Zizindikiro za kapamba ndi Chithandizo

Pancreatitis - Ili ndi dzina la gulu lonse la matenda ndi zizindikilo zomwe zimatulutsa kapamba. Ngati izi zikuwoneka, ndiye micherezopangidwa ndi kapamba simalowa mu duodenum. Chifukwa chake, amayamba kuchita mwachangu kale kapamba, pang'onopang'ono akuwononga. Chifukwa chake, zomwe amadzitcha kuti adya chimbudzi zimachitika. Matenda amtunduwu amadzala ndi kuwonongeka kwamtsogolo kwa ziwalo zina, chifukwa ndi chiwonongeko chapang'onopang'ono cha kapamba, pali magawidwe poizoni ndi michere. Nawonso amatha kukhala m'magazi ndikuwononga ziwalo zina. Chifukwa chake, pancreatitis pachimake iyenera kuthandizidwa mukangomupeza. Panthawi imeneyi, chithandizo chimachitika kwambiri kuchipatala.

Mwa akazi, kapamba amadziwika nthawi zambiri kuposa amuna. Komanso anthu onenepa komanso okalamba amatha kupezeka ndi kapamba.

Kodi kapamba amayamba bwanji?

M'mitsempha ya kapamba, kupanikizika pang'onopang'ono, ndipo ma enzyme omwe amalowa mu minofu ya gland amachititsa kuti awonongeke. Ngati kapamba amalowa mu mawonekedwe owopsa (pamenepa tikulankhula kapamba), ndiye kuti pathological process imadziwika ndi necrosis ya gawo lofunika kwambiri la pancreatic minofu. Ngati kukula kwa njirayi sikupereka chithandizo chokwanira, ndiye necrosis pambuyo pake imakhudzanso minofu yamafuta yomwe imazungulira kapamba, imakhudza ziwalo zina zingapo zomwe zimapezeka m'malo obwezeretsanso. Pamene michere yogwira pancreatic ilowa m'mimba, wodwalayo amatulutsa pancreatogenic aseptic peritonitis. Panthawi imeneyi, kusowa kwa chithandizo kumabweretsa imfa.

Mitundu ya kapamba

Pancreatitis nthawi zambiri imagawidwa m'mitundu ingapo. Kutengera mtundu wa matendawa, matendawa amatha lakuthwa, pachimake, aakulukomanso momwe zingathere kuchulukaaakulu kapamba.

Nawonso, pancreatitis pachimake imatha kupezeka m'njira zingapo. At yapakati pancreatitispachimake pancreatic edema kumachitika, ndi hemorrhagic kapamba hemorrhage amapezeka mu minofu ya England pachimake kapamba necrosis kutulutsa kumayamba kuzimiririka, ndipo pakumera pake pakuwonekera. Ngati wodwalayo ali ndi kapamba komanso kupweteka cholecystitis, ndiye mu nkhaniyi tikulankhula za pachimake cholecystopancreatitis. Purulent kapamba Amapezeka ngati pali zofunika za purangan fusion mu England. Mitundu yonseyi yamatenda a kapamba imatha kudutsa pang'ono pang'ono.

Atpachimake kapamba wodwalayo amakhala ndi kusintha kwapang'onopang'ono mu tiziwalo timene timatulutsidwa, komanso kuunika kwa necrosis. Pang'onopang'ono, boma limalowa m'malo fibrosis, mlangizi ngakhale kuyerekezerazotupa. Komabe, nthawi zina, pancreatitis yachilendo imadziwonetsera yokha ngati yotupa yodutsamo ndi edema ya gawo linalake la kapamba. Nthawi zina, pali necrosis, kuwonjezereka ndi kumachitika kwa zotupa zingapo mu minofu ndi zotupa. Ndi chitukuko cha pancreatitis pachimake, mkhalidwe wa wodwalayo ndi woopsa kwambiri ndipo amatha kupha, ngakhale chithandizo chitha.

Matenda a kapamba - Awa ndi mtundu wa matenda omwe kutupa kumayamba pang'onopang'ono, pomwe ntchito za kapamba zimalephera. Zotsatira zake, fibrosis ya minofu ya pancreatic imatha kuchitika kapena kuwerengera kwake. The aakulu kapamba, nthawi kuchotsedwa ndi exacerbations m'malo. Zomwe zimachitika chifukwa cha matenda obwera chifukwa cha kupweteka kwa kapamba zimatha kukhala zoperewera pantchito yopukusa chakudya. Odwala otere nthawi zambiri amakula pambuyo pake matenda ashuga. Pakadwala kapamba, chotupa chimatha kuyamba m'matumbo chonse, kapena m'malo ake.

Mu chifuwa chachikulu, ndimakonda kusiyanitsa mitundu ingapo ya matendawa. Ngati wodwala akuwonekeramawonekedwe asymptomatic matenda, ndiye muzochitika izi thanzi lake limakhalabe labwino kwa nthawi yayitali. At mawonekedwe a ululuchifuwa chachikulu cha m'mimba kupweteka kwam'mimba chimawonetsedwa, ndikuchulukirachulukirachulukira kwamkati mwachuma. At aakulu zinthawi zonse kapambaKupweteka kumachitika pokhapokha ngati mwayambanso matenda. Zochepa "Pseudotumor" mawonekedwe matenda, ndi chitukuko chake chomwe pamakhala kuwonjezeka kwa mutu wa ndulu, minyewa yam'mimba imakulirakulira, ndipo kukula kwa ndulu kumakulanso.

Akuyimiranso yogwira pancreatitisMomwe chikondamoyo chachikulu chimaphatikizidwira ndikuchulukirachulukira kwamatenda a duodenum, m'mimba, chikhodzodzo, chiwindi.

Zoyambitsa Pancreatitis

Kugwira ntchito kwabwinobwino kwa kapamba wamunthu nthawi zina kumasokonezedwa ndi kugwiritsa ntchito zonunkhira kwambiri, zokazinga, zamafuta. Poizoni wambiri, wowopsa kapena wowopsa umathandizanso kukulitsa kapamba. Kukondoweza kwa kutulutsidwa kwakanthawi kwa madzi a pancreatic kumatha kudzutsanso chikhalidwe cha neuropsychic.

Zotsatira zake, iwo omwe amamwa mowa mopitirira muyeso ali pachiwopsezo chachikulu chotenga kapamba. Pancreatitis imachulukanso nthawi zambiri mwa amayi apakati komanso amayi ochepera nthawi yobereka. Njira yolepheretsa kukula kwa kapamba ndi njira yoyenera yakhazikitsira zakudya. Chifukwa chake, matendawa amapezeka pafupipafupi kwa iwo omwe amadya zakudya zopanda zakudya: chakudya mwachangu, zakudya zopatsa mphamvu, zakudya zopakidwa ndi utoto ndi zosayenera zina zamankhwala.

Kukula kwa wodwala wodwala kapamba nthawi zambiri kumachitika pambuyo pa matenda. Komabe, nthawi zambiri, matenda kapamba amayamba chifukwa cha matenda ena: cholecystitis, zilonda zam'mimba, matenda matumbo, chiwindi ndi ena

Choyambitsa chachikulu cha kapamba cholelithiasis. Kuphatikiza apo, kapamba amatha kudziwonetsa motsutsana ndi poyambira poyizoni wamphamvu, kuvulala, matenda a ma virus, opaleshoni ya mankhwalawa komanso ma endoscopic. Nthawi zina matenda a kapamba amayamba kuvuta chifukwa cha kuchuluka kwakukulu mavitamini AndiE.

Zizindikiro za Pancreatitis

Mwanjira yodwala komanso yovuta ya matendawa, zizindikiro za kapamba zimadziwonetsa m'njira zosiyanasiyana. Kuphatikiza apo, munthu akayamba kudwala kapamba, amatha kupanga zipsera za kapamba wokhudzana ndi chifuwa chachikulu. Komabe, pamatenda osakhazikika, matendawa amatha kupezekanso.

Wodwala akayamba kudwala kapamba, ndiye kuti matendawa amatengera mtundu wa matenda ake komanso magawo omwe munthu ali nawo. Chizindikiro chodziwika bwino komanso chokhazikika cha pancreatitis yovuta kwambiri pamimba. Kupweteka kumakhala kosalekeza, kosalala kapena kudula. Matendawa akamakula, ululu wake umakulirakulira ndipo nthawi zina umayambitsa kudandaula. Malo achititsa kupweteketsa ululu ndi dzanja lamanzere kapena lamanzere, pansi pa supuni. Ngati kapamba konse akhudzidwa, ndiye kuti ululu ndi herpes zoster. Kuphatikiza apo, zizindikiro za pancreatitis pachimake ndi hiccupskamwa yowuma, malamba, nseru. Munthu amakhala ndi vuto losanza pafupipafupi, momwe amaphatikizidwira bile. Komabe, atasanza, wodwalayo samva mpumulo. Chopondapo cha munthu amene ali ndi vuto la pancreatitis pachimake ndi mushy, mmenemo mutha kupeza zakudya zosavomerezeka. Mpando ndiosasangalatsa, frothy.

Matendawa akapita patsogolo, thupi la wodwalayo limayamba kuwonongeka msanga. Zomwe zimachitika zimachitika mwachangu, kutentha kwa thupi kumakwera, zizindikiro zimachepakuthamanga kwa magazi. Munthu amakhala ndi nkhawa nthawi zonse kupuma movutikira, pa lilime pali chikhodzodzo chambiri, thukuta lomata limawonekera pathupi. Maso a wodwalayo amawoneka kuti akuwoneka bwino, khungu limasunthira ndipo pang'onopang'ono limayamba kutuwa. Mukamayesedwa, dokotala amapeza zamphamvu ukufalikira, matumbo ndi m'mimba sizimagwira. Mukukanda kwa pakhungu pamimba yopweteka, kusokonezeka kwa minofu sikumatsimikizika kwanthawi yayitali. Zizindikiro za peritoneal mkwiyo pambuyo pake zimayamba.

Odwala omwe ali ndi pancreatitis yovuta kwambiri, pakapita nthawi, zovuta zambiri zimatha kuchokera ku ziwalo zam'mimba komanso ziwalo kunja kwa peritoneum. Mavuto ambiri amakhala zilonda zam'mimba ndi matumba a phlegmon, peritonitis, zilonda zam'mimba komanso kukokoloka, m'mapapo mwanga edema ndi abscesses, pleural mayankho, chibayo. Nthawi zambiri, kupweteka kwamphamvu kwa kapamba kumayambitsa chitukuko chiwindi, chifukwa cha matendawa, shuga wamwazi amakwera, kuphatikiza, shuga amapezekanso mkodzo wa wodwalayo.

Zizindikiro za chifuwa chachikulu cha m'mimba chimawonetsedwa ndi kupweteka m'mimba munthawi yowonjezereka, kupweteka kwa hypochondrium yamanzere, kufikira ku scapula kapena chifuwa. Nthawi zina, chiwonetsero cha ululu wa herpes zoster ndizotheka, chomwe chimasiyana kuchokera kuzimiririka mpaka lakuthwa kwambiri. Malingaliro amtunduwu amafanana ndi ululu mu kapamba kapamba. Pambuyo kudya zakudya zamafuta, wodwalayo atha kusanza kwambiri. Kuphatikiza apo, kuchepa thupi kwambiri, kukamwa kowuma, kutsekula m'mimba, ndi mseru nthawi zambiri kumakhala zizindikiro za chifuwa chachikulu. Ngakhale munthawi yomwe matendawa amawonjezera matendawa, munthu amatha kudwala, amavutika kudzimbidwakuwawa. Ngati kutsekula m'mimba kumaonekera nthawi imeneyi, ndiye kuti izi zikuwonetsa kuti kuthekera kwa chimbudzi kugaya bwino.

Matenda a kapamba

Kuzindikira matenda, monga lamulo, si kovuta, chifukwa zizindikiro zake nthawi zambiri zimatchulidwa. Koma, dokotala ayenera kudziwa mtundu wa matendawa kuti apereke mankhwala oyenera. Kuti muchite izi, ndikofunikira kuchita laparoscopy - njira yomwe imakuthandizani kuti mufufuze zamkati kuchokera mkati ndi chida chapadera.

Ngati pancreatitis ya pachaka ikukayikiridwa, kuyesa kwina kwanyumba kumachitika. Uku ndi kuyezetsa magazi konse, urinalysis, maphunziro a biochemical. Kuyesedwa kofananako kumachitika chifukwa choganiziridwa kuti ndi chifuwa chachikulu. Komabe, ndikofunikira kuchititsa maphunziro a biochemical panthawi yowonjezera matendawa. Kusanthula kwapadera kwa ndowe kumachitidwanso.

Chithandizo cha kapamba

Ndikofunikira kuti chithandizo cha pancreatitis pachimake chichitike makamaka mu chipatala moyang'aniridwa ndi katswiri. Chifukwa chake, ngati pancreatitis yovuta kwambiri ikukayikira, wodwalayo ayenera kuchipatala mwachangu. Koma munthuyu asanatengeredwe kuchipatala, kunyumba zonse zimayenera kuchitika kuti popewa kupweteketsa. Ndikofunika kuti musatenge chakudya, ndipo madokotala azadzidzidzi nthawi zina, pogwiritsa ntchito kafukufuku, amachotsa zakudya zomwe zimatengedwa kale. Kuzizira kumayikidwa pamimba kuti ichepetse kupanga kwa michere yogaya chakudya ndi kapamba. Kuti muchepetse kuphipha, tikulimbikitsidwa kuponya madontho 1-2 pansi pa lilime Nitroglycerin kapena jekeseni mankhwala osokoneza bongo omwe amathandizira kupuma, mwachitsanzo, palibe-shpu. Madokotala a ambulansi amayenera kupereka mankhwala okongoletsa.

Kuchipatala, njira zochizira zomwe zimagwiritsidwa ntchito pochizira pancreatitis zimakhala pachimake. Makamaka, mayankho osiyanasiyana amabweretsedwa m'magazi - zothetsera zamchere, kukonzekera mapuloteni, shugamothandizidwa ndi kuledzera ndi kuwawa. Mulingo wa acid-base umapangidwanso chimodzimodzi.

Kuchepetsa ululu ndi kuchepetsa ma spasms, antispasmodics amagwiritsidwa ntchito. Ndipo kuti mukhale ndi mtima wabwinobwino, mankhwala a mtima amagwiritsidwa ntchito. Kuphatikiza apo, chithandizo chovuta chimaphatikizapo kutenga Mavitamini B, Vitamini CMankhwala a diuretic omwe amateteza edema ya pancreatic ndikulimbikitsa kutuluka kwa zinthu zowola. Chithandizo chovomerezeka chimaphatikizapo mankhwala omwe amaletsa kupanga michere ya pancreatic acid.

Kugwiritsa ntchito mchere wa mchere wopanda mafuta kumalimbikitsidwa, koma odwala omwe ali ndi pancreatitis yovuta amatha kudya pakatha masiku 4-5 atadwala. Poyamba, ndikulimbikitsidwa kuti muthe yogati (100 g ya chinthu chilichonse theka la ora), ndipo tsiku lotsatira, magalamu 200 a kanyumba tchizi amawonjezeredwa pachakudya ichi. M'masiku otsatirawo chithandizo, wodwalayo ayenera kutsatira mosamalitsa chakudya, popeza zakudya zoyenera ku kapamba ndizofunikira kwambiri zomwe zimathandizira kuchira.

Ngati chithandizo chamankhwala sichitha, ndiye kuti kuchitira opaleshoni ndikofunikira. Monga lamulo, opareshoni imachitika masiku 10-14 pambuyo pancreatitis yovuta kwambiri. Zizindikiro za opaleshoni yothamanga ndizovuta zina. Kuchitapo kanthu kwa opaleshoni kumaphatikizapo kuchotsedwa kwa gawo la kapamba omwe wadutsa necrosis, ndikukonzanso kwam'mimba.

Ngati pali chowonjezera cha kapamba, ndiye kuti mankhwalawa amachitika molingana ndi chiwembu chofanana ndi chithandizo cha pachimake kapamba. Odwala omwe ali ndi pancreatitis yokhazikika ayenera kutsatira zakudya nthawi zonse, komanso kumwa mankhwala omwe amalipira chinsinsi cha kusakwanira komanso mankhwala a alkalizing (mwachitsanzo, almagel) Ndi chiwonetsero cha zowawa, othandizira othandizira ma spasm amasonyezedwa - papaverine, atropine, palibe-shpamankhwala osokoneza bongo. Odwala omwe ali ndi pancreatitis yayikulu ayenera kupita kumalo ena apadera ndi kukalandira chithandizo kumeneko.

Pali mitundu yambiri yotsimikizika yowerengeka yothandizira kuthana ndi matendawa. Katatu patsiku musanadye, odwala omwe ali ndi chifuwa chachikulu amalimbikitsidwa kutenga theka la kapu ya oatmeal jelly. Kuti muziphika, muyenera kuthira mafuta okwanira kapu imodzi ya mafuta osambitsidwa mu lita imodzi yamadzi ndikusiya maola 12. Pambuyo pake, zakudya zimaphika kwa mphindi 30 ndikukupatsanso kwa maola ena 12. Asanagwiritse ntchito, amayenera kuchepetsedwa ndi madzi ku voliyumu yake yoyambirira ndikusefa.

Ndikofunika m'mawa kutenga chisakanizo cha mwatsopano mwatsopano madzi a mbatata ndi kaloti: pamimba yopanda kanthu muyenera kumwa 200 ga zosakaniza zotere. Njira ya chithandizo imatenga sabata, ndikutsatira kupuma kwa sabata.

Pancreatitis Gulu.

Zizindikiro za kapamba ndi chithandizo cha matendawa zimatengera kuwonongeka kwa kapamba ndi kapangidwe kazowonongeka. Kuwonetsedwa kwa kapamba ndi zizindikiro za matendawa kumawonetsedwa ndi pathological mphamvu ya ma pancreatic enzymes, omwe amathandizira pasadakhale mu ma pancreatic ducts a gland, ndipo amakhala ndi zovuta pa minofu yawo, akuwononga. Enzymes adayitanitsa chimbudzi cha chakudya "kupukusa" kapamba yemweyo.

Timapereka njira yodziwika ndi kapamba:

1. pachimake kapamba

2. aakulu kapamba

- Matenda obwereza kapamba

Matenda a kapamba

Maziko a pancreatitis aakulu ndikukhazikika kwa njira yotupa-sclerotic, zomwe zimapangitsa kutsika kwapang'onopang'ono kwa ntchito za katulutsidwe wakunja ndi mkati. Pancreatic parenchyma imatsirizika (kulowetsedwa) chifukwa cha kuchuluka kwa minofu yolumikizika, mawonekedwe a zipsera za fibrous, pseudocysts ndi ma calcified.

1. Pancreatitis yayikulu yosakhalitsa, njira yotupa imayikidwa pancreas yokha.

2.Chithandizo chachiwiri cha pancreatitis chachiwiri chimayamba ndi cholelithiasis, zilonda zam'mimba, duodenal diverticula.

3. Mu etiology ya pancreatitis yayikulu yovulala, kuvulala, chifuwa, kufinya kwa Wirsung duct, uchidakwa, kusokonezeka kwa magazi, komanso kuukira kwa chifuwa chachikulu cha pancreatitis.

Gulu la matenda kapamba.

1. Matenda a cholecystopancreatitis.

2. Matenda obwereza kapamba.

3. Induction kapamba.

4. Pseudotumor pancreatitis.

5. Kuwerengera kapamba.

6. Pseudocystic pancreatitis.

1. Pancreatic cysts.

2. Stenosis wa Wirsung duct.

3. Kutupa kwa mitsempha ya splenic.

4. Portal matenda oopsa.

5. Matenda a shuga.

Chithandizo cha chifuwa chachikulu chimaphatikizapo: kudya, ma paninkil, mavitamini, kugwiritsa ntchito enzyme, chithandizo cha matenda osokoneza bongo komanso mavuto ena a endocrine, chithandizo cha matenda a gallstone.

Kufotokozera mwachidule matendawa

Pancreatitis ndi matenda omwe amadziwika ndi kutupa kwa kapamba. Nthawi zambiri, kapamba amachita ntchito ziwiri zofunika. Choyamba, kapamba amatulutsa michere yomwe, ikalowa m'matumbo ang'onoang'ono, imayatsidwa ndipo imathandizira kugaya mapuloteni, mafuta ndi chakudya. Kachiwiri, thupi limatulutsa insulini ya mahomoni, yomwe imayang'anira kuchuluka kwa shuga m'magazi.

Ngati, chifukwa cha zifukwa zosiyanasiyana, michere ya kapamba imayamba kugwira ntchito ngakhale mkati mwa chiwalo, nduluyo imakumbidwa ndipo pang'onopang'ono pakubuka.

Pali mitundu iwiri ya kapamba: kapamba wamkati komanso wodwala.

Pachimake kapamba

Nthawi zambiri amapezeka mwa amayi onenepa kwambiri azaka zapakati pa 30 mpaka 60. Kukhazikika kwa matendawa kumadziwika ndi kupweteka pachimake pamimba, nthawi zambiri mukatha kumwa mowa kapena zakudya zamafuta. Ululu umakhala wofatsa, wololera, kapena wowopsa kwambiri ndi radiation kupita ku scapula kapena sternum. Ululu umakhala wamphamvu kwambiri mwakuti nthawi zina wodwalayo amatha kuyamba kudandaula kapena kugwa. Mseru, kusanza, ndi chopondapo zimawonedwa. Chifukwa cha kutuluka kwa chotupa kwa khungu, khungu ndi sclera zimakhala zachikasu. Cyanosis ya khungu lam'mimba komanso khoma lamkati lam'mimba nthawi zina limatha. Zizindikiro za kuledzera zimawonedwa, lilime mu pancreatitis yowuma imakhala yolimba komanso yokutidwa ndi zolembera.

Kumayambiriro kwa matendawa, kumatulutsa kumawonedwa, pomwe khoma lam'mimba limakhalabe lofewa. Ndi kukula ndi kupitilira kwa pachimake kapamba, kuwonongeka kwa minofu ndi zizindikiro za kuyimitsidwa kwa peritoneal kumawonedwa.

Pancreatitis pachimake imatha kutha kapena kulowa mu mawonekedwe osakhazikika. Makamaka milandu yovuta kwambiri ya kapamba imatha kupha.

Kodi kapamba ndi chiyani?

Pancreatitis - matenda otupa a kapamba. Choyambitsa chachikulu cha kapamba ndi kuphwanya kutulutsa kwa madzi am'mimba ndi michere ina yomwe imapangidwa ndi kapamba m'matumbo ang'ono (duodenum). Ma enzyme oterewa sangawononge minyewa yonse yokha, komanso mitsempha yamagazi ndi ziwalo zina zapafupi nayo. Zotsatira za matendawa zitha kupha. Kuphwanya kutulutsa kwa bile, nthawi zambiri kumathandizira miyala ndi zotupa zomwe zimalepheretsa kapamba. Ozunzidwa ndi kapamba makamaka ndi anthu omwe amakonda kudya kwambiri, kugwiritsa ntchito zidakwa, komanso okonda mafuta, zonunkhira, yokazinga ndi zakudya zina zopanda thanzi.

Kukula kwa kapamba

Kuti mumvetse momwe magwiritsidwe a kapamba, muyenera kuyang'ana pang'ono mu machitidwe ofunika a kapamba. Tipenda mwachidule.

Kapamba (lat. Kapamba, kapamba) - Chiwalo chofunikira chokhudza chimbudzi cha chakudya, kuphatikiza chimbudzi cha mapuloteni, mafuta ndi chakudya. Zikondwererozi zimapezeka kudera lotchedwa retoperitoneal, kumbuyo kwa m'mimba, m'malo obisika kwa munthu - pansi pamimba, kuchokera komwe adadzipangira dzina. Zikondazo zimatulutsa zinthu monga amylase, lipase, proteinase, pancreatic polypeptide, komanso insulin, glucagon, somatostatin, ghrelin ndi ena. Chakudya chikalowa m'thupi, kapamba amayamba kupanga zinthuzi, zomwe, kudzera mu duct yolumikizidwa mwachindunji ndi chiyambi cha duodenum, amalowa mbali iyi yamatumbo ang'ono. Zinthu izi zimathandizira pokonza chakudya, kuyamwa ndi matumbo a zinthu zopindulitsa zolowa mthupi, kagayidwe kazinthu ndi njira zina zofunika.

Munthu, chifukwa cha zovuta zosiyanasiyana (mchenga, miyala, zotupa, zotupa, kutayidwa kwa malo amisempha kapena chikhodzodzo, kuvulala ndi zifukwa zina), chimbudzi cha ma pancreatic, ma enzyme ake, ndipo nthawi zina msuzi wa chikhodzodzo, umatsekedwa pakulowa m'thupi chakudya chimakhalamo, ndipo njira zopukusa "zimayambitsa" gland palokha. Nthawi zambiri, kuyambitsa kupanga chitsulo kumachitika msanga. Chifukwa chake, zinthu zawo zomwe zimapanga "chimbudzi" pancreatic minofu.

Tiyeni tiwone zitsanzo za momwe zinthu zina zopangidwa ndi kapamba, zikasokonekera zimakhudzira chiwalo ichi:

• Lipase (imagwiritsa ntchito mafuta) - ndikachedwa kapamba, zimapangitsa kuti mafuta azisokonekera.
• Trypsin (amapangira mapuloteni) - amatsogolera pakutupa kwa maselo apakhungu, kutupa kwawo ndi kufa.

Kuphatikiza apo, ndi kapamba, poyizoni wa thupi amapezeka, kuwonjezeka kwa kukula kwa kapamba, kufa kwa maselo amtunduwu, pakapita nthawi, matenda amatha kulowa nawo mchitidwe wa kutupa, womwe nthawi zambiri umathandizira kukulira kwa purulent necrosis.

Tiyeneranso kudziwa kuti pali chakudya chomwe chimapangitsa kuti pakhale ma pancreatic juice komanso ma pancreatic enzymes ochulukitsa - mowa, mafuta, zonunkhira, wokazinga, wosuta ndi mitundu inanso yazakudya, chifukwa chake kuchuluka kwakukulu kwa ma enzymes kumayamba "kuwukira" kapamba gland, kupweteka kwambiri ndi zizindikiro zina za kapamba.

Mavuto a kapamba amayambikanso chifukwa chokhala ndi ma pancreatic enzymes omwe amayenda ndi magazi, pomwe magazi amawanyamula mthupi lonse, akukhudza mtima, chiwindi ndi ziwalo zina, zomwe zimayambitsa kukula kwa zizindikiro za poizoni m'thupi.

Pomaliza, pakupanga kapamba, ziyenera kunenedwa kuti matenda amtundu wa kapamba amatha kupha. Izi ndichifukwa choti gawo ili lili pafupi ndi aorta ndi ziwalo zina zofunika. Chifukwa chake, njira yotupa, pakakhala zovuta, imatha kupita ku ziwalo zapafupi. Komanso, kapamba amatha kukhala ndi khansa ya kapamba.

Chiwerengero cha Pancreatitis

Malinga ndi ziwerengero, kapamba amayamba nthawi zambiri mwa anthu otsatirawa:

40% - anthu omwe amamwa mowa kwambiri, m'malo ena - mpaka 70%,
30% - anthu omwe ali ndi matenda a gallstone (cholelithiasis),
20% anthu onenepa
5% - zam'tsogolo pakukonza dongosolo logaya chakudya, masanjidwe awo osayenera,
4% - osagwiritsa ntchito mankhwala osiyanasiyana, poyizoni ndi zifukwa zina, zomwe zidzafotokozeredwe pambuyo pake m'nkhaniyi,
1% - zifukwa zosadziwika.

Ngati tizingolankhula pazofunsira anthu ambiri, titha kunena kuti malinga ndi Yandex, anthu opitilira 500,000 pamwezi amapempha pancreatitis, zomwe zikuwonetsa kuchuluka kwake.

Malinga ndi magwero osiyanasiyana, kuchuluka kwa anthu omwe amafa ndi matendawa ndi 15 mpaka 90% ya odwala.

Zizindikiro za pancreatitis yovuta komanso yovuta

Ululu mu pachimake kapamba. Khungu kapena kudula, kupweteka kwambiri, kosatha. Kufotokozera za kupweteka - kumanzere kapena kumanzere kwa hypochondrium (kutengera malo omwe kutupa kwake ndi ziwalo), pansi pa supuni, kapena chikhalidwe cha tinea (kutukusira kwathunthu kwa gland). Ululu umathanso kuperekedwa kwa tsamba la phewa, chifuwa, ndi kumbuyo. Kuchulukitsa kwa kupweteka kwa kapamba kumachitika ndi kumwa mowa, zonunkhira, mafuta, yokazinga ndi zakudya zina zomwe zimapangitsa secretion ya pancreatic madzi. Ngati chithandizo choyambirira sichingaperekedwe, wodwalayo amatha kudwala, amatha kusokonezeka. Mwakuwopsa, ngakhale kufa kwa wodwalayo ndikotheka.

Ululu wambiri kapamba. Kupweteka kwa paroxysmal mu pancreatitis yosatha kumatha kutsagana ndi munthu kwa zaka zingapo, ndipo ngakhale zaka makumi ambiri, makamaka, kukulira, mphindi 15 mpaka 20 atatha kudya - zokometsera, zokazinga, zamafuta, zosuta, mowa, komanso khofi komanso chokoleti. Pogwiritsa ntchito nthawi yomweyo mbale zoterezi, ululu wakewo umakulirakulira. Kutalika kwa kupweteka kumatha 1 ora angapo masiku. Chitukuko, monga pachimake matenda. Kuchulukitsa kwa zowawa kumachepa ndi kuwerama ndi squats.

Sinthani khungu ndi ziwalo zina za thupi. Khungu la nkhope ndi kapamba limasinthasintha, ndipo pambuyo pake limayamba kukhala ndi imvi. M'dera lam'munsi kumbuyo ndi msomali, khungu limakonda kukhala losalala, ngati kuti lazungulira. M'chigawo cha inguinal, khungu limasinthasintha mtundu. Kusintha kwamankhwala akhungu kumafotokozedwa ndi kuchepa kwa magazi mkati mwa kutupa kwa kapamba, momwe magazi amalowerera pansi pa khungu.

Kupaka khungu ndi sclera. Kusintha kumeneku kukuwonetsa kukhalapo kwa mawonekedwe a pancreatitis, omwe nthawi zambiri amakula pamene gawo lakukulidwa la duct wamba la bile limafinya. Nthawi zina khungu limasokonekera, mwachitsanzo, ngati nthenda yamatenda imadutsa, azunguwo amatsalira.

Pakati pazisonyezo zazikulu za pancreatitis yachilendo imatha kuthandizidwanso:

• Hiccups
• Kusanza, nthawi zina ndi kusanza (kusanza kumayamba ndi tinthu tating'onoting'ono ta chakudya, kenako kumakhala ndi bile)
• Amaluwa (flatulence), belching,
• Kutentha kwa mtima
• Kutentha ndi kutentha kwambiri kwa thupi,
• Kuchulukitsa thukuta ndi thukuta lambiri,
• Kuthamanga kapena kuthamanga kwa magazi, tachycardia,
• Pakamwa pakamwa, ndipo paluka pakamwa pamatapo achikaso,
• Kutsekula m'mimba kapena kudzimbidwa, nthawi zambiri ndi tinthu tating'onoting'ono ta chakudya,
• Kusamalira minofu yam'mimba, komanso kusakhazikika kwawo,
• Kupuma pang'ono
• Kuchepetsa thupi mofulumira.

Ndi chiani chinanso chomwe chimachitika ndi chifuwa chachikulu?

Mu chifuwa chachikulu, kusiyana ndi pachimake mawonekedwe, kusintha kowononga m'matumbo a kapamba kumayamba kuchitika. Tsoka ilo, ngakhale pakuletsa njira yotupa, izi zimasintha pamafunika kuti wodwalayo apitirize kutsatira zakudya, komanso njira zingapo zodzitetezera, kupewa kubweranso kwa pachimake kwa kapamba.

Komanso, kusintha kwa kapangidwe ka kapamba, ntchito zina za chiwalochi zimasokonekera, mwachitsanzo, kupanga kwa insulin, komwe kumayendetsa mafuta, kumasokonezeka. Ndi kuperewera kwake, kuchuluka kwa shuga m'magazi kumakwera, komwe pakapita nthawi kungayambitse kukula kwa shuga.

Ndikofunikira kuti wodwalayo, akamadwala chifuwa chachikulu cha kapamba, alumikizane ndi dokotala kuti aletse kusinthika kwa matenda oopsa kukhala matenda.

Zofunika! Nthawi zambiri, chifuwa chachikulu chimakhala cha asymptomatic, kapena chisonyezo chochepa kwambiri.

Mavuto a kapamba

Mavuto a kapamba:

• Chotupa chamtundu
• Matenda opweteka kwambiri, omwe amakhala akuchulukirachulukira mpaka nthawi zambiri munthu amayamba kuzindikira.
• Pancreatic necrosis (necrosis ya pancreatic minofu),
• Kupangidwe kwa cyst yabodza komanso yeniyeni
• Pancreatogenic ascites,
• Pulmonary zovuta mu mawonekedwe a kupuma kulephera,
• Kulephera kwina
• Matenda a shuga
• Kuchepetsa thupi mwachangu
• Khansa yapakansa
• Hypoxia
• Peritonitis
• Zotsatira zoyipa.

Ndi otaya:

1. Pancreatitis pachimake.

2. pachimake kupezekanso kapamba. Amadziwika ndi kufalikira kapena kuwonekera kwa zizindikiro za matendawa, mpaka miyezi 6, kuchokera ku zizindikiritso zake zoyambirira.

3. Matenda apathengo. Nthawi zambiri, ndi cholowa cha kapamba kapamba.

4. Kuchulukitsa kwa matenda kapamba. Amadziwika ndi kufalikira kapena kuwonekera kwa zizindikiro za matendawa, pambuyo pa miyezi 6, kuchokera ku zizindikilo zake zomaliza.

Ndi chikhalidwe cha chotupa cha England:

1. Wokoma
2. Zowononga (pancreatonecrosis)
2.1. kakang'ono koyang'ana pancreatic necrosis,
2.2. sing'anga yodziwika pancreatic necrosis,
2.3. chachikulu pancreatic necrosis,
2.4. chonse-subtotal pancreatic necrosis (kuwonongeka kwakanthawi kofananira kwa mbali zonse za ndulu - mutu, thupi ndi mchira).

Thandizo loyamba la kapamba

Kodi muyenera kuchita chiyani ngati muli ndi vuto la kapamba?

1. Wodwala amafunika kugona, mawondo amatha kukanikizidwa pachifuwa, izi zimathandiza kuchepetsa ululu. Timafunikira mtendere wathunthu ndi masewera olimbitsa thupi ochepa.

2. China chake chozizira chimayenera kuyikiridwa ku dera la epigastric - phata lotenthetsera ndi madzi ozizira, botolo. Kuzizira kumathandizanso kuchepetsa ululu, komanso kumathandizanso kuchepetsa kutupira ndi kutupa.

3. Kuti muchepetse kupsinjika ndi kupweteka, mutha kumwa mankhwalawa: Drotaverin, Maxigan, No-shpa, Spazmalgon.

4. Itanani gulu la ambulansi.

5. Munthawi yowonjezera kupweteka, ndikofunikira kusiya kudya kwambiri, kuwonjezera pa kumwa madzi opanda kanthu - popanda zowonjezera ndi mpweya, zomwe zingathandize kuchepetsa katulutsidwe ka pancreatic.

Mtendere, ozizira ndi njala Awa ndi malamulo atatu ofunikira thandizo la matenda a kapamba.

Chithandizo chachikulu cha kapamba

Chithandizo cha pancreatitis chimayamba ndi kukakamizidwa kukaonana ndi dokotala, ndikuphatikiza:

1. Kupumula ndi mtendere (pakuukiridwa),
2. Mankhwala osokoneza bongo
2.1. Kupumula
2.2. Mankhwala othandizira
2.3. Kutenga ma enzyme a pancreatic,
2.4. Matenda ofanana acid
2,5. Vitamini
2.6. Kupititsa patsogolo ntchito yogaya chakudya,
2.7. Zakudya za makolo
3. Zakudya zake.
4. Mankhwala othandizira (ngati pakufunika).
5. Chithandizo cha Sanatorium.

Chithandizo cha pachimake kapamba chimachitika mu chipatala.

2.1. Kuperekera ululu (antispasmodics)

Kuchepetsa ululu ndi kapamba, adokotala nthawi zambiri amakupatsani:

Zovuta: Drotaverin, Duspatalin, Maxigan, No-shpa, Spazmalgon, Spareks, Fenikaberan.

M-Cholinolytics: "Atropine", "Gastocepin", "Metapine", "Chlorosil".

Ndi kupweteka kosalekeza, adayikidwa Ma blockers a H2: "Ranitidine", "Famotidine".

2.2. Therapy Antenzyme

Chithandizo cha antenzyme cholinga chake ndikuletsa njira zomwe zimawononga kapamba.

Mankhwala a antisecretory akufuna kuletsa michere monga trypsin, trasilol, gordox, contracal, pantripin ndi ena, komanso kuletsa kaphatikizidwe ka protein mu gland, komwe kumathandizira kuchepetsa ululu, kutupa, kusokonezeka kwa microcircular komanso zizindikiro zina za kutupa kwa pancreatic.

Mwa mankhwala antisecretory amatha kusiyanitsidwa: cytostatics ("Ribonuclease", "Ftorafur", "5-fluorouracil"), "Gordoks", "Kontrikal", "Pantripin". "Trazilol", "Epsilo-aminocaproic acid" (E-AKK), "Amidopyrine", komanso proton pump blockers ("Nexium", "Omez", "Omeprazole", "Rabelok").

Tiyenera kudziwa kuti proton pump inhibitors (blockers) amathandizira kutsika kwa kuchuluka kwa hydrochloric acid m'mimba, komwe kumathandizanso kuchepetsa ululu panthawi ya kapamba.

Ndi edematous mawonekedwe a kapamba, "Asparkam" ndi mankhwala limodzi ndi antisecretory mankhwala.

Pofuna kupondereza kupanga mahomoni ndi kapamba, m'malo mokhazikika amatha kutumikiridwa - "Octreotide".

2.3. Kutenga ma enzymes a pancreatic

Kuti muchepetse katundu pamafinya owonongeka, komanso, ngati chinsinsi chake chikupezeka, ma encyme a pancreatic adayikidwa. Mankhwalawa ndi zovuta za michere imodzimodziyo yomwe kapamba imapanga kuti igaye ndikugulitsa chakudya, imathandizanso kugwetsa mapuloteni, mafuta ndi chakudya.Chifukwa chake, ntchito ya gland mukamalowa m'thupi la chakudya ndiyochepa.

Pakati pazokonzekera ndi michere ya pancreatic, munthu amatha kusiyanitsa: "Festal", pancreatin ("Biozim", "Vigeratin", "Gastenorm", "Creon", "Mezim", "Pancreatin", "Penzital", "Hermitage").

Magulu awa a mankhwalawa amatengedwa bwino ndikatha kudya ndikusambitsidwa ndi madzi amchere amchere.

Kudya kowonjezereka kwa ma pancreatic enzymes kumathandizanso kuona zinthu monga mseru, kufinya, kukhumudwa, komanso kuchepa thupi msanga.

2.4. Matenda a acid-base balance (pH)

Ndi kapamba, m'matumbo a masisitimu amasintha asidi-m'munsi - motsatira acidic. Chifukwa chake, ndimatenda a pancreatic awa, komanso kugwiritsa ntchito histamine blockers ndi magulu ena a antispasmodics (anticholinergics), mankhwala amaikidwa kuti achepetse acidity m'mimba ndi ziwalo zina zam'mimba.

Zokonzekera zomwe zimapangitsa kuti acid-base usawa (pH) zizigaya m'mimba: "Almagel", "Gastal", "Maalox", "Famotidine", "Phosphalugel", "Cimetidine".

2.7. Zakudya za makolo

M'matumbo okalamba komanso kusamwa bwino chakudya m'matumbo, zakudya za makolo zimayikidwa.

Monga zakudya za makolo, mwa kukapumira m'mitsempha, izi zimakonda kuperekedwa:

• Zosakanikirana zofunika za amino acid (250-400 ml iliyonse): Alveein, Alvezin, Aminosol,
• Mayankho a Electrolyte: 10% potaziyamu mankhwala enaake (10 ml) ndi 10% calcium calciumconconate (10 ml).

3. Zakudya za kapamba

Chithandizo cha pancreatitis pachimake komanso chovuta sichingatheke popanda kudya. Kuphatikiza apo, matenda osachiritsika amafunika munthu kuti azitsatira zakudya pamoyo wawo wonse.

Mwambiri, zochizira pancreatitis, pali mankhwala apadera othandizira odwala omwe amapangidwa ndi M.I. Pevzner - zakudya nambala 5p (tebulo 5p).

Mu chilonda chachikulu cha pancreatitis, m'masiku atatu oyambilira ndikofunikira kukana kudya, kumwa kwambiri kumaloledwa - madzi amchere, msuzi wa rosehip, kapena woopsa, madzi osadziwika.

Zothandiza thupi pakadwala komanso kumwa madzi amchere - "Narzan", "Yesentuki" (Na. 4 ndi 17).

Ndingadye chiyani ndi kapamba?

Mndandanda wa kapamba ayenera kukhala ndi mapuloteni komanso mavitamini ambiri momwe mungathere, komanso mafuta pang'ono ndi chakudya chambiri monga momwe mungathere.

Mwa zinthu zomwe zimakhala ndi kapamba zomwe mumatha kudya zimatha kusiyanitsidwa:

• Maphunziro oyambira: Zakudya zamasamba zokhazikitsidwa ndi chimanga, masamba ndi nyama zopanda mafuta zimatha kupangidwa ndi mkaka.
• Zakudya zazikulu: nyama zamafuta ochepa (ng'ombe, nkhuku) ndi nsomba, omele ochokera ku mazira a nkhuku.
• Zogulitsa: chimanga (mpunga, oatmeal, semolina, buckwheat ndi barele wa pearl), pasitala, oyambitsa, dzulo mkate, masamba mafuta (ochepa).
• Zopangidwa mkaka: zinthu zatsopano mkaka wowonda wowawasa (tchizi tchizi, kefir, yogati), tchizi (mchere pang'ono, wopanda mafuta komanso wopanda zonunkhira), mkaka wopanda mafuta (wopanda malire), batala.
• Masamba ndi zipatso: mbatata, beets, kaloti, dzungu, sikwashi, squash, mitundu yopanda acidic ya maapulo.
• Zakumwa: masamba ndi zipatso zamasamba, zipatso zouma zowuma, msuzi wa rosehip, tiyi mkaka, brine (wochepa).
• Chakudya:uchi, kupanikizana ndi chokoleti (zochepa), mafuta otsekemera a berry, shuga.

Njira yophika: mbale zonse ziyenera kudulidwa bwino, ndiye kuphika, kuphika kapena kusenda.

Zakudya ziyenera kukhala zopindika, m'magawo ang'onoang'ono, 5-6 patsiku.

Muyeneranso kuyesa kusakaniza mitundu yambiri ya mapuloteni, mafuta ndi chakudya nthawi imodzi.

Zakudya zimatha kudyedwa mu mawonekedwe ofunda (osapitirira 60 ° C), mbale zotentha ndi zozizira siziyenera kuyikidwa pambali.

Kufunika kwa chakudya - 2480 (for pancreatitis pachimake), 2690 (kwa nthawi yayitali) kilocalories patsiku.

Kodi sichingadyedwe ndi kapamba?

Ndi kapamba, simungadye zakudya zamafuta, zokazinga, zokometsera, zamchere, komanso zosuta, chakudya mwachangu, zakudya zomwe zimakhala ndi CHIKWANGWANI ndipo zakudya zina zomwe zimakulitsa katulutsidwe ka madzi a m'mimba kapena gasi. Kugwiritsa ntchito mowa, kuphatikiza zakumwa zoledzeretsa pang'ono, nkoletsedwa.

Mwa zakudya zomwe simutha kudya zimatha kusiyanitsidwa - kebab, bowa, chokoleti, mafuta ophikira, nyama ya nkhumba, mafuta anyama, mwanawankhosa, tsekwe, bakha, mafuta amanyama, mazira athunthu, kirimu wowawasa, zipatso, marinade, adyo, anyezi, sorelo, sipinachi, radish, nyemba, zokometsera, viniga, margarine, cocoa, khofi, sinamoni, mphesa ndi msuzi wa mphesa, masiku, nkhuyu, nthochi, ayisikilimu.

Ndikofunikanso kupatula kugwiritsa ntchito mkaka. Mkaka ukhoza kuwonjezeredwa ku chimanga, koma zakudya zotere zimayenera kuchepetsedwa muzakudya zanu.

4. Mankhwala othandizira pancreatitis

Chithandizo cha opaleshoni ya kapamba, i.e. kudzera mu opaleshoni, nthawi zambiri imagwiritsidwa ntchito mozizwitsa kapena njira yapamwamba ya matendawa. Nthawi zambiri, opareshoni imachitika pogwiritsa ntchito laparoscopy, pomwe amaika madontho.

Pambuyo pakuchita opaleshoni, wodwalayo amapatsidwa mankhwala opha maantibayotiki ndi mankhwala ena omwe amalepheretsa njira zotupa m'mapazi.

Kuphatikiza apo, chithandizo cha kuchepa madzi m'thupi komanso kukhazikitsa ma enzyme kukonzekera kungadziwike.

5. Sanatorium chithandizo cha kapamba

Ndiwothandiza kwambiri chifukwa cha matenda a kapamba, pafupifupi kawiri pachaka kukaona malo othandiza komanso malo amisala omwe amayang'ana pa matenda am'mimba.

Mtundu umodzi wamankhwala ochiritsira pama sanatoriums ndi chithandizo chamadzi am'mayini, popanda mpweya.

Malo odyera otchuka a matenda am'mimba thirakiti (GIT) ndi Zheleznovodsk, Kislovodsk, Morshin, Pyatigorsk, Truskavets.

Mankhwala ena wowerengeka azitsamba a kapamba

Tincture wa anyezi, mtedza ndi cuffs. Chida ichi chimathandizira kusintha kapamba ndi kupanga insulini. Pophika, muyenera kupanga mitundu itatu ya tincture: ikani zida zitatu zosiyanasiyana, 100 - anyezi wa 100 g, masamba 100 a masamba owaza ndi 60 g la cuff udzu. Thirani 600 ml ya mowa wamphamvu pachomera chilichonse. Siyani ma infusions onse atatu m'malo ovuta kwa masiku 7, kuti mukakamize. Pambuyo pake, kanizani mapinjo atatu ndikupanga tincture umodzi motere - 150 ml ya anyezi, 60 ml ya nati ndi 40 ml ya cuff. Wokonzekera kulowetsedwa ayenera kumwedwa 2 pa tsiku, 1 tbsp. supuni, mphindi 20 asanadye m'mawa komanso madzulo, asanagone.

Kvass pa celandine malinga ndi Bolotov. Onjezani pafupifupi malita a 2.7 a Whey (kapena madzi oyeretsedwa) ku mtsuko wa lita-3, supuni 1 ya kirimu wowawasa (osaposa mafuta 15%), chikho 1 cha shuga, ndikutsitsa zitsamba zokutidwa ndi chikwama cha gauze (zigawo 4 za gauze) pansi pamtsuko. celandine yemwe amalumikiza china chake kuti chisakwere m'mphepete. Zitsamba za Throat zimamangirizanso ndi gauze. Mtsuko wokhala ndi kvass yamtsogolo uyenera kuyikidwanso m'malo otentha, kwa masiku 14, nkhungu ya tsiku ndi tsiku iyenera kusakanikirana kuchokera pamwamba pake, yosakanikirana. Patsiku 5, matope amayenera kuwoneka pansi pa ngalande. Timalumikizana kuchokera ku izi kupita ku gawo la phompho, gawo lalikulu la kvass ina ikhoza, ndipo nalo, kusamutsa thumba ndi celandine ku chidebe chatsopano, kuwonjezera madzi mu chikho chatsopano mpaka mulingo wapitalo. Timataya mtima pansi zomwe tidayesetsa kuchita kale. Patsiku la 11, madziwo akuyenera kuyamba thovu, iyi ndi njira yanthawi zonse. Pa 15, 1 litre ya kvass imatsanuliridwa kuchokera mu chidebe ndikuyika malo abwino kuti adyetsedwe, ndipo Whey kapena madzi amawonjezedwanso mumtsuko wama lita atatu kupita pamlingo woyamba. Pambuyo masiku 15, kvass imatha kuchepetsedwa ndikuwonjezera madzi abwino, kokha ma 4, pambuyo pake amakonzedwanso.

Tengani kvass yophika ndi kapamba, muyenera 1 tbsp. supuni mphindi 30 musanadye, katatu patsiku. Ngati, mkati mwa masiku 7, palibe zotsatira zoyipa zomwe zapezeka (nseru, ziwengo), mlingo umodzi umachulukitsidwa mpaka 100 ml ndikupitilira kuledzera kwa masabata 7 otsatira. Njira yonse ya chithandizo ndi miyezi iwiri.

Madzi kuchokera kabichi, kaloti ndi letesi. Kabichi yokhala ndi kapamba, kapena, chake, madzi ake, makamaka osakanikirana ndi msuzi wa karoti ndi mandala ochokera masamba a letesi, angagwiritsidwe ntchito osati pancreatitis kunyumba, komanso shuga komanso kubwezeretsa kwachilendo kwa kapamba.

Kukonzekera madzi am'mimba a kapamba, muyenera kudutsitsa kuchuluka kwa Brussels, karoti ndi letesi kudzera mu juicer. Madzi okonzedwa mwatsopano ayenera kuledzera m'mawa, mphindi 20 asanadye. Pankhaniyi, ndikofunikira kutsatira zakudya zamafuta ochepa ndikuyeretsa matumbo pafupipafupi. Njira ya mankhwalawa ndi mwezi umodzi, pambuyo pake yopuma masabata awiri ndikupanga chakumwa cha mwezi ndi tsiku mobwerezabwereza.

Filakisi. Madzulo, ikani thermos ya 3 tbsp. supuni ya flaxseeds ndikuwadzaza ndi 1 lita imodzi ya madzi otentha, kutseka ndikuyika usiku kuti uumirire. M'mawa, gwiritsani ntchito zomwe zili mu thermos, mumasefa ndi kumwa 100 ml katatu patsiku, mphindi 30 musanadye. Njira ya mankhwala ndi miyezi iwiri.

Mafuta Oat kissel amagwiritsidwa ntchito pochiza matenda onse am'mimba. Kuphatikiza apo, oats amaphatikizanso kuchuluka kwakukulu kwa mavitamini ndi micronutrients ambiri omwe amathandizira kubwezeretsa ziwalo zam'mimba pambuyo pa matenda.

Kuti mupange zakudya zonunkhira malinga ndi njira yophikira ya Izotov, muyenera kuthira madzi owiritsa owira a 3.5 l mumtsuko wa 5 l. Kenako, dikirani mpaka madzi atakhazikika 30-30 ° C ndikutsanulira 500 g wa oatmeal, ndikuwonjezera 100 ml ya kefir. Sakanizani zonse bwino, pafupi ndi chivindikiro cholimba ndikuyika masiku awiri a nayonso mphamvu m'malo otentha, kuphatikiza yokutira chidebe. Pa tsiku lachiwiri, thovu limayenera kuwonekera kubanki. Patsiku la 3, kanizani zomwe zili mumtsuko mu poto wa malita 5, ndikuthira mafuta oatmeal mu mtsuko wagalasi 3 lita. Onjezani 2/3 yamadzi owiritsa kuzinthu zomwe zili mumtsuko wa chimanga, gwedezani matofuwo ndikuwasesanso mu poto 5 lita. Tsopano sambani mtsuko wa malita asanu momwe zida zathu zoyambirira zimayambira, ndikutsanulira zomwe zili poto mu izi - zotumphukira. Tsekani mtsukowo ndikuwubwezeretsa pamalo amdima, otentha, koma kwa maola pafupifupi 18. Pambuyo pa nthawi iyi, malonda athu adzagawikana - padzakhala loyera loyera ndi mzere pansi, ndi chosanjikiza pamwamba. Kokani madzi owonekera, ndipo angagwiritsidwe ntchito ngati kvass. Thirani gawo loyera ndi phala mu mbiya ndi malo osungirako, koma osapitirira masiku 21, tidzagwiritsa ntchito pokonza mafuta odzola.

Kissel ndi kapamba kuchokera ku oatmeal amakonzedwa motere: onjezani 5-10 tbsp. supuni zoyera zimayang'ana mu saucepan yaying'ono ndikuwathira ndi makapu awiri a madzi ozizira. Kuphika zonunkhira pamoto wotsika, nthawi zonse kumalimbikitsa, mpaka kumagwirizana omwe amakukwanirani. Kenako, chotsani mafuta odzaza pachitofu, chisiyeni, kuti chikhale bwino, mutha kuwonjezera mchere pang'ono, mafuta ndipo mutha kumwa ndi mkate. Muthanso kugwiritsa ntchito zoyera zama oatmeal kukonzekera mbale zingapo, mwachitsanzo, mbatata zosenda, zomwe zimawonjezera zinthu zina zofunika muzakudya zanu.

Dandelion. 50 g ya mizu ya dandelion yophwanyika itsanulira 300 ml ya madzi otentha, kuphimba mankhwalawo ndikusiyira maola 2 kuti muumirire ndi kuzizira. Tsitsani kulowetsedwa ndi kumwa 100 ml musanadye, katatu patsiku.

Kututa kwazitsamba 1. Sakanizani muyezo wofanana ndi mbewu zotsatirazi - calendula, stigmas chimanga, peppermint, munda chamomile, ndipo ngati acidity yatsitsidwa - seedain. Supuni 4 za chophatikizachi zimatsanulira 800 ml ya madzi otentha, kenako ikani chotsalazo mu madzi osamba, kwa mphindi 15 ndikuyika chida chazirala ndi kulowetsedwa, kwa mphindi 50. Kenako, zosetsani kulowetsedwa ndikutenga chikho cha ¼ chopukusidwa mu ¾ makapu amadzi otentha, Katatu patsiku, mphindi 15 asanadye. Sungani kulowetsedwa mufiriji, koma osapitirira masiku 5.

Kututa kwazitsamba 2. Sakanizani mbewu zotsatirazi mosiyanasiyana - wort wa St. John, mamawort ndi peppermint. 2 tbsp. supuni kutsanulira 500 ml ya madzi otentha ndikusiya kwa mphindi 45 kuti mulimbikire ndi kuzizira. Tsanulira ndi kumwa chikho cha ¾ musanadye, katatu patsiku.

Kupewa kwa Pancreatitis

Kupewa khunyu kumaphatikizapo kutsatira malangizo otsatirawa:

- Siyani mowa ndi kusuta kwathunthu!

- Ngati muli ndi vuto la kapamba owopsa, funsani dokotala, musasiye nkhaniyo mtsogolo, kuti matenda, ngati alipo, asadwale.

-Osasiya matenda osiyanasiyana, makamaka ziwalo zam'mimba, kuti mwayi, kuti asadwale komanso kukhala mnzake wamoyo wanu,

- Kodi mumasewera? Wabwino kwambiri, komabe, osapitilira izi, monga kulimbitsa thupi kwambiri kumapangitsa kuti chiwopsezo cha kapamba,

-Ngati mchenga ukapezeka munthaka, chotsani m'thupi kuti chisachitike popanga miyala m'thupi.

- Idyani moyenera, pang'ono, m'malo ochepa, kupewa kuphatikiza mapuloteni ndi chakudya chamagulu chimodzi,

- Yesetsani m'zakudya zanu kuti muyang'ane zakudya zopatsidwa ndi mavitamini ndi michere, ndipo ndibwino kukana zakudya zosafunikira komanso zovulaza, kapena kuchepetsa kuchuluka kwake,

- Chepetsani kudya zakudya zamafuta, zokazinga, zonunkhira, zamchere, zosuta komanso zonunkhira, ngakhale bwino, ziduleni. Bwino kuphika mbale, kuphika kapena kuphika.

- Chepetsani pang'ono pakumwa khofi - osaposa 1 chikho cha khofi patsiku, ndipo mwachilengedwe zokha, wopanda tanthauzo.

Kuwona malingaliro omwe ali pamwambapa a akatswiri azaumoyo, kapamba wanu ndi ziwalo zina zam'mimba, ndipo thupi lonse, ndikuuzeni - zikomo!