Kusintha kwa kapamba

Kufotokozera kogwirizana ndi 19.03.2018

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Malamulo onse

Kusintha kovuta m'mapamba (kapamba) amapezeka ndi ma ultrasound ndipo akuwonetsa kusintha kwa kapangidwe ka minofu. Kukhalapo kwa kusintha kosiyanasiyana / mtundu wawo kumatanthauza kukhalapo kwa matenda kapena kusintha kokhudzana ndi zaka mu kapamba. Nthawi zambiri, minyewa ya m'maso yake imakhala yopanga mawonekedwe. Pamaso pa kutupa, minofu imakwiya, imayamba kuwunduka, mafuta amawonongeka, ndipo magawo amitundu ndi ma calrificate amapangidwamo. Zizindikiro za Echo za kusintha kwakumaso kwa pancreatic minofu zimaphatikizapo: kuchulukana / kuchepa kwa mphamvu ya chikhodzodzo (chithunzi ndichopepuka / chamdima), kuchulukana kwachulukidwe ka hyperechoic foci, kutsutsana kwina, kukulitsa / kuchepetsa kukula kwa kapamba motsutsana ndi fibrosis.

Mitundu yayikulu yakusintha kwa kapamba ndi:

• Lipomatosis (kuchepa kwamafuta), momwe ma pancreas parenchyma (pancreatocytes) amasinthidwa ndi adipose minofu (adipocytes). Zachilendo pakati pa anthu achikulire komanso anthu okhwima ndi matenda ashuga.
• Fibrosis - kupatula m'malo mwa prostate minyewa yolumikizira.

Zosintha zovuta zimatha kutchulidwa komanso zochepa. Kusintha kwamphamvu kwa kapamba kumadziwika mu magawo oyamba a microsis / lipomatosis, momwe kufalikira kwa enzyme sikumawonekere. Pamodzi ndi madandaulo a mseru pambuyo kudya, kusapeza bwino, kupweteka kwa epigastric dera, kusokonezeka kwa chopondapo. Pa ultrasound adawulula kachulukidwe kachulukidwe ka kapamba, (kuphatikiza madera owonjezera ndi kuchepa). Choyambitsa chachikulu cha kusinthaku koyambira koyenerera ndi kapamba wofatsa / edema ya kapamba. Pofuna kupewa kupitirira kwa kusintha, zakudya zokhala ndi mankhwala olimbitsa.

Kusintha komwe kumadziwika kuti kumachitika m'thupi kumakhala patsogolo kwambiri (kawirikawiri matenda osachiritsika) a ziwalo, kumachitika ndi kuchepa kwa enzymatic ndipo kumayendetsedwa ndi kugaya chakudya, kuchepa kwa mapuloteni, kuchepa thupi, komanso kusokonezeka kwakukulu. Zosintha zovuta, monga lamulo, sizikhalanso zotheka kusintha. Kuchiza, kuphatikiza pa chithandizo chamankhwala chokhazikika, kumaphatikizira poika mankhwala othandizira.

Amavomerezedwa kuti kusintha kosiyanitsa ndi chizindikiro cha kukhalapo kwa matenda otupa a gland (pachimake / pancreatitis). Ultrasound ikuwonetsa kuyambitsa / kuwonjezeka kwakanthawi kukula kwa kapamba, ili ndi mawonekedwe opindika, kutsika kwina chifukwa cha chitukuko cha kutchulidwa kwa edema, kapangidwe kake ka minofu ndi kosatheka chifukwa cha mawonekedwe a malo a hypoechoic, omwe ndi zigawo za necrosis, pali kukulira kwa pancreatic duct, munthawi zina. Odwala okalamba, kusintha kosokoneza kungakhale chizindikiro cha kubadwa kwa minyewa yothandizika ndi minofu yokhudza mafuta.

Zakudya zokhala ndi kusintha kwakumaso kwa kapamba ndizofunikira kwambiri pazochizira nthawi zonse zosiyanasiyana zamatenda a kapamba. Zakudya zamankhwala zimakhazikitsidwa ndi zapamwamba Zakudya №5P ndipo imakuthandizani kuti muchepetse kupindika mu ma ducts, kupondereza kupanikizika kwakanthawi ndikusintha njira za metabolic mu kapamba, kubwezeretsa ntchito yake munthawi yayitali. M'mitundu yovuta, zolinga zazikulu za chithandizo cha zakudya ndi: kuyimitsa kupanga kapamba wamadzi a pancreatic, omwe amakwaniritsidwa ndi njala komanso kupumula kwa kama.

M'masiku oyambilira, wodwalayo amawonetsedwa kumwa kokha: tiyi ya rosehip, tiyi yofooka, mchere wamchere wamchere (Borjomi, Essentuki No. 17), madzi owiritsa pamoto kutentha m'zigawo zazing'ono. Njala, monga lamulo, kutengera mkhalidwe wa wodwalayo imaperekedwa kwa masiku 1-3. Kupitilira apo, chakudya chikukula ndikuyamba kuphatikizidwa pang'onopang'ono kwa zinthu zatsopano, kuchuluka kwa chakudya ndi zopatsa mphamvu zake mosamala mosamala makina / makina osungidwa m'thupi.

Zakudya za 5P Ili ndi njira ziwiri: njira yoyamba imakhazikitsidwa pambuyo panjala yokhala ndi pancreatitis yayikulu kapena kufalikira kwa matenda osachiritsika. Njira iyi yazakudya imathetsa ululu ndipo imapereka kuchepa kwapancreas kwambiri. Zakudya zopatsa thanzi panthawiyi ndizochepa-calorie, sizogwirizana ndi miyambo ya thupi (80 g ya mapuloteni, 40-60 g yamafuta ndi 200 g yamafuta, zopatsa mphamvu pa 1500-1600 kcal / tsiku) ndipo zitha kutumikiridwa kwa nthawi yoposa masiku opitilira 4-6. Amadyetsa mpaka katatu pa tsiku, m'magawo ochepa kwambiri (mpaka 100 g).

Kuchuluka kwa madzi aulere kuli mpaka 1.5-2.0 l, sodium chloride ndi 8-10 g. Ration iyenera kukhala ndi zinthu zamagetsi zamagetsi ndipo masiku 6-7 okha ndi omwe amaloledwa kuyambitsa mbale za semi-viscous. Pancreatic secretion simalimbikitsidwa pang'ono ndi chakudya chamafuta, ndichifukwa chake zimaphatikizidwa muzakudya pambuyo panjala - madzi osenda monga chimanga, masamba ophatikizika, supu yopanda mafuta, mikate yoyera / mkate wopukutira, zipatso zosenda bwino, tiyi wopanda mphamvu ndi shuga, zakudya zamadzimadzi odzola ndi xylitol. Kuyambira masiku atatu, zakudya zamapuloteni zimayambitsidwa m'zakudya: amamu othira kuchokera ku mazira a nkhuku, phala lolumikizana, chimanga mu mkaka wosungunuka, msuzi wa kirimu kuchokera ku nyama yophika, nyama yofewa / nsomba, cutlets za turkey, nkhuku, batala.

Ndikusintha kwa chakudya cham'mimba ndikuchepetsa ululu, njira yachiwiri ndi yomwe imaperekedwa, komwe kumakhala chakudya chokwanira (100-120 g mapuloteni, 70 g yamafuta ndi 350 g yamafuta) pomwe wodwala yemwe adanenedwa kuti akusintha kapamba wamankhwala ayenera kukhala kwa nthawi yayitali (miyezi 6-12 ) Chakudyacho chimaphikidwa mu mawonekedwe owiritsa / nthunzi, mbale zimapukutidwa, ndipo pambuyo pake - kumadulidwa. Chakudya chamitundu, m'magawo ang'onoang'ono. Pakapanda kukwana chakudya chama protein, mapuloteni amachepa kwakanthawi, pomwe zopatsa mphamvu zimachulukanso. Zowonjezera / CHIKWANGWANI (bowa wa nsomba, nyama ndi msuzi wamafupa, zakumwa zokhala ndi mowa, zakudya yokazinga, masamba osaphika / zipatso) sizimayikidwa konse. Mchere - mpaka 6. G ukuwonetsedwa kuti zakudya zomwe zimaletsa michere ya proteinolytic zimaphatikizidwa muzakudya: dzira loyera, mbatata, oatmeal, soya.

Panthawi yachikhululukiro, mndandanda wazinthu umakula, masamba amaphatikizidwa kale mu mawonekedwe osaphika, monga mbale zodziyimira pawokha, komanso kapangidwe ka vinaigrette, saladi, mbale zam'mbali. Sopo amaphika osaphika, kusintha kukoma, gwiritsani ntchito msuzi wokonzedwa palokha. Mu gawo la chikhululukiro, ndikofunikira kutenga madzi amchere a sing'anga ochepa pakapita milungu itatu. Mu chifuwa chachikulu cha pancreatitis, chakudyacho chimakhala ndi moyo.

Zakudya zomwe zimasinthasintha masakanizo mu kapamba zimaperekanso masiku osala kudya kamodzi pa sabata pazinthu zomwe sizikutsutsana (oat, tchizi cha tchizi, tchizi chokole, zipatso, mpunga wazipatso, chivwende, dzungu). Kuti athetse vuto logaya chakudya m'mimba, odwala amadziwika Chiboni. Pazithandizo, mutha kuphatikiza mankhwala azikhalidwe za anthu (chakumwa cha chicory, decoction kuchokera ku burdock, chakumwa cha oats). Ndi matenda ophatikizika (cholecystopancreatitis, gastritis, gastroduodenitis) zakudya zakudya zimasinthidwa malinga ndi zakudya za nthenda inayake.

Zinthu Zololedwa

Zakudya zamakono zosinthira kapamba zimaphatikizapo:

• Supu pa msuzi wamasamba wokhala ndi grated ndi yophika bwino yololedwa, zokometsera ndi batala, kirimu wowawasa, kirimu.
• Maphala (buluwheat, semolina, oatmeal, mpunga) yophika pamadzi ndikubweretsa pansi ndi mawonekedwe osasinthika.
• Yophika / yosenda squashi, kaloti, mbatata, dzungu, kolifulawa, nandolo zobiriwira, beets. Pambuyo pake - karoti yaiwisi / maungu ndi nkhaka zophika, tomato.
• Nsomba yamafuta ochepa (carp, pike perch, hake, cod, perch, pike, pollock), yonyongedwa / yophika mu chidutswa kapena mwanjira ya cutlets.
• Nyama yofiyira yofiyira (ng'ombe, nyama yamwana wamchere), nyama ya kalulu, nkhuku mumtundu wa zinthu zodulidwa (zikwangwani, ma bookbou, souffles, ma meatball), zanyazi. Nkhuku / kalulu owiritsa amatha kuphika zidutswa.
• Zowaka mkaka wowonda wamafuta ochepa. Mkaka umaloledwa kuti uwonjezeredwe m'mbale. Wowawasa kirimu - monga zokometsera za mbale, tchizi yofatsa mu mawonekedwe a grated.
• Ma protein a protein (1 dzira limodzi).
• Mkate wa tirigu wakale, makeke amphika a biscuit.
• Msuzi wopanga tokha pa msuzi wa masamba ndi kuwonjezera kwa kirimu wowawasa / mkaka.
• Zipatso - mu pachimake nyengo, anaphika maapulo okoma. Zipatso zouma. Pambuyo pake - odzola, maswiti. Mu gawo la chikhululukiro, zipatso zosaphika / zipatso zochepa ndizovomerezeka.
• Pambuyo pakuchulukitsa, mafutawa amaperekedwa mosamala kwambiri, choyamba - batala, ndipo pambuyo pake - mpendadzuwa woyatsidwa.

Zomwe zimasokoneza kusintha kwa kapamba ndi zizindikiro zawo

Mankhwala amatanthauzira kuti si matenda, koma chowona ndi chowunikira. Kodi kapamba mwa anthu ali kuti? Ili kumbuyo kwa m'mimba kukhoma lakumbuyo kwam'mimba, pang'ono pang'ono kumanzere kwa hypochondrium. Thupi limagwira ntchito yoyang'anira ndipo limapanga mahomoni. Kusintha kwakukuru mu gland amadziwika ndi kuchepa kapena kuwonjezeka kwa echogenicity - chizindikiro cha kuwunika kwa ultrasound pazinyezi zina za ziwalo. Poyambirira, zotsatirazi zikupezeka:

• kusokoneza mapangidwe apangidwe
• konsekonse
• kusuntha kwa milatho.

Kusintha kwamphamvu mu pancreatic parenchyma

Zida zowonongedwa zimatha kusinthidwa ndi zipsera, maselo amafuta. Parenchyma - mndandanda wa zinthu zofunikira za gland, kusintha komwe kumakhudza kachulukidwe kake. Kukwiya kumatha kusanduka mavuto mwa mwana. Zomwe zimayambitsa matenda a pancreatic zili mu kuphatikizika kwa chiwalo. Ndi chizindikiro cha echo chotere, ntchito yake imaphwanyidwa. Matenda ovuta amakwiya ndi:

• chakudya chosasamala
• kusilira mchere, zonunkhira, mafuta,
• zizolowezi zoipa
• kupsinjika, kusokonezeka kwamanjenje,
• zaka
• matenda osachiritsika.

Kusintha koyenera

Nthawi zambiri, matenda oterewa sayambitsa zizindikiro zosasangalatsa, safunikira chithandizo. Ndi magawidwe ofanana posintha parenchyma. Ngati pali madandaulo, kugwira ntchito kwa kapamba, chiwindi, ndulu, ndi ziwalo zina zam'mimba kumayendera. Amalumikizana, ndipo zizindikiro za matenda omwe ali ndi mavuto ndi ziwalozi ndizofanana.

Ndi mtundu wa lipomatosis

The organ parenchyma imatha kusintha pang'onopang'ono ndi mafuta maselo. Malingana ngati kulowererako kumasungidwa mpaka 30%, wodwalayo samamva vuto lililonse. Kukula kwa minofu ya Adipose kumalumikizidwa ndi kutupa kosatha, zotupa zoopsa, komanso kuvulala. Nthawi zambiri zimawonedwa mwa anthu okalamba, odwala matenda ashuga. Ngati njirayi ikupita patsogolo, izi zimabweretsa chisokonezo mu ntchito ya thupi.

Kuchiza ndi wowerengeka azitsamba

Ma psychology angapo siziwopseza moyo, komanso sangathe kuthandizidwa. Kachigawo kakang'ono ka chiwalo kokha kamatha kuchotsedwa. Nthawi zina, adokotala amakupatsani zakudya zamatenda a kapamba, mankhwala ochizira matenda a matenda, kuphatikizapo ma enzymes. Mankhwala achikhalidwe ali ndi njira yake - yochepetsera matenda ndikuchiritsa pang'onopang'ono.

Oatmeal jelly ndi njira yomwe ndikofunikira kuti ayambe akukonza maziko. Mtsuko wama lita atatu 1/3 mumagona ndi zodulidwa zouma zoumba, kuthira khosi ndi madzi okhazikika. Kenako:

1. Monga chikhalidwe choyambira, gwiritsani ntchito makapu 0,5 a kefir, kapena kutumphuka kwa mkate wa rye.
2. Chojambulachi chimaloledwa kupesa kwa masiku atatu.
3. Zosefera, kunena kwa maola 12, kukhetsa madzi, kuyikiratu ndi firiji.
4. Kissel - 8 tbsp. l matope ndi magalasi awiri amadzi - mphindi 5 simmer pa moto wochepa.
5. Idyani musanadye chakudya cham'mawa. Amaloledwa kuwonjezera mkaka, kirimu.

Msuzi wazitsamba ndi oats amakonzedwa mosiyanasiyana. Zosakaniza ndi zophwanyika, zosakanikirana: magawo anayi a ufa wofiirira, magawo asanu a fennel muzu, magawo anayi a centaury, gawo limodzi la chowawa cha ndimu, magawo 6 amkaka wamkaka. Momwe mungaphikire ndikugwiritsa ntchito:

1. Pa Art yosakwanira. L zomera zimatenga 0,5 l madzi otentha.
2. Mphindi 2 simmer pamoto wotsika. Ndiye 1 ora kunena.
3. Imwani 50 ml musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo.

Ndiosavuta kukonzekera kulowetsedwa ndi tchire:

1. Sakanizani 3 tsp. calendula, 2 tsp sage, 1 tsp chitsulo.
2. Thirani osakaniza ndi kapu ya madzi otentha.
3. Kuumirira, zosefera. Imwani m'magawo mpaka 0,5 chikho kawiri pa tsiku.

Kanema: Kodi mawonetsero akuonetsa kusintha kwa zisangalalo za pancreatic amatanthauza chiyani?

Kuwonjezeka kwa echogenicity kumawonetsa kutukuka, kapena kusinthanitsa pang'ono kwa limba. Malo akhungu mu phunziroli akuwonetsa kuti hemorrhage kapena necrosis ya gland. Kuchulukana kwa zachilengedwe - kuti pakhale kukulitsa kwa duct. Kodi zikondamoyo zimapweteka bwanji? Kupweteka kapena kupweteka kwamafunde sikungakhalire malo amodzi, perekani kumbuyo. Onerani kanemayo, kuti musagwiritsidwe ntchito ndi zovuta zomwe zingalepheretse nthawi yayitali.