotupa imayamba kufalikira. Wodwalayo amakhala ndi mavuto m'mimba.

Pakudya, kumva kupweteka, kupweteka m'mimba, kapena nseru zimayamba. Monga lamulo, izi zimachitika ngati wodwala achangu ndi chakudya:

Ngati mavuto owonjezereka abwera, ndiye kuti awonetsedwa ndi matumbo amtumbo, komanso kusapeza bwino m'mimba.

Kuphatikiza apo, kutuphuka, kudzimbidwa kapena malo osungunuka pafupifupi nthawi zonse kumatsatira wodwalayo, kapamba ndi kusanja nthawi zambiri kumayenderana ndi kutupa kwa chiwalochi. Chifukwa cha kupsinjika kwambiri kwa ziwalo zoyandikana, zovuta zotsatirazi zimachitika:

• kupuma movutikira
• mtima wamachepa,
• kuledzera kwa chamoyo chonse.

Kusokonekera mu mtima

Pancreatitis ilibe chidwi chochepa pamtima kuposa ziwalo zina zofunika. Izi zimawonetsedwa pakusokoneza mitsempha yamagazi ndi minofu yamtima. Odwala amatha kukhala ndi tachycardia, kuchepa kwa magazi, komanso kufooka kwa khungu.

Nthawi zina kapamba amachititsa kukula kwa ochepa ochepa, kuchepa kwa okosijeni ndi vasospasm. Matendawa amakhala chifukwa chamatenda am'magazi, kukha magazi m'mphuno, kumimba kwa mabala ndi zipsera zomwe zangolandiridwa kumene.

Mavuto opatsirana

Kutupa kwa kapamba sikudaliranso ziwalo zake zopumira. Izi zitha kufotokozedwa ndi pulmonary edema ndi kudzikundikira kwa exudate mu pleural patsekeke. Ndi kuthekera kwakukulu, chibayo chimatha kuchitika pakumazizira. Kuphatikiza apo, pali kukula kwa minofu ya ziwalo zopumira komanso kuwonongeka kwa alveoli, trachea, bronchi ndi larynx.

Kukula kwa oncology

Zotsatira zoyipitsitsa za matenda a kapamba ndi oncology. Ndi muzochitika zotere zomwe simungathe kuchita popanda kuchotsera chiwalo chomwe chakhudzidwa kapena gawo lakelo. Kwa moyo wathunthu, wodwala atachitidwa opaleshoni yofunika kuchita:

1. michere yokugaya
2. lipotropics,
3. insulin

Zotsatira zonse za pancreatic kutupa sizingatchulidwe kuti ndizotopetsa. Nthawi zina, ziwalo zina zomwe sizigwirizana ndi kapamba zimatha kuvutika. Ndiye, zitha kuyamba:

• ubongo encephalopathy,
• matenda olowa
• toxemia wambiri.

Vuto lililonse lomwe limalumikizidwa ndi vuto la kapamba limafunika chisamaliro chamankhwala. Ngakhale patapita nthawi yochulukirapo pambuyo povulaza, munthu amatha kudutsidwa chifukwa cha zotsatira zake. Ndipo komabe, zovuta zazikulu monga pancreatic necrosis ya kapamba, chidziwitso pambuyo pa opaleshoni sichimapereka zabwino zonse, ndiyofunikanso kudziwa komanso osayendetsa mavuto ndi ziwalo mpaka pano.

Zimayambitsa kapamba ndi zizindikiro zake

Zomwe zimayambitsa matenda a kapamba omwe amapangidwa ndi madokotala:

• kumwa pafupipafupi kapena kosatha
• kuchuluka kwa mafuta omwe ali ndi mafuta az nyama
• kutupa kwa ndulu ndi ndulu zikuluzikulu,
• matenda a ndulu
• matenda otupa am'mimba,
• kuvulala ndi matenda a kapamba,
• Opaleshoni yam'mimba, chiwindi kapena ndulu kuchotsedwa,
• kuwonetsedwa ndi mankhwala ndi zinthu zina zovulaza thupi.

Matendawa kumayambiriro kwa chitukuko amayamba kukhala osapweteka ndipo amayamba kuwoneka kuti ali ndi vuto mkati mukatha kudya, nseru, kumva thupi lachilendo kummero, kusamva bwino m'mimba mutadya zakudya zakuthwa, zamchere komanso za acid. Mavuto a kapamba ndi pachimake, pali ululu wopweteka pansi pa nthiti yakumanzere, yomwe imabweza msana, nseru ndi kusanza, zomwe sizibweretsa mpumulo kwa munthu.

Nthawi zina, pamawonjezera kutentha kwa thupi mpaka 38 ° C, palpitations, kudzimbidwa ndi m'mimba. Kuukira kwa kapamba nthawi zonse kumayendetsedwa ndi kufooka m'thupi ndi chizungulire. Chithandizo cha pancreatitis, ponse pa nthawi yoyamba ya chitukuko, ndipo pambuyo povutitsidwa, chimachitika kokha kuchipatala.

Chithandizo cha kapamba pambuyo pake

Chithandizo cha kapamba pambuyo pa kuwukira kumakhala pokonza zakudya zoyenera komanso zakudya zadongosolo. Madokotala amalimbikitsa kuti pambuyo povulaza kwakanthawi kochepa kusiya chakudya ndi kumwa madzi pang'ono. Kuperewera kwa madzi ndi michere mthupi, yomwe nthawi zambiri imaperekedwa ndi chakudya, imapangira mayankho ndi kukonzekera kwakuthupi. Wodwala akayamba kumva bwino, zakudya zina zimaloledwa pang'ono.

Kudya kumayenera kukhala kwapang'onopang'ono, pang'ono ndi pang'ono. Ndi zoletsedwa kumwa chakudya ndi madzi. Nthawi zina, madzi amchere amagwiritsidwa ntchito m'malo mwa zakudya.

Madzi "Borjomi" ndi "Essentuki 4" amathandizira kubwezeretsa bwino lipid, metabolism, kukhazikika kwa microflora yam'mimba ndi matumbo, amagwira ntchito ngati wotsutsana ndi kutupa pamimba.

Chakudya cham'tsogolo chimakhala ndi chakudya chotentha kapena chosaneneka.

Pancreatitis imachiritsidwa pokhapokha pachipatala, mankhwalawa samangokhala mu chakudya okhwima, komanso pakumwa mankhwala.

Zakudya tsiku ndi tsiku pambuyo kuukira kwa kapamba

Chakudya pambuyo povulaza pancreatitis imalembedwa kwa wodwala kwenikweni, chifukwa mankhwala opatsa thanzi komanso mawonekedwe oyenera amathandizira kubwezeretsa kwam'mimba thirakiti ndikuchira wodwalayo. Zakudya zimakonzedwa ndi tsiku. Pambuyo pa kuukiridwa, kuyamwa kwa chakudya ndi madzi ndizoletsedwa kwathunthu, ndipo kenako zakudya zina zimawonjezedwa m'zakudya zanu tsiku lililonse.

Tsiku loyamba pambuyo potiwukira. Patsiku la kuukira komanso masana pambuyo pake, wodwalayo amaletsedwa kudya kwathunthu. Masiku ano amatchedwa anjala. Monga lamulo, wodwala safuna kudya chifukwa chopweteka kwambiri. Pofuna kuthandizira thupi komanso kusayambitsa kukula kwa zosafunikira, shuga ndi mavitamini amawonjezeranso ndi dontho limodzi ndi mankhwala omwe amalimbana ndi kutupa komanso ma analgesics. M'malo mwake mumakhala mavitamini ndi michere omwe amafunika kumizidwa ndi chakudya.

Kumwa masiku ano kumaletsedwanso, koma nthawi zina amaloledwa kugwiritsa ntchito madzi ofunda a mchere.

Tsiku lachiwiri pambuyo pomenyera. Njala yamankhwala ya wodwalayo ikupitilirabe, amaloledwa kumwa madzi ofunda a mchere pang'ono pang'ono - mpaka malita 0,5 patsiku. Koma kuikidwa kumeneku kumachitika pokhapokha ngati wodwalayo wasintha, palibe ululu wambiri, kutsegula m'mimba ndi kusanza.

Kuyambira tsiku la 3 pambuyo povulaza pancreatitis, mapuloteni ndi zakudya zamafuta zimawonjezeredwa ku chakudya cha wodwalayo kumadzi amchere.

Supu zamasamba, Buckwheat wosenda bwino, koma wopanda nyama ndi Frying saloledwa.

Chakudya chizikhala chotentha, chopanda mafuta komanso chosasangalatsa. Sizoletsedwa kugwiritsa ntchito broths kuphika supu. Wina amatumizidwa m'magulu angapo, kutsatira mfundo za zakudya zopatsa thanzi.

Patsiku la 3, mbale zazikulu zimayambitsidwa muzakudya za wodwalayo - mbatata zosenda madzi, chimanga kuchokera ku tirigu, buckwheat, barele la ngale ndi mpunga mumadzi. Kaloti yosenda yophika amaloledwa. Kuphatikiza pa madzi ofunda, mutha kumwa tiyi wobiriwira wopanda mphamvu ndi kuwonjezera kwa shuga ndi uchi pang'ono.

Kuyambira pa 4 mpaka 6th, menyu amakhalabe yemweyo, koma ngati wodwalayo akumva bwino, palibe madandaulo okhudza matumbo, zakudya zimalembetsedwa ndi mapuloteni. Masiku ano mutha kudya zoyera, dzira tchizi ndi nsomba zoyera, zovekedwa, kumwa kefir wapakatikati wopanda shuga. Zonsezi zimaloledwa kuti zizigwiritsidwa ntchito masana m'magawo, kutafuna bwino komanso osamwa madzi.

Kuyambira tsiku la 6, curd, komanso nyama ndi nsomba mbale, zotenthedwa zimawonjezeredwa pachakudyacho. Ng ombe yokhala ndi mafuta ochepa komanso nkhuku amaloledwa kuphika nyama kapena nyama. Nyama ndi nyama zamasamba zimadyedwa nthawi ya nkhomaliro, nthawi zonse pambuyo pa msuzi ndipo makamaka ndi mbali yamphaka ya phala. Mbale zophikaphika zimatha kudyedwa m'mawa komanso m'madzulo. Ku zakumwa zimawonjezera tiyi wokoma, kefir, odzola opaka kunyumba. Chakudya chimakhalabe chamtundu, magawo sayenera kupitilira 120-200 g. mndandandawu ndiwothandiza kuyambira tsiku la 6 mpaka 9.

Kuyambira pa 10th mutha kuphatikiza zinthu zamasiku onse apitawa pogwiritsa ntchito nyama yoonda, mkaka ndi mapuloteni, zakudya monga chimanga. Chakudyacho chikugundika, magawo ang'onoang'ono, nthawi yodyera sayenera kupitilira mphindi 25-30. Zakudya zoterezi ndizothandiza kuyambira tsiku la 10 mpaka 14.

A okhwima zakudya pambuyo kuukira kwa kapamba kumatenga masiku 14. Koma funso likubwera, momwe mungatulukire muzakudya ndipo ndizotheka kubwerera ku zakudya zam'mbuyomu?

Mawonekedwe a zakudya mukatha kudya

Wodwalayo atatha kugwiritsa ntchito mankhwalawa pambuyo povutitsidwa ndi kapamba ndikutsatira zakudya zina tsiku lililonse, dokotalayo ayenera kusintha zakudya zomwe wodwalayo amuthandiza kuti atuluke mu chakudya moyenera.

Chifukwa cha izi, adotolo amasankha mndandanda wazoyenera wazinthu zomwe ndizololedwa komanso zoletsedwa kuti zizigwiritsidwa ntchito mtsogolo. Ndikofunikira kuti wodwalayo azitsatira zakudya zamagulu ochepa. Zakudya zonse ziyenera kukhala zopatsa thanzi. Zakudya zamafuta, zonunkhira, zamchere komanso zowawasa ndizoletsedwa. Ndikofunikira kumwa zamchere zamchere. Zakudya zowononga ndi zowonjezera, utoto, zonunkhira, komanso zakudya zamzitini, mizimu ndi zakudya zolimba (radara, kabichi, etc.) siziphatikizidwa ndi zakudya.

Wodwalayo amatha kubwerera ku chakudya cham'mbuyo pokhapokha ngati matumbo adabwezeretsa panthawi yamankhwala ndipo matenda a ziwalo zina zam'mimba sanapezeka. Ngati mumadya zakudya zomwe mumakonda kwambiri komanso osadya kwambiri, mutha kumva bwino ngakhale muli ndi matenda monga kapamba.

Zolemba zaukadaulo wazachipatala

Ngakhale munthu wathanzi lathunthu amatha kukhala ndi kapamba - mwachitsanzo, matenda opatsirana, poyizoni, kapena chifukwa cha kuwonongeka kwa chiwindi. Matendawa amatha kuchitika nthawi ndi nthawi komanso kukhululuka. Lero tikambirana za zakudya zomwe ziyenera kukhala zochulukirapo za kapamba.

Pancreatitis ndimatenda ofala kwambiri, omwe nthawi zambiri amayamba chifukwa cha kuperewera kwa zakudya m'thupi, kudya kwambiri, kumwa kwambiri.

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Zakudya pa kukokoloka kwa kapamba

Kodi muyenera kusintha liti pakudya? Nthawi zambiri timaganizira izi zikafika zinazake zolakwika mthupi lathu: kunenepa kwambiri, matenda a metabolic, matenda osachiritsika. Zakudya mu nthawi yochulukirapo ya kapamba ndizofunikira, chifukwa popanda izi ndizosatheka kuchira matenda.

Ndi chitukuko cha kapamba, amadyedwa kudya osachepera chaka chimodzi. Munthawi imeneyi, wodwalayo amapereka mwayi kwa dongosolo lake logaya chakudya kuti ayambenso kugwira ntchito yabwinobwino.

Ponena za nthawi yodwala matendawa pakokha, ndiye kuti masiku awiri kapena atatu oyamba kwambiri, kudya nkoletsedwa kotheratu. Munthawi yovuta kwambiri, ndikofunikira kuti pakhale kupumula kokwanira kwamatumbo, ndipo, makamaka, kwa kapamba. Nthawi ino iyenera kugwiritsidwa ntchito kukhazikitsa zovuta za metabolic, kuti ikhale yachilendo kupanga michere yokumba.

Tikubwereza kuti sizingatheke kudya chakudya masiku oyamba. Ngati wodwala ali ndi ludzu, mutha kuthetsa ludzu lanu ndi madzi ochepa amchere osapatsa mpweya: Borjomi, Polyana Kvasova, Luzhanskaya, ndi zina zamchere za Alkaline zitha kupewetsa kubisala kwa madzi a m'mimba, omwe amalola kapamba kuti asamasuke.

M'masiku otsatirawa, kutengera mtundu wa wodwalayo, kumwa kumaloledwa mowonjezereka, pang'onopang'ono kusamukira chakudya chamadzi chokhacho ndi chochepa kwambiri.

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Zakudya za kukokomeza matenda kapamba

Ndi kuchulukitsa kwa matenda a kapamba, chakudya chama protein chimakonda kuperekedwa. Mafuta pazakudya ayenera kukhala ochepa: ndi katundu wamkulu kwa kapamba ndi chikhodzodzo cha ndulu. Ndi mafuta ochepa kwambiri am'munda omwe amaloledwa.

Chifukwa cha chakudya chama protein, minofu yowonongeka ya pancreatic imabwezeretseka. Zakudya zopatsa thanzi sizoletsedwa, komabe, ngati pali kukayikira komwe kumayambitsa matenda a shuga, ndiye kuti zakudya zam'mimba sizikulimbikitsidwa (dzuwa losavuta, jamu, maswiti).

Chofunikira kwambiri pakubwezeretsa dongosolo logaya chakudya ndi kulimbitsa chitetezo chokwanira ndi mavitamini: vitamini A, C, bioflavonoids ndi gulu B.

Mchere wambiri watsiku ndi tsiku uyenera kukhala woperewera (kuti muchepetse kutupira kwa zotupa), osachepera milungu iwiri.

Ndikofunikira kukhazikitsa kudya kashiamu, komwe kumatha kulimbitsa khoma lamitsempha ndikuchepetsa kukula kwawo.

Ndi kuchulukitsa kwa matenda kapamba, muyenera kusinthira kumadzi ndikuphika chakudya, komwe kumakhala chakudya chotentha, chopanda mchere, zonunkhira ndi zokometsera. Poyamba, supu zosenda bwino, kefir wopanda asidi, chimanga chamadzimadzi chamadzi (oatmeal, mpunga, semolina), masamba oyimitsa, tchizi chamkaka chamafuta ochepa, komanso tiyi wopanda mphamvu wopanda shuga ndizololedwa.

Popita nthawi, menyuwo amakula: Azungu a mazira, ma jellies, nyama yochepa yozama komanso nyama zam'madzi, buledi wopanda zouma umawonjezeredwa.

Ndikofunikira kudya pang'ono panjira kuti musadye kwambiri. Ndi choyenera kudya mpaka katatu pa tsiku.

Zakudya zophika, kusuta, mchere, zosemedwa, zakudya zamzitini, komanso nyama yamafuta ndi mafuta anyama, kirimu wowawasa wamafuta, mowa, ndi muffin ndizoletsedwa.

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Zakudya pambuyo kuchulukana kwa kapamba

Pambuyo pakutha kwa zizindikiro za pancreatitis pachimake ndikubwezeretsa ntchito kwa kapamba, zakudya siziyenera kuimitsidwa paliponse.

Zakudya pambuyo kufalikira kwa kapamba zimayikidwa, choyambirira, kuti tipewe kukonzanso matenda.

Chakudya chimaphikidwa mu owiritsa pawiri, chophika kapena chophika mu uvuni ndi mafuta ochepa.

Muyenera kusamala ndi zinthu zomwe zimalimbikitsidwa kuti zikhale zachulukirapo za kapamba:

• zophika zoyera, masamba owuma,
• masamba osenda kapena msuzi wowotcha,
• pasitala
• chimanga (oatmeal, semolina, mpunga, barele, buckwheat) m'malo oyeretsa,
• mafuta a masamba
• mucous ndi sirimu msuzi
• nyama yokhala ndi mafuta ochepa, makamaka nkhuku kapena kalulu, imatha kukhala nyama yamchere,
• nsomba zamafuta ochepa
• zinthu zamkaka (zatsopano komanso zosapatsa acid),
• zipatso, zophika kapena zophika,
• compote wopanda acid, jelly, zakudya, timadziti tothira madzi pang'ono, timadzi tim'madzi tokhathamira ndi madzi,
• azungu azira
• ochepa zipatso zonyowa pansi panthaka.

Zakudya ndi mbale zotsatirazi sizikulimbikitsidwa:

• makeke abwino, kuphika,
• mafuta anyama, nsomba ndi nsomba,
• masoseji ndi mankhwala osuta,
• zopangidwa ndi mchere ndi kuzifutsa,
• zakudya wowawasa
• mafuta a nyama
• nyemba, nandolo, mphodza,
• msuzi wamafuta ambiri, zonona wowawasa ndi zonona
• mbale za kabichi
• tchizi cholimba
• kabichi, radish, sorelo,
• zonunkhira, mchere,
• viniga, mayonesi, ketchup, msuzi,
• zakudya zokazinga
• maswiti, makeke, makeke, ayisikilimu, chokoleti,
• khofi, koko, zakumwa zochokera mu kaboni,
• mizimu.

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Zakudya maphikidwe a kuchuluka kwa kapamba

Zakudya ndi kuchuluka kwa kapamba zimaphatikizapo zakudya zisanu kapena zisanu ndi chimodzi patsiku zazing'ono. Palibe chifukwa chomwe kudya moperewera kumaloledwa.

Musaiwale kuti m'masiku oyambirira ochulukirachulukira, kudya koletsedwa nthawi zambiri, mumangomwa madzi ochepa am mchere wopanda mpweya. Mtsogolomo, zakudya zidzakulitsa, ndipo tikukupatsani chitsanzo pansipa.

Timapereka menyu pafupifupi sabata limodzi. Mutha kukonzekera mwadongosolo menyu wotere pogwiritsa ntchito malonda omwe azololedwa.

Tsiku loyamba

• Chakudya cham'mawa.Hafu ya kugwiritsa ntchito msuzi wa mucous, 100 ml ya madzi.
• Zakudya. Apulo wophika wopanda peel.
• Chakudya chamadzulo Hafu ya kuphika mbatata yosenda popanda batala ndi mchere, mkaka.
• Chakudya chamadzulo. Kissel, wosaka.
• Chakudya chamadzulo Buckwheat phala, tiyi wofooka ndi mkaka.

Tsiku lachisanu

• Chakudya cham'mawa. Semolina pudding, tiyi ndi timbewu tonunkhira.
• Zakudya. Rusk, odzola.
• Chakudya chamadzulo Msuzi wa nkhuku, karoti wodula, compote.
• Chakudya chamadzulo. Zipatso Mousse.
• Chakudya chamadzulo Mbale yanyama ya nsomba ndi mbatata yosenda, tiyi wopanda masamba.

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Tsiku lachisanu ndi chiwiri

• Chakudya cham'mawa. Mipira yopindika ndi kupanikizana, tiyi wokhala ndi mkaka.
• Zakudya. Apple Mousse.
• Chakudya chamadzulo Buckwheat nsomba fillet, compote.
• Chakudya chamadzulo. Oatmeal odzola ndi wowononga.
• Chakudya chamadzulo Zucchini wolimba ndi tiziwuma tini, tiyi wofooka.

Kumapeto kwa tsiku lililonse, musanagone, ndikulimbikitsidwa kumwa 100-150 ml ya kefir kapena yogathi watsopano. Masana, m'malo mwa mkate, muyenera kugwiritsa ntchito mankhwala owuma, ndipo tiyi umamwedwa mwachofooka ndikuledzera mofunda. Zakudya zonse siziyenera kuzizira kapena kutentha. Zakudya zotentha zimakimbidwa mosavuta.

Zakudya zaphikidwe chifukwa cha kuchuluka kwa kapamba

• Mipira ya Mbatata Ndi Chikuku

Tikufunika: mbatata, chifuwa cha nkhuku, kaloti, zitsamba, anyezi, mafuta a masamba.

Wiritsani chifuwa cha nkhuku ndikudutsa chopukusira nyama kapena chosakanizira pamodzi ndi kaloti owiritsa ndi anyezi yaying'ono.

Wiritsani mbatata ndikusintha mbatata yosenda. Kuchokera mbatata yosenda timapanga bwalo momwe timayikiramo nyama yaying'ono, tinakola mpira. Mipira yakutsogolo imayikidwa kwa theka la ola mufiriji.

Mipira yozungulira imayikidwa mu boiler kapena uvuni wapawiri. Ngati mukuphika mu uvuni, ndiye kuti mipira iyenera kuyikidwa mu nkhuni-isanakhazikitsidwe ndi mafuta ochepa a masamba. Preheat uvuni mpaka 220 ° C. Mukatumikira, kuwaza ndi zitsamba.

Tikufunika: pang'ono masamba mafuta, karoti mmodzi, anyezi umodzi, madzi (pafupifupi 0,5 l), barele - kapu ya,, phwetekere imodzi.

Thirani madzi mu barele wa pearl ndi kuphika kwa mphindi 45 kuchokera nthawi yowira. Pambuyo pa izi, timathira madzi owonjezera, kuwonjezera dontho la mafuta a azitona, kusiya ndikutchinga.

Soka anyezi wosankhidwa ndi supuni ya mafuta a masamba, onjezani kaloti wowotcha, phweteke wosankhidwa, simmer kwa mphindi khumi pamoto wochepa pansi pa chivindikiro.

Pearl balere amadutsidwa kudzera pa blender, onjezani masamba ophikawo, sakanizani ndikusiya pansi pa chivundikiro kwa mphindi zina zisanu ndi zisanu ndi chimodzi.

• Soseji yophika kunyumba

Tengani: 700 g ya chifuwa cha nkhuku, 300 ml wowawasa wowawasa, azungu atatu a dzira, mchere pang'ono, amadyera ngati angafune.

Timadula chifuwa chaiwisi ndikudutsa pa blender kupita ku boma la mushy. Onjezani mapuloteni, mchere pang'ono, ngati mukufuna - amadyera.

Thirani kirimu wowawasa wowawasa mu chifukwa cha misa ndi knead.

Pa filimu yomata timasiyanitsa gawo lachitatu la minced nyama, kupanga soseji, kulimbitsa m'mphepete ndi ulusi. Chifukwa chake, tiyenera kupeza masoseji atatu.

Mu msuzi wina waukulu, wiritsani madzi, mutawiritsa, muchepetse kutentha (kuti madzi aleke kuwira, koma kutentha kwake kumakhalabe). Timayika soseji mu poto ndikuyiyika pa sosoyo pamwamba kuti isabwere. Wiritsani kwa ola limodzi. Kenako, chotsani kuchokera poto, ozizira, ndipo kenako chotsani filimuyo. Dulani ndi kutumikira.

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