Zakudya za matenda a kapamba

Kufotokozera kogwirizana ndi 22.05.2017

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Malamulo onse

Matenda a pancreatic amachokera pakatupa ndikusintha kwamphamvu kwa chiwalo parenchyma, chomwe pachimake kapamba zingayambitse kapamba, ndipo nthawi yayitali, imabwezanso mawonekedwe - mpaka kukula parenchyma fibrosis ndi kufinya kwamisempha. Pankhaniyi, kugaya kwa gland (makamaka mapuloteni) kumasokonezedwa, kenako chinthu chododometsa, momwe zida zamkati zimakhudzidwira njira ya pathological, yomwe imawonetsedwa ndi kuphwanya kagayidwe kazakudya ndi chakudya hyperglycemia, glucosuria.

Zizindikiro zazikulu za matendawa: nseru, kuwawa kwa ululu (lamba lambiri kapena kupindika mpaka theka lamanzere kumbuyo kapena chifuwa), kufooka wamba, ukufalikira, kutsegula m'mimba, kusanza, kutentha thupi nthawi zambiri - jaundice. Chithandizo kapamba zovuta, chinthu chofunikira kwambiri chomwe ndi zakudya zamankhwala. Kuphatikiza apo, ndichakudya choyenera chamankhwala chomwe chingapangitse kagayidwe kachakudya mthupi, kuphatikiza kapamba ndi kusintha ntchito yake.

Zosiyanasiyana

Ndi mavuto mawonekedwe a odwala matenda kapamba a matenda a matenda matenda ashuga Zakudya mankhwala asinthidwa kuganizira mafuta kagayidwe, kuyandikira momwe tingathere zokhudza thupi chizolowezi cha zakudya. Zikatero, anapatsidwa Zakudya 5P / 9, zomwe zimapatula muzakudya:

purines (zotulutsa za nitrogenous),
zinthu zomwe zimapangitsa kuti pakhale matumba (kabichi, nyemba),
zopangidwa kuchokera kukazinga
zakudya zopezeka ndi lipotropic ndi calcium,
zakudya zomwe zimakhala ndi mafuta ambiri ofunikira ndikukwiyitsa gawo logaya chakudya (tsabola, anyezi, adyo),
mchere - mpaka 6 g patsiku.

Pankhani ya phindu lamphamvu komanso kapangidwe kazakudya zanu, zakudya zazikulu zomwe zimayambitsa matenda a shuga zimagwirizana Zakudya 5PKomabe, izi zikuwonjezera pang'onopang'ono. Malinga ndi kapangidwe kazakudya, Zakudya 5P ndi 5P / 9 ndizofanana. Chakudya chochulukirapo cha 5-6 chimayikidwa, zakudya zosavuta zimaphatikizidwa muzakudya, chifukwa cha kuchuluka kwa fiber (chinangwa, pectin), mafuta oposa 50% ayenera kukhala ochokera kumafuta azomera. Zakudya zopatsa thanzi tsiku lonse zimafanana ndi ubale wamagazi ndi misempha yamagazi. insulin.

Pazakudya, mpaka 50% ya mphamvu za tsiku ndi tsiku ziyenera kuphimbidwa ndi gawo la chakudya. Pachifukwa ichi, zotsekemera zimagwiritsidwa ntchito kwambiri - xylitol, sorbitol, saccharin, machitidwe kuganizira kulolerana.

Chakudyacho chimaphatikizapo zakudya zomwe zimakhala ndi zovuta ma chakudya: mkate, chimanga (kupatula semolina ndi mpunga), zipatso, zipatso ndi ndiwo zamasamba zomwe zimakhala ndi mafuta osakwana 5 g pa chakudya chilichonse pa 100 g ya zakudya (nkhaka, zukini, kolifulawa) ndipo ndizochepa masamba / zipatso zomwe zimakhala 5-10 g ya chakudya chopatsa 100 g cha mankhwala (beets, kaloti, malalanje, tangerines). Kutha kwazinthu zilizonse kuwonjezera shuga m'magazi kumadziwika ndi glycemic index. Ndipo wotsika mtengo, bwino mankhwalawa ndi wodwala matenda ashuga.

Zakudya No. 5P (njira yoyamba) - yokhala ndi kapamba kapamba kapena kuchepa kwa chifuwa chachikulu (kwa masiku 5-7).
Zakudya No. 5P (njira yachiwiri) - atatha masiku 7 komanso munthawi yonse yachikhululukiro.
Zakudya 5P / 9 - ndi mawonekedwe a matenda a shuga mellitus motsutsana maziko a chifuwa chachikulu.

Zinthu Zololedwa

Zakudya za odwala omwe ali ndi kapamba zimaphatikizapo mkate wouma, ma cookie osaphika ndi zoyera za tirigu yoyera okwanira 200-300 g / tsiku, msuzi wowonda / wowonda masamba ndi Zakudyazi, Zakudyazi ndi batala wowonjezera kapena kirimu wowawasa. Onetsetsani kuti muphatikiza nyama yotsamira (kalulu, nyama yaying'ono yotsika, ng'ombe), yophika kapena yankhuku yankhuku (nkhuku, nkhukundembo), kalulu - nthunzi, yophika kapena yophika (mbatata zosenda, mabango omenyera nyama, masipika, soufflé, mpukutu).

Panthawi yachikhululukiro, nyama yotsamira, kalulu, nkhuku amaloledwa kutumiza mu mawonekedwe owiritsa. Zakudya za nsomba zimakonzedwa kuchokera kumitundu yamafuta ochepa a nsomba (cod, pike, ayezi, nsomba, pike perch, carp), yophika, yodulidwa kapena chidutswa. Dzira la nkhuku limaphatikizidwa muzakudya momwe limakhalira dzira lowiritsa kapena mafuta omira (mpaka mazira awiri patsiku).

Ndikofunikira kuphatikiza mbale zamkaka ndipo makamaka tchizi chosakhala acidic (makamaka zopangidwa ndi nyumba) muzakudya, komanso mbale zochokera ku izo - ma puddings, casseroles. Monga mbali yodyeramo m'zakudya iyenera kupezeka mbewu monga chimanga ndi pasitala, viscous kapena yosenda, vermicelli, Zakudya zophatikizika, pasitala, zomwe zimakonzedwa ndikuwonjezera mkaka mu chiyezo (1: 1) kapena pamadzi.

Pazakudya zam'mbali zamasamba, beets, kaloti, kolifulawa, nyemba zazing'ono, zophika, zophika kapena dzungu losenda bwino zimalimbikitsidwa. Mafuta - makamaka batala wopanda mafuta ndi mafuta oyeretsedwa masamba, omwe amawonjezera mwachindunji mbale zotsiriza. Kuchokera pazakoma zotsekemera mpaka zakudya zimaphatikizapo zipatso zatsopano ndi zouma, zakudya, zonona, zipatso za mousse pa sorbitol kapena xylitol. Madzi osakhala ndi kaboni, msuzi wa rosehip, msuzi wopanda zipatso, tiyi wofooka wokhala ndi mandimu amagwiritsidwa ntchito ngati zakumwa.

Zizindikiro ndi ma pathologies

Awa ndi zizindikiro zoyambirira zomwe zimatha kuwoneka ndi zovuta ndi chithokomiro, ndipo kuzinyalanyaza kumangoyambitsa zovuta.

Nthawi zambiri, mavuto amtunduwu amayamba mwadzidzidzi, mpaka nthawi, osasokoneza wodwalayo. Nthawi zambiri, zizindikiro za nthenda inayake ya chinthu chopatsidwa chimayamba ndi zaka zapakati pa 30 mpaka 45.

Munthawi imeneyi, ambiri amakhala otanganidwa mu ntchito zawo, banja, nyumba, komanso amakhala otanganidwa kwambiri, zizindikiro zoyambirira za matendawa sizingadziwike.

Tiloleni tikambirane kuti ndi ma pancreatic pathologies omwe ali ponseponse masiku ano, kodi ndi zizindikiro ziti ndi zizindikiro zoyambira.

Pancreatitis

Pancreatitis ndi njira yotupa yotengera mucous nembanemba wa chiwalo. Pamene kutuluka kwa duodenum kwatsekeka ndi mapulagi apuloteni, ma enzyme a gland sangathe kulowa m'matumbo ndikuyamba kukhumudwitsa ziwalo zamkati kuchokera mkati.

Zotsatira zake, kutupa kumayambira, ndipo nduluyo singathe kupanga michere yokwera bwino.

Mu chifuwa chachikulu cha pancreatitis, munthu amamva kupweteka kwambiri, komwe kumachitika ndi mseru komanso kusanza. Mwambiri, mkhalidwe wamthupi mumkhalidwe woterewu ndi wosauka kwambiri ndipo umafunika chisamaliro chamankhwala mwadzidzidzi. Zizindikiro zakukula zimatengera mawonekedwe, komabe, ophatikizawo ndi awa:

Kukula kwa chifuwa chachikulu chimachitika pang'onopang'ono ndipo kwa nthawi yayitali sichimadziwonetsa. Zowawa nthawi zambiri zimakhala zopanda mphamvu kwambiri, koma zotupa ndi zotupa zimatha kuchitika.

Ngati simukuzindikira chizindikirocho pakapita nthawi ndikuyimitsa njira yotupa, ndiye kuti kufa kwa maselo a m'matumbo ndikukula kwa pancreatic necrosis kuyambika, kuvutikaku kumatchedwanso pancreatic necrosis. Zizindikiro za izi ndi kupweteka kwambiri ndi kutentha thupi. Izi zimayambitsa chiwopsezo ku moyo ndipo ziyenera kutsagana ndi chithandizo chamwadzidzidzi.

Kufunika kwa kapamba m'thupi

Kuti mumvetsetse chifukwa chake pali zizindikiro zina zamavuto ndi kapamba, ndikofunikira kumvetsetsa tanthauzo la chiwalo mthupi ndi zomwe limagwira.

Monga taonera pamwambapa, kapamba ndimtundu wa katulu wosakanikirana. Kuchita ntchito ya endocrine England, imasindikiza mahomoni atatu:

insulini - imachepetsa kuchuluka kwa shuga m'magazi, imathandizira kugwiritsidwa ntchito kwake ndi maselo, imawonjezera kaphatikizidwe ka mapuloteni komanso kumachepetsa kuphwanya kwa mafuta,
glucagon - njira yotsutsana ndi insulin, imachulukitsa shuga, imachulukitsa kuwonongeka kwa mapuloteni ndi mafuta, chifukwa chake glucagon imadziwikanso kuti hormone ya contrainsular,
somatostatin - linalake ndipo limalephera kaphatikizidwe ka mahomoni achilengedwe (somatotropic ndi thyrotropic).

Kubisala kwa pancreatic kwakunja kumadziwika ndi kupanga kwa michere yotsatirayi:

amylase - kofunikira kuphatikiza chakudya, kuphwanya polysaccharides kukhala monosaccharides (shuga ndi fructose),
trypsin - amaphwanya mapuloteni kukhala amino acid,
lipase - yofunikira pakuyamwa kwa mafuta.

Kuchokera pazantchito zoyambirira za kapamba, zimatsata kuti mavuto omwe adakumana nawo koyambirira amadzayambitsa zovuta zam'mimba. Ndipo ndikutali kwa matendawa, kuphwanya mapuloteni ndi kagayidwe kazakudya kumalumikizanso.

Matenda otheka

Zomwe zimayambitsa zovuta zapancreatic zimaperekedwa pansipa:

Pancreatitis - kutukusira kwa minyewa ya minyewa, imatha kukhala yovuta komanso yosatha. Zodziwika kwambiri mwa akuluakulu, samawoneka kwambiri mwa ana.
Ma neoplasms ndi zotupa zoyipa komanso zoyipa.
Matenda a shuga - kuwonongedwa kwa maselo a kapamba omwe amaphatikizidwa ndi kuphatikizika kwa insulin, kapena kuwonongeka kwa minofu.
Ntchito zosokoneza gland - kuphwanya ntchito ya chiwalo pakalibe kusintha kwa masanjidwe.
Anomalies mu kapangidwe kake ndizomwe zimayambitsa zovuta za pancreatic mwa mwana.

Zizindikiro zofala zamatenda a pancreatic

Ngakhale pali kusiyanasiyana komwe kunayambira matenda amtunduwu, munthu amatha kusiyanitsa zingapo zofunika zizindikiro zomwe zili ndi vuto lililonse la kapamba:

Ululu kumanzere kwa hypochondrium, nthawi zambiri wokhala ndi mawonekedwe omangana komanso mpaka kumbuyo. Mphamvu ya ululu imawonjezeka ndikuphwanya zakudya, palpation pamimba. Kutengera ndi matenda, amatha kukhala osiyanasiyana mosiyanasiyana, mosalekeza kapena kupsinjika. Ululu ndiye chizindikiro chachikulu cha mavuto a pancreatic mwa akulu, zomwe zimapangitsa wodwala kufunafuna chithandizo chamankhwala.
Mawonekedwe a Dyspeptic. Gulu la zizindikiro limayamba ndi kusakwanira kwa katulutsidwe wakunja, limadziwonetsa ngati kudzimbidwa ndi kutsegula m'mimba, kusanza komanso kusanza.
Kuchepa chilakolako cha chakudya, komanso chifukwa chochepetsa thupi komanso kutopa thupi.

Zizindikiro zotsalazo ndi zachindunji, chifukwa chake, ziwunikiridwa potengera matenda amtunduwu.

Ndizofunikanso kudziwa kuti zizindikiro zamatenda zimatha kusiyanasiyana kutengera kwa matendawa, zomwe zimayambitsa, koma sizidalira jenda. Zizindikiro za zovuta za kapamba mwa amayi ndi abambo ndi zofanana.

Matenda mwa ana

Mavuto a pancreatic mwa ana amatha kubereka kapena kutengeka.

Mwa matenda obadwa nawo, njira zotsatirazi ndizodziwika bwino:

Ectopia wa kuthengo,
kuchuluka kwa kapamba,
chimbudzi
kuchepa kwapakati pa ntchito ya lipase (matenda a Sheldon-Rey),
kufooka kwa amylase,
kuchepa kwayekha kwa ntchito ya trypsinogen,
ponseponse kusowa kwa kapamba.

Mwa zovuta zomwe mwapeza ndi kapamba, pali:

viral pachimake kapamba,
cystic fibrosis,
mankhwala kapamba,
zoopsa zapansi,
Pancreatitis ndi matenda a Shenlein-Genoch,
kapamba wokhala ndi chakudya chamagulu.

Mawonetsedwe azachipatala ndi chithandizo cha pancreatitis ya ana samasiyana kwenikweni ndi anthu akuluakulu. Chinthu chachikulu mu nkhaniyi ndikuzindikira chomwe chimayambitsa kutupa kwa kapamba ndi kuwonongedwa kwake.

Chifukwa chake, pansipa tidzapenda mavuto amtundu wa kapamba omwe amafunikira ubwana.

Cystic fibrosis: malingaliro wamba

Cystic fibrosis ndi matenda obadwa nawo omwe amatha kuchitika mwana atangobadwa kumene, kapena patatha zaka zochepa, malingana ndi kuopsa kwa matendawa. Ndi matenda awa, pafupifupi ziwalo zonse ndi machitidwe amthupi zimakhudzidwa.

Zimachitika chifukwa chophwanya kusinthana kwa chlorine pakati pa maselo ndi malo owazungulira, zomwe zimapangitsa kuti chiwonetsero cha chinsinsi chizitulutsidwa ndi gland. Chinsinsi ichi chimadziunjikira ndi kubisa zonyansa za kapamba, kuchititsa kutupa. Izi zimabweretsa kuchepa kwambiri kwa procrine.

Cystic fibrosis: kuzindikira ndi kuchiza

Kuzindikiritsa matendawa kumakhala kutsimikiza kwa thukuta la chloride (kuchuluka kwawo ndi khalidwe), kupimidwa kwa ma pancreas. Tsopano pochulukirachulukira ndikuwunika majini.

Zizindikiro za zovuta za kapamba ndi chithandizo zimayenderana mwachindunji ndi matendawa. Enzyme m'malo mankhwala ndi zakudya mankhwala, komanso pancreatitis akuluakulu, amachita mbali yayikulu.

Kutalikirana kwa enzyme

Mavuto a pancreatic mu ana amatha kuchitika chifukwa cha kulephera kwayokha kwa imodzi mwazinthu zitatu: lipase, trypsin, kapena amylase.

Kuperewera kwa lipase kumadziwika ndi kukhalapo kwa matenda am'mimba ndi chimbudzi. Mukamazindikira kuti muli ndi pulogalamu, mafuta ambiri osafunikira mu ndowa amatsimikizika (steatorrhea). Kuchuluka kwa fecal elastase-1 kumachepetsedwa.

Kuphwanya kwayekha kwa kupanga kwa amylase ndikotheka, komwe kumadziwika ndi kukhalapo kwa matenda otsegula m'mimba omwe ali ndi wowuma (amylorrhea). Kuperewera kwa Trypsin ndikothekanso, momwe kutsekula m'mimba kumachitika ndi protein inclusions (creatorrhea). Kuphwanya mapuloteni odziwitsa kumabweretsa kuchepa kwa kuchuluka kwake m'thupi (hypoproteinemia), zomwe zimapangitsa kuti pakhale edema yayikulu.

Izi matenda, mwamwayi, ndizosowa kwambiri, koma ndikofunikira kudziwa ndikuzikumbukira mukazindikira mavuto a ana pancreatic.

Zakudya zamankhwala

Chisamaliro chapadera chiyenera kulipiridwa pazakudya zamankhwala a kapamba. Pochiza matenda amtunduwu, odwala amalimbikitsidwa kugwiritsa ntchito zotsatirazi mbale:

mikate yoyera
msuzi wowala pa msuzi wa masamba,
Mitundu yochepa yamafuta a nyama: kalulu, nkhuku, nkhuku, mafuta ochepa amphaka amphaka, owiritsa kapena ophika,
masamba aliwonse, kupatula yokazinga,
zopangidwa mkaka
mafuta masamba - mafuta a masamba, batala ochepa amaloledwa,
osaposa dzira limodzi patsiku,
pakati pa maswiti, okhawo omwe amamwa zipatso, compote, uchi amaloledwa,
Pakati pa zakumwa ayenera kukonda tiyi, decoction wa rose m'chiuno.

Mukakonza zakudya zamafuta ndi kapamba, kugwiritsa ntchito zinthu ngati izi ndi zoletsedwa:

nyama yamafuta ndi nsomba,
zakudya zokazinga
wosuta mbale
ankasuta nyama ndi zonunkhira
makeke, maswiti, chokoleti,
mowa

Kuthana ndi izi pophatikiza ndimankhwala kumathandizira kuchotsa mavuto ndi kapamba!

Matenda a shuga

Matenda a shuga - imatha kukhala zifukwa zingapo. Matenda a shuga amtundu wa 1 amakhudzana ndi kuperewera kwa insulin kapenanso kukhalapo kwa kapamba pa msambo.

Zizindikiro zake za matenda ashuga:

ludzu
kukodza pafupipafupi,
kuwonda
dzanzi la miyendo
kufooka wamba.

Mavuto a kapamba: Zizindikiro ndi Chithandizo

Cancreas ndichofunikira kwambiri pakugwira ntchito yolumikizana ya thupi lonse. Amatha kutchedwa wochititsa, wowongolera gulu loimba la ophatikizira - zida zamagetsi ndi endocrine.

Kapangidwe ka kapamba ndi ntchito zake zazikulu

Cancenas ili m'matumbo am'mimba mu diaphragm (pomwe gawo la thoracic vertebral limadutsa lumbar) - pafupifupi masentimita asanu ndi limodzi pamwamba pa msomali.
Thupi la tinthu titha kugawidwa m'magulu:
Mutu - gawo lalikulu kwambiri lachipilalo, lili kumanja kwa khosi lamaso, ndipo, titero, limagona m'chiuno cha duodenum.
Thupi - pakati penipeni pa gland,
Mchira - gawo lowonda kwambiri, limasiyira kumbuyo kwa m'mimba ndikuzama, limatha pafupi ndi ndulu, pang'ono likugwera m'mwamba.

Kanema (dinani kusewera).

Zikondwererozi zimagwira ntchito ziwiri mthupi:

kugaya chakudya - imatulutsa ma enzyme omwe amaphwanya mafuta, mapuloteni ndi zakudya mu duodenum kuti azitha kulandira zakudya zabwino,
endocrine - imatulutsa (mumchira) insulin ndi mahomoni ena omwe amakhudza kagayidwe koyenera m'thupi.
Madzi opangidwa ndi chiwalo amatchedwa madzi a pancreatic.

Kumayambiriro kwamatenda omwe ali m'ziwalo, chifukwa cha zovuta zingapo zotulutsa, mwachitsanzo, chifukwa cha miyala yomwe imapangidwa mumkodzo kapena pamene kapamba ikakozedwa, ma enzyme omwe amapangidwa ndi iwo sangathe kulowa mu duodenum, koma khalani m'chiwalo chokha. Amakumba kapamba, amawononga minofu yake, ndipo kutupa kwambiri kumachitika - kapamba. Itha kuyambitsa kukulira kwa edema komanso ngakhale kutupa m'matumbo a chiwalo.
Ngati sichichiritsidwenso, mawonekedwe owopsa a kapamba amayamba kukhala osachiritsika, momwe mumakhala masinthidwe amisempha (m'malo mwake ndi cicatricial), komanso kutulutsidwa kwa ma enzymes ophatikizika ndi poizoni m'magazi, zomwe zimapangitsa ziwalo zapafupi kuvutika. Komanso, chitsulo sichimapanga insulin yokwanira, shuga m'magazi amakwera, ndipo endocrine ndi machitidwe am'mimba osagwira ntchito.

Pantheonecrosis kapena khansa imatha kupanga mtsogolo.

Matendawa amatha kufalikira ku chiwalo chonse kapena kupezeka m'chigawo chimodzi chokha (thupi, mutu, mchira).

Ululu mu kapamba ndichizindikiro chofunikira kwambiri chakulephera kugwira ntchito m'thupi. Matenda ake onse (kupatula matenda ashuga) amadziwika ndi zopweteka zomwe zimakhala zosiyanasiyana.

Zizindikiro za kupweteka m'mapapo. Matenda a chiwalo ichi nthawi zambiri amakhala limodzi ndi ululu, olimba kwambiri komanso amakhala nthawi yayitali. Nthawi zina zimakhala pansi pa supuni, mu epigastrium, ndikusunthira mbali yakumanzere ya chifuwa, phewa lamanzere ndi phewa. Koma nthawi zambiri imazungulira thupi ngati ma hoops ndikuipereka ku dera lumbar. Komanso, ululu umatha kupezeka mu hypochondrium ya kumanzere, kukulira pakupuma kapena kusuntha.

Zoyipa za matenda ofunika kwambiri, malinga ndi madotolo, ndi:

Matenda a Gallstone
Gastritis ndi zilonda zam'mimba,
Kuvulala kwam'mimba
Matenda a matumbo
Pathology ya momwe magazi amayendera,
Pathology ya ndulu ndi ndulu zake,
Matenda a parathyroid ochulukirapo - amatsogolera kuchuluka kwa calcium m'thupi, ndiye kuti, kumiyala.
Osteochondrosis wa thoracic kapena lumbar msana,
Intercostal neuralgia,
Mowa, kusuta,
Zakudya zopanda pake (kudya kwambiri, kusala, mafuta, zakudya zonunkhira),
Kuukira kwa Helminthic,
Khalidwe labwino
Mimba - chiberekero chokulirapo chimaphatikizira England
Bacteria ndi ma virus
Hepatitis B ndi C,
Matenda amkati.

Zizindikiro zodziwika bwino za matenda a chiwalo:

Panthawi ya pachimake pamimba pamimba pamimba - kudula, kupweteka kosapweteka, wodwalayo sanganame, kupweteka kwambiri, amapitilizabe ndi thupi lake pang'ono pang'ono kupita kutsogolo. Aakulu - kupweteka ndi kuzimiririka, kukoka, kupweteka.
Kusanza osachiritsika komanso mseru.
Kumauma kwamkamwa kumawoneka mkamwa, motsatana ndi kugasuka ndi mapokoso.
Kutsekula m'mimba - kutsekula m'mimba kapena kudzimbidwa, m'mimba nthawi zambiri kumatupa.
Kuthamanga kwamtima, kutentha thupi, kuthamanga kwa magazi.
Kuchepetsa mseru
Kusanza mwachangu ndi bile.
Kulowerera mu mawonekedwe a kufooka, kupweteka mutu, thukuta, kutentha thupi kapena kutentha thupi, etc.

Matenda akuluakulu a gland:

kapamba (pachimake komanso nthawi yayitali),
Mtundu woyamba wa shuga
cystic fibrosis,
mawonekedwe a cystic ndi zotupa
kapamba,
khansa

Zizindikiro za matenda ena:
Cystic fibrosis - matenda obadwa nawo. Madzi am'madzi otulutsa chimbudzi amakhala onenepa kwambiri ndipo amazungulira malekezowo, kutanthauza kuti sangalowe mumkati mwa duodenum ndikuyamba kugaya tinthu tomwe timwiniwo.
Zambiri:

Kupindika ululu m'matumbo.
Makristali abwino a mchere pakhungu.

Mtundu I shuga - chitsulo chimapanga insulin yaying'ono, kuchuluka kwa shuga m'magazi kumakwera. Kuwonetsera kwa ludzu ndi kuyimitsidwa kuli khalidwe. Mukadumphira kumwa insulin, hypoglycemia imayamba ndi thukuta, tachycardia, njala yadzaoneni.

Chips - uwu ndi gawo mu thupi la kapamba lomwe limalepheretsa ntchito yake, chifukwa chomwe ma enzymes sanapangidwe kokwanira. Matendawa amadziwika ndi kutentha thupi.

Pancreatic necrosis zimayambitsa kufa kwa maselo, chifukwa chake kupweteka kwapweteka kumakhalapo nthawi zonse, mpaka kudabwitsa.

Khansa kapamba kumayambiriro kwa gawo lingatsimikizidwe pogwiritsa ntchito ultrasound.

Zizindikiro zake:

Ululu pamimba yapamwamba, kudutsa kumbuyo.
Madandaulo ofooka, kutopa.
Kulakalaka.
Kuchepetsa thupi.
Pallor, pa gawo lotsiriza - kufalikira kwa pakhungu.
Kwezani kutentha.
Dyspeptic matenda a chopondapo.

Zizindikiro za kapamba wa kapamba (kapamba)

Matenda ofala kwambiri ndi ziwalo zotupa (pancreatitis). Ndi pachimake komanso matenda. Nthawi zambiri kumachitika ndi kuperewera kwa zakudya m'thupi ndikuyamba kumwa zakumwa zoledzeretsa, makamaka pambuyo pa tchuthi cholemetsa komanso chachitali.

Kupweteka kwakukuru kwa pancreatic ndi zizindikiro za kupweteka kwa kapamba:

Kupweteka kwakuthwa m'chupi komwe kumachitika mu hypochondrium kumanzere kapena pansi pa supuni ndikudutsa kumbuyo, mbali yakumanzere. Zimapweteka kwambiri - zimakhala ngati kukukoka munthu kuchokera mkati.
Anachepetsa chilako.
Kusanza kwadzaoneni, komwe sikumadzetsa mpumulo.
Kuchita mseru kosalekeza kungayambitse kukomoka.
Tachycardia.
Thupi ndi thukuta, kuzizira.
Pamimba pamimba pali kutupa.
Dyspeptic matenda a chopondapo.
Kukongola kwa khungu.
Kuteteza khungu ndi mucous nembanemba.
Mkodzo ndi wakuda bii ndipo ndowe zake ndizopepuka.
Pakamwa pakamwa.
Kuchulukitsa kapena kuchepa kwa kuthamanga kwa magazi.

Ngati mukumva chimodzi mwazambiri mwazizindikirozi, kufunikira kofunikira kuchita ndi kuphipha kwa kapamba.

Mu chifuwa chachikulu, Zizindikiro ndi zofanana ndi pachimake, chofewa, chosalala, kupweteka kumawuma, kupweteka.

Momwe mungachepetsere kupweteka kwa kapamba kunyumba

Ngati kupweteka kwapweteka kumachitika, muyenera kuyimbira foni dokotala. Asanabwere, pali njira zingapo zomwe zingachitike kuti muchepetse ululu:

Bodza kumsana kwako, kupuma.
Ikani kutentha kwa ayezi pamimba yapamwamba.
Simungadye.
Mutha kumwa madzi osowa a carbonated alkaline.
Simungathe kutenga ma pinkiller mpaka muwone dokotala.

Mankhwala apadziko lonse lapansi kuti muchepetse kupweteka kwam'mimba:

paracetamol - kuchepetsa kufooka kwa chiwalo, kuchepetsa kuchulukana mu zotupa,
drotaverin, no-shpa - yopumula makoma a milunda ya chiwalo ndi kutuluka kwa madzimadzi a pancreatic,
metoclopramide - kusintha matumbo,
simethicone, espumisan, meteospasmil - kuthetsa flatulence.

Zizindikiro zamatenda a kapamba ndi chithandizo cha zakudya

Ngati pali zizindikiro ziwiri zazikulu (zowawa ndi dyspepsia), madokotala nthawi zonse amakhala ndi chidwi ndi kapamba.
Matenda a chiwalo mumagawo oyambawo amakhala otsimikiza mosavuta kugwiritsa ntchito ultrasound, x-rays ndi compact tomography.

Potsimikizira kukayikira ndikudziwitsa matenda enaake, chakudya choyenera Nambala 5P ndi mankhwala apadera amalembedwa kuti athetse kukhathamiritsa komanso kusunga thupi (munthawi yovutikira).

Ngati zotsekera khansa, khansa, kapena cholimba kwambiri cha chiwalo chikapezeka, kuchotsa kwake pang'ono kapena kokwanira ndikofunikira.

Ndi kuchulukitsa kwa matendawa:

Mafuta, okazinga, onunkhira, amchere kwambiri, osuta, osowa.
Msuzi wamphamvu.
Supu wowawasa.
Zakudya zamatenda, kusuta nyama ndi soseji.
Mkate wopangidwa kuchokera ku batala ndi mtanda wa rye.
Bowa.
Kabichi, nyemba, masamba onse wowawasa komanso onunkhira.
Wowawasa ndi zipatso zamalanje.
Mowa, khofi wamphamvu komanso tiyi, zakumwa za kaboni.
Zakudya zotsekemera, monga chokoleti, ayisikilimu.

Kapamba: matenda zizindikiro zakudya mankhwala

Udindo wa kapamba m'thupi la munthu ndiwambiri kwambiri: umatenga gawo mu mphamvu ya kagayidwe kazakudya, umapereka chimbudzi, umathandiza kugaya mapuloteni, umayang'anira kuchuluka kwa shuga ndipo umachita nawo zina zofunika mthupi.

Kutupa kwa pancreatic (kapena kapamba) ndi kowopsa ndi zovuta zomwe zingayambitse matenda a shuga kapena ngakhale pancreatic minofu necrosis.

Zizindikiro ndi zizindikiro za kutupa kwapancreatic

Mimba imakhala kumbuyo kwa m'mimba komanso pafupi ndi chikhodzodzo, kotero ngati ipweteka, ndiye matendawa amafalikira kwa kapamba. Kumayambiriro kwa kutukusira kwa kutupa, Zizindikiro ndi zizindikiro za kapamba ndizofunikira:

mkhalidwe wamtundu wa ululu
ululu woyaka mkati mwa ntchafu kuyambira kumbuyo,
kuchepa kwamtima
kuchuluka pagulu Reflex,
atatsamira patsogolo, ululu umachepa,
Nthawi zina kutentha kumatuluka.

Odwala nthawi zambiri amasokoneza kapamba ndi osteochondrosis, pyelonephritis komanso shingles. Koma dokotala waluso amazindikira kutukusira kwa kapamba, popeza kumayambika kwa matendawa kumatha nthawi zonse ndikumva kupweteka kwambiri. Kuti muwone kuti si msana womwe umapweteka, ndikosavuta ndi palpation: ndi osteochondrosis kapena pyelonephritis, kugunda kumalo opweteka kumadziwika, koma ndi pancreatitis sikuti.

The pachimake mawonekedwe a kapamba amatha kuthandizidwa kuchipatala, ndipo madokotala amayenera "kukhazika" kapamba mwachangu, apo ayi matendawa amawopseza kuti asinthe kukhala kufa kwa necrosis (kufa minofu) ndi kufa kwa wodwalayo.

Chifukwa chake, ndi ululu woyamba mu epigastric dera kapena kutupa kwa hypochondrium, muyenera kufunsa dokotala nthawi yomweyo. Matenda acute amatsogolera kuimfa mu 15% ya milandu chifukwa chofika kwa katswiri.

Zizindikiro zikuluzikulu za kutupa kwapakhungu pancreatic:

tachycardia
kusanza
kupweteka kwakuthwa kuzungulira msomali
kutentha kuwonjezeka
kutsegula m'mimba

Ngati pachimake kapamba zimachitika motsutsana maziko a pancreatic enzyme activation, mawonekedwe ake osakhazikika amapangidwa ndi matenda osiyanasiyana am'mimba, mwachitsanzo, matenda a gallstone, cholecystitis kapena hepatitis. Zizindikiro za matenda osachiritsika:

kudya zakudya zamafuta,
kupweteka kwa hypochondrium panthawi yolimbitsa thupi,
kuphwanya chopondapo
kuwonda mwadzidzidzi
kusowa kwa chakudya.

Kutengera ndi zisonyezo, madokotala amasiyanitsa mitundu ingapo ya matenda osakanikirana a kapamba: asymptomatic, ululu, kubwereza komanso pseudotumor. Mu mawonekedwe oyamba, wodwalayo sakudziwa za matendawa, akumva ululu, akumva kupweteka kwakanthawi pansi nthiti, ndipo ndikubwerera m'mbuyo ululu umawonekera, koma amazimiririka atatha kulandira chithandizo. Mtundu wa pseudotumor wa kutupa kwa pancreatic kumachitika mutu wake ukakulirakulira, ukukulira ndi minyewa ya fibrous.

Ngati zikondazo zimapsa, ndiye kuti ululu ndi wosiyana: kupweteka, kudula, kusoka, ndi kutulutsa kwina, mwachitsanzo, pansi pa nthiti yakumanja, kapena popanda kutulutsa kwina kulikonse pamimba yam'mimba, kumbuyo kapena mphepete. Mtundu wa ululuwu zimatengera mwachindunji gawo lachiberekero lomwe limayatsidwa: thupi, mutu kapena mchira. Pakupezeka kwawoko kupweteka, madokotala nthawi zambiri amalankhula za matenda athunthu.

Kupweteka kwapakati pakati pamimba ndikuwonetsa kuti thupi la kapamba limapweteka, ngati ululu umatsekeka mbali yakumanja, mutu wa nduluyo umayatsidwa, ndipo ngati kumanzere, mchira. Kukhalapo kwa milandu yotsiriza kumakhala koyipa kwambiri, chifukwa m'magawo awa amapangika volumetric (chotupa).

Kusintha kwazonse mu kukula kwa kapamba ndizotetezeka koposa kukulira kwina kulikonse. Mutu wa gland uli ndi mawonekedwe apadera komanso mawonekedwe achilendo: umapezeka mwa munthu wamkulu pamlingo wa ma vertebrae awiri oyamba, ndipo mwa khanda lobadwa kumene limakweza pang'ono. Mukakula, kukula kwabwinobwino kwa mutu wa kapamba kumayenera kufika pa 35 mm, ndipo ngati kuli kocheperako kapena kokulirapo, ndiye izi zimawonedwa ngati matenda.

Mapangidwe a volumetric a pancreatic mutu nthawi zambiri amadziwika pa ultrasound yam'mimba ndipo amadziwika kuti ndi matenda oopsa. Itha kukhala yopanda pake kapena yoyipa bwino, yomwe imafunikira kuchotsedwa mwachangu. Matenda ngati amenewa nthawi zambiri amapezeka mwa anthu patatha zaka 60. Ngakhale dokotala wodziwa bwino amatha kudziwa zoyambirira za kutukusira kwa mutu wa England: kusintha kwa khungu ndi kusintha kwa mapuloteni amaso achikaso. Chithandizo cha matenda amtunduwu chimachitika kuchipatala.

Mchira wa kapamba umakhala ndi mawonekedwe ofanana ndi peyala ndipo umayandikira pafupi ndi nduluyo. Mwa munthu wathanzi labwino, kutalika kwa mchira ndi chiwalo 20-30 mm, ndipo kutalika kwake ndi pafupifupi masentimita 15. Kupeza kolimba kwa mchira wa gland ndikutukuka kwake kapena kumangiriza, komwe kumapangitsa kutsekeka kwa mitsempha ya splenic kapena mawonekedwe a subrenal.

Chotupa mumchira wa chithaphwi chimakhala chosowa: pafupifupi kotala ya matenda onse am'mimba. Koma ngati wapezeka, ndiye kuti nthawi zambiri chotupacho chimavulala ndipo chimakhala chosatheka kuchiza, chifukwa chimapezeka mochedwa, chikakhala chofika kukula kwakukulu. Akamagwiritsa ntchito chotupa mumchala wa kapamba, madokotala nthawi zambiri amafunika kuchotsa ziwalo zapafupi.

Zizindikiro za Kutupa Kwa Pancreatic | Zizindikiro za Pancreatitis

| Zizindikiro za Pancreatitis

Nthawi zambiri, zomwe zimayambitsa matenda a kapamba zimakhudzana ndi mowa. Kuphatikiza apo, zilibe kanthu kuti zidamwa tsiku lanji m'mbuyomu: vodika wokwera mtengo kapena vinyo wosakwiridwa. Anthu amazolowera kuganiza kuti mowa umapereka gawo lalikulu ku chiwindi, komwe kumayambitsa matenda a cirrhosis, koma amatha kuthana ndi ma alcohols mothandizidwa ndi ma enzymes ake mpaka nthawi ina. Zikondamoyo sizikhala ndi mapuloteni otero, chifukwa chake ma alcohols amagunda pamalopo pomwe sangathe kudziteteza.

Komanso, zinthu zotsatirazi zimawerengedwa kuti ndizomwe zimayambitsa kutupa:

Pa ululu uliwonse wam'mimba, ndikofunika kukaonana ndi dokotala nthawi yomweyo. Chithandizo cha kapamba nthawi zambiri chimachitika kuchipatala. Madokotala omwe ali pachimake nthawi amasangalatsa kapamba, kupondereza ntchito zake zachinsinsi. Amathandizanso kuthamanga kwa mitsinje yamafuta ndi mankhwala ndikumapereka mankhwala omwe ali ndi chitetezo chambiri kuti athetse kusintha kwamatenda kapena zovuta zina. Ngati zovuta zakumapazi ndizovuta, kuchitapo kanthu kwa opaleshoni kumagwiritsidwa ntchito.

Kuchulukitsa kwa matenda osachiritsika kumachizidwa pang'onopang'ono. Wodwalayo adafotokozedwa kuti azidya mosamala ndi zakudya zothina. Zakudya zoyenera zimaphatikizidwa ndikumwa mankhwala omwe amatseketsa michere yogwira. Ndiwonjezereka wa kutupa kwa "kapamba", ma pinkiller, antispasmodics, mankhwala a enzyme komanso mavitamini amafotokozedwanso.

Chithandizo chakale komanso chothandiza ndi mankhwala azitsamba. Kuphatikiza pa zakudya zoyenera za kapamba, kukanidwa kwa zakudya zokazinga, zamafuta ndi zonunkhira, kuti muchepetse kutulutsa kovuta m'mapapo, muyenera kumwa zitsamba za choleretic.

Kuti muchite izi, tengani 10 ga zitsamba zouma:

celandine
stigmas,
chipatso cha anise
dandelion muzu
tricolor violets,
mbalame zokwera ndege.

Pukuta chilichonse, kusakaniza, kuthira ½ lita imodzi ya madzi otentha ndikuphika kwa mphindi zitatu. Pambuyo pozizira, msuzi uyenera kuledzera ndikuwonjezera matendawa katatu tsiku lililonse musanadye kwa milungu iwiri motsatizana. Kenako muyenera kumwa kuchokera ku zitsamba zotsatirazi:

katsabola, peppermint, 30 g iliyonse,
Maluwa osatha, zipatso za hawthorn 20 g,
maluwa chamomile 10 g.

Thirani zitsamba zothira madzi okwanira lita imodzi ya madzi otentha ndikusiya kwa mphindi 20, ndiye kuti mumavutika ndikudya katatu tsiku lililonse mukatha kudya kwa mwezi umodzi. Ndizothandizanso kumwa msuzi wa sauerkraut wopanda kaloti ndi zonunkhira. Madzi amathandizira kupweteka msanga, chifukwa muli ndi lactic acid, womwe umathandiza kwambiri pakhungu la kapamba.

Zakudya zopatsa thanzi komanso zakudya zotupa kapamba

Mosasamala mawonekedwe a matendawa, chakudya chofunikira ndikofunika kuchiza kutupa kwa kapamba. Ndi kuchulukitsa kwa matendawa m'masiku awiri oyamba, simungathe kudya chilichonse. Analoleza msuzi wa rosehip basi, mchere wamadzi wopanda mafuta kapena tiyi wopanda mafuta.

Iyenera kuyikidwa pambali pazakudya pakachulukitsa matenda:

mowa
zonunkhira, zokometsera,
mafuta, okazinga,
masoseji, nyama zotsekemera,
zipatso, zamzitini,
confectionery, chokoleti, msuzi wowawasa.

Ngati kutupa kwa kapamba kumakhala kovuta, ndiye kuti madokotala amalola zotsatirazi:

Zinthu zamkaka: tchizi chosakhala acidiki, yogati, kefir.
Mitundu yamafuta ochepa-mafuta: pike, bream, zander.
Zakudya zamafuta amphaka monga mbatata yosenda, ma borde, soufflé kuchokera kwa kalulu, nyama yamwana wang'ombe, ng'ombe, nkhuku kapena nkhuku.
Yophika masamba grated.
Zipika kapena mkate wowuma.
Steeled dzira omelette.
Zakudya monga chimanga, nkhuku, Zakudyazi kapena masamba.
Mafuta: Mpendadzuwa woyenga, maolivi, zonona.
Pasitala, mbewu zampira.
Mafuta okoma, odzola, zipatso zopatsa chidwi.
Maphika ophika, maapulo.
Msuzi wa tirigu tirigu, tiyi wopanda mphamvu, msuzi wa duwa lakuthengo, mchere wamadzi wopanda mpweya.

Ngati kapamba wayaka, mutha kugwiritsa ntchito zakudya zomwe tafotokozazi. Menyu adapangira munthu m'modzi masiku awiri:

Chakudya cham'mawa 1: mbatata yosenda 100 g, 2 oleza, madzi amchere.
Chakudya cham'mawa 2: omeled omelet kuchokera ku mazira awiri, 2 cutamamu, 1 tirigu Cracker, mkaka wopanda mafuta 200 ml.
Chakudya chamadzulo: 200 ml supu ya nkhuku, nsomba yophika 100 g, yophika zukini 100 g, 1 cracker, zoumba zouma 30 g, madzi a phwetekere 200 ml.
Zovuta: zipatso odzola 200 ml, madzi amchere popanda mpweya.
Chakudya chamadzulo: oatmeal 150 g, 1 steam cutlet, karoti puree 100 g, 1 cracker, tiyi wokhala ndi mkaka 200 ml.

Chakudya cham'mawa 1: ng'ombe yophika 100 g, oatmeal 150 g, 1 cracker, mchere wamadzi.
Chakudya cham'mawa 2: apulosi 100 g, kanyumba tchizi pudding 100 g, Cracker 1, 200 ml ya tiyi.
Chakudya chamadzulo: msuzi wamasamba 250 ml, makeke awiri am'madzi otentha, dzungu phala 100 g, tchizi tchizi 100 g, 1 Cracker, tiyi.
Zovuta: 150 g karoti puree, 100 g makomedwe, 100 g apulo puree, 100 g yogurt
Chakudya chamadzulo: mbatata yosenda 150 g, meatloaf 150 g, kanyumba tchizi pudding 100 g, 1 Cracker, zipatso jelly 100 ml, tiyi.

Mavuto a kapamba: zimayambitsa, Zizindikiro, matenda, chithandizo chokwanira,

Kasitomala ndi chimodzi mwazinthu zofunika kwambiri m'thupi lathu. Ndi gawo la gulu la tiziwalo tosakanikirana. Izi zikutanthauza kuti nthawi imodzimodzi imapanga mahomoni omwe amatulutsidwa m'magazi (secretion yamkati), ndikupanga ma enzyme omwe amafunikira kugaya m'matumbo (secretion yakunja). Chifukwa chake, ndikofunikira kuti mukhale ndi lingaliro lazovuta zomwe zimachitika m'matumbo mwa munthu, momwe amadziwonekera, komanso momwe angathanirane nazo.

Kuti mumvetsetse chifukwa chake pali zizindikiro zina zamavuto ndi kapamba, ndikofunikira kumvetsetsa tanthauzo la chiwalo mthupi ndi zomwe limagwira.

Monga taonera pamwambapa, kapamba ndimtundu wa katulu wosakanikirana. Kuchita ntchito ya endocrine England, imasindikiza mahomoni atatu:

insulini - imachepetsa kuchuluka kwa shuga m'magazi, imathandizira kugwiritsidwa ntchito kwake ndi maselo, imawonjezera kaphatikizidwe ka mapuloteni komanso kumachepetsa kuphwanya kwa mafuta,
glucagon - njira yotsutsana ndi insulin, imachulukitsa shuga, imachulukitsa kuwonongeka kwa mapuloteni ndi mafuta, chifukwa chake glucagon imadziwikanso kuti hormone ya contrainsular,
somatostatin - linalake ndipo limalephera kaphatikizidwe ka mahomoni achilengedwe (somatotropic ndi thyrotropic).

Kubisala kwa pancreatic kwakunja kumadziwika ndi kupanga kwa michere yotsatirayi:

amylase - kofunikira kuphatikiza chakudya, kuphwanya polysaccharides kukhala monosaccharides (shuga ndi fructose),
trypsin - amaphwanya mapuloteni kukhala amino acid,
lipase - yofunikira pakuyamwa kwa mafuta.

Zomwe zimayambitsa zovuta zapancreatic zimaperekedwa pansipa:

Pancreatitis - kutukusira kwa minyewa ya minyewa, imatha kukhala yovuta komanso yosatha. Zodziwika kwambiri mwa akuluakulu, samawoneka kwambiri mwa ana.
Ma neoplasms ndi zotupa zoyipa komanso zoyipa.
Matenda a shuga - kuwonongedwa kwa maselo a kapamba omwe amaphatikizidwa ndi kuphatikizika kwa insulin, kapena kuwonongeka kwa minofu.
Ntchito zosokoneza gland - kuphwanya ntchito ya chiwalo pakalibe kusintha kwa masanjidwe.
Anomalies mu kapangidwe kake ndizomwe zimayambitsa zovuta za pancreatic mwa mwana.

Ngakhale pali kusiyanasiyana komwe kunayambira matenda amtunduwu, munthu amatha kusiyanitsa zingapo zofunika zizindikiro zomwe zili ndi vuto lililonse la kapamba:

Ululu kumanzere kwa hypochondrium, nthawi zambiri wokhala ndi mawonekedwe omangana komanso mpaka kumbuyo. Mphamvu ya ululu imawonjezeka ndikuphwanya zakudya, palpation pamimba. Kutengera ndi matenda, amatha kukhala osiyanasiyana mosiyanasiyana, mosalekeza kapena kupsinjika. Ululu ndiye chizindikiro chachikulu cha mavuto a pancreatic mwa akulu, zomwe zimapangitsa wodwala kufunafuna chithandizo chamankhwala.
Mawonekedwe a Dyspeptic. Gulu la zizindikiro limayamba ndi kusakwanira kwa katulutsidwe wakunja, limadziwonetsa ngati kudzimbidwa ndi kutsegula m'mimba, kusanza komanso kusanza.
Kuchepa chilakolako cha chakudya, komanso chifukwa chochepetsa thupi komanso kutopa thupi.

Zizindikiro zotsalazo ndi zachindunji, chifukwa chake, ziwunikiridwa potengera matenda amtunduwu.

Kutupa kwa kapamba kapena kapamba ndi vuto lodziwika mu matenda ammimba mwa akulu. Izi zitha kuchitika mwachindunji kapena mosadukiza. Pachimake kapamba mu akulu kumachitika chifukwa cha uchidakwa, kuphwanya zakudya. Komabe, vutoli limathanso kuchitika mwa ana. Nthawi zambiri, ubwana, kapamba amayamba kudwala chifukwa cha matenda oyambitsidwa ndi ma virus (mumps), congenital pathologies (cystic fibrosis), komanso kuwonongeka kwa gland ndimankhwala ena.

Matenda a kapamba nthawi zambiri amakhala chifukwa cha pachimake chosagwira. Zimachitika pamene wodwalayo sanapemphedwe mwachangu thandizo lachipatala, wodwalayo samatsata zakudya komanso kulandila mosayenera mankhwala.

Njira zotupa mu gland zimayamba chifukwa cha kufalikira kwa ma ducts, zomwe zimapangitsa kuti chiwopsezo chawo chichepe. Pakapita kanthawi, ma ducts awo amawonongeka, ndipo zomwe zimaphatikizika, ndi ma enzyme, zimalowa m'magazi, ndikuvulaza maselo a pancreatic. Pali imfa ya gland (pancreatic necrosis). M'magazi, ma enzyme amadziunjikira zowonjezera (Fermentemia), zomwe zimakhala ndi poizoni m'mimba.

Kodi ndi zizindikiro ziti zofala kwambiri zamavuto omwe amapezeka mwa akulu? Zowonetsa zonse zamankhwala pamwambapa ndizowona: kupweteka kwa hypochondrium, mawonetseredwe a dyspeptic, kuchepa kwa chakudya ndi kuchepa thupi.

Ndizofunikira kudziwa kuti ndi pancreatitis yovuta, kupweteka kumatchulidwa kwambiri. Zimachitika ndendende ndi kuperewera kwa m'thupi (kugwiritsa ntchito mowa, kuchuluka kwamafuta ndi chakudya chokazinga). Ululu umaphimba pamimba lonse, ndikupatsanso. Amayendetsedwa pansi, miyendo ndikutsitsidwa. Zomverera zowawa zimaphatikizidwa ndi zovuta zovuta zodwala: kuchepa kwa kuthamanga kwa magazi, kuthamanga kwa mtima, thukuta ndi kufooka.

Mu chifuwa chachikulu cha pancreatitis, ululu wake suukweza kwambiri, umakhala ndi kukoka kapena kukanikiza. Apa, dyspepsia imabwera koyamba: kutsekula m'mimba, kusinthana ndi kudzimbidwa, mseru komanso kusanza. Maonekedwe a chopondapo chamafuta, chomwe ndi chovuta kuchichotsa, ndi chikhalidwe. Zizindikirozi zimachitika chifukwa cha chimbudzi cholakwika cha mapuloteni, mafuta ndi chakudya. Zakudya zopanda kanthu zimatuluka ndi ndowe.

Komanso, nthawi yayitali ya matenda, kusinthana kwamkaka ndi kukhululuka kumadziwika. Mukukhululuka, mkhalidwe wa wodwalayo ndiwokhutiritsa, palibe ululu ndi mawonekedwe a dyspeptic.

Zizindikiro zomwe zatchulidwa pamwambapa ziyenera kupangitsa wodwala kukayikira vuto la kapamba, komwe kumafunika chisamaliro chamankhwala mwachangu, ndipo mwina, kupitilizidwa kuchipatala.

Pozindikira pancreatitis, njira yotchulira ndiyo kutsimikiza kwa labotale ya fecal elastase-1, enzyme yopangidwa ndi kapamba. Kuchepetsa kwa zinthu izi mu ndowe kumasonyezera kusowa kwapanja kwa kapamba. Kuphatikiza apo, njira zoonera chipangizochi zimachitika. Kugwiritsa ntchito ma diagnostics a ultrasound, kuyerekezera makina, magineti a resonance.

Chithandizo ndi zizindikiro za mavuto a pancreatic ndizogwirizana. Inde, kuthetsa ululu ndi kuchepetsa mawonetseredwe a dyspeptic ndi ntchito No. 1 pa mankhwalawa a kapamba.

Pofuna kuchepetsa ululu, antispasmodics ("Drotaverin", "Papaverine"), analgesics ("Analgin", "Baralgin") amagwiritsidwa ntchito. Kugwiritsa ntchito mankhwala a narcotic analgesics a kapamba ("Morphine") nkoletsedwa, chifukwa amachititsa kupendekeka kwa ma pancreatic, omwe amalepheretsanso kutulutsa kwamsempha kuchokera m'matumbo.

Ndikofunikanso kulipirira ma enzymes omweomwe amaphatikizika ndi ziphuphu. Pachifukwa ichi, mankhwala othandizira amaloza. Ili ndi gulu losiyana la mankhwala omwe amapezeka ndi ma pancreatic enzymes (lipase, amylase, trypsin). Izi zikuphatikizapo "Creon", "Pancreatin".

Chothandizira china pa mankhwalawa pancreatic zovuta ndizoletsa zomwe zimachitika mu ma enzymes omwe amalowa m'magazi. Mwa izi, mankhwala "Contrical" amagwiritsidwa ntchito.

Makamaka chidwi chake chiyenera kuperekedwanso ku zakudya zamatenda a kapamba, komabe, zidzafotokozedwa gawo loyenera.

Mavuto a pancreatic mwa ana amatha kubereka kapena kutengeka.

Mwa matenda obadwa nawo, njira zotsatirazi ndizodziwika bwino:

Ectopia wa kuthengo,
kuchuluka kwa kapamba,
chimbudzi
kuchepa kwapakati pa ntchito ya lipase (matenda a Sheldon-Rey),
kufooka kwa amylase,
kuchepa kwayekha kwa ntchito ya trypsinogen,
ponseponse kusowa kwa kapamba.

Mwa zovuta zomwe mwapeza ndi kapamba, pali:

viral pachimake kapamba,
cystic fibrosis,
mankhwala kapamba,
zoopsa zapansi,
Pancreatitis ndi matenda a Shenlein-Genoch,
kapamba wokhala ndi chakudya chamagulu.

Chifukwa chake, pansipa tidzapenda mavuto amtundu wa kapamba omwe amafunikira ubwana.

Cystic fibrosis ndi matenda obadwa nawo omwe amatha kuchitika mwana atangobadwa kumene, kapena patatha zaka zingapo, zomwe zimatengera kuuma kwa matendawa. Ndi matenda awa, pafupifupi ziwalo zonse ndi machitidwe amthupi zimakhudzidwa.

Kuzindikiritsa matendawa kumakhala kutsimikiza kwa thukuta la chloride (kuchuluka kwawo ndi khalidwe), kupimidwa kwa ma pancreas. Tsopano pochulukirachulukira ndikuwunika majini.

Zizindikiro za zovuta za kapamba ndi chithandizo zimayenderana mwachindunji ndi matendawa. Enzyme m'malo mankhwala ndi zakudya mankhwala, komanso pancreatitis akuluakulu, amachita mbali yayikulu.

Mavuto a pancreatic mu ana amatha kuchitika chifukwa cha kulephera kwayokha kwa imodzi mwazinthu zitatu: lipase, trypsin, kapena amylase.

Izi matenda, mwamwayi, ndizosowa kwambiri, koma ndikofunikira kudziwa ndikuzikumbukira mukazindikira mavuto a ana pancreatic.

Chisamaliro chapadera chiyenera kulipiridwa pazakudya zamankhwala a kapamba. Pochiza matenda amtunduwu, odwala amalimbikitsidwa kugwiritsa ntchito zotsatirazi mbale:

mikate yoyera
msuzi wowala pa msuzi wa masamba,
Mitundu yochepa yamafuta a nyama: kalulu, nkhuku, nkhuku, mafuta ochepa amphaka amphaka, owiritsa kapena ophika,
masamba aliwonse, kupatula yokazinga,
zopangidwa mkaka
mafuta masamba - mafuta a masamba, batala ochepa amaloledwa,
osaposa dzira limodzi patsiku,
pakati pa maswiti, okhawo omwe amamwa zipatso, compote, uchi amaloledwa,
Pakati pa zakumwa ayenera kukonda tiyi, decoction wa rose m'chiuno.

Mukakonza zakudya zamafuta ndi kapamba, kugwiritsa ntchito zinthu ngati izi ndi zoletsedwa:

nyama yamafuta ndi nsomba,
zakudya zokazinga
wosuta mbale
ankasuta nyama ndi zonunkhira
makeke, maswiti, chokoleti,
mowa

Kuthana ndi izi pophatikiza ndimankhwala kumathandizira kuchotsa mavuto ndi kapamba!

Nkhani za Ametov A. S. Zosankhidwa pa endocrinology, Medical News Agency - M., 2014. - 496 p.
Vecherskaya, Irina 100 maphikidwe a shuga. Chokoma, chathanzi, choona, kuchiritsa / Irina Vecherskaya. - M: Tsentrpoligraf, 2013 .-- 662 c.
M.A. Darenskaya, L.I. Kolesnikova und T.P. Bardymova Mtundu woyamba wa matenda ashuga:, LAP Lambert Academic Publishing - M., 2011. - 124 p.
Kalyuzhny, I. T. Hemochromatosis: kuchepa kwa khungu, kutulutsa khungu la chiwindi, matenda a shuga "a mkuwa". Kalyuzhny, L.I. Kalyuzhnaya. - M: ELBI-SPb, 2003 .-- 338 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito.Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi zizindikiro za mavuto a kapamba ndi ziti?

Zizindikiro, monga lamulo, pankhope pamaso pa wodwala:

kapamba
khansa ya kapamba
matenda ashuga
kukula kwa cysts, zomwe zimayambitsa pancreatic necrosis, cystic fibrosis.

Chowonadi chakuti pali zovuta, zotupa za kapamba zimasonyeza:

kupweteka kumbuyo, nthawi zina kumayaka komanso kusakhazikika nditamwa mowa, mafuta, okazinga, zakudya zonunkhira,
chisangalalo
zotupa pakhungu,
kutentha
kutsegula m'mimba, matenda am'mimba,
kusanza, kusanza,
kusapeza bwino mu navel, kulemera m'mimba mutatha kudya, kutulutsa.

Chizindikiro chachikulu cha zovuta ndi kapamba ndimapweteka kwambiri posintha kupuma, kukhala m'malo osavomerezeka. Mu pachimake cholecystitis, kupweteka kumachitika ngakhale mutagona.

Inde, zizindikilo zoterezi zimabadwa m'matenda ambiri, kotero kuti mupange mayeso olondola muyenera kukonzekera mayeso angapo.

Pakamwa pakamwa ndi khungu louma

Zikondazo zimagwira ntchito yogaya ndi endocrine, chifukwa chake, zonse zikalephera, zizindikiro zazikulu zimaphatikizidwa ndi mavuto:

pakamwa kowuma, ludzu,
kutopa
kuwonda
kumva ndi kuwona,
akumwetulira miyendo
magazi osagwirizana.

Zonsezi ndi zizindikiro za matenda ashuga. Mavuto ndi kapamba amatsogolera pakulephera kwa ntchito zake zonse.

Chifukwa chiyani kapamba ndiofunikira kwa thupi?

Cholinga cha gland ndikuchita ntchito za exocrine ndi endocrine. Poyambirira, chindacho chimatulutsa timadziti tam'mimba, ma enzymes omwe amalimbikitsa chimbudzi cha mapuloteni ndi mafuta. Pambuyo pakulowetsa chakudya chopakidwa ndi m'mimba m'matumbo, mumapangika enzyme - trypsin, kuwonongeka kwa chakudya, mafuta, komanso kusakhazikika kwa asidi m'mimba m'mimba yaying'ono.

Chifukwa cha ntchito yake ya endocrine, kapamba amapanga insulin yomwe imayang'anira shuga wamagazi ndi mahomoni ena ofunikira. Kupanga kwa insulini kumachitika ndendende ndi kuwonjezeka kwa shuga m'magazi, ogwidwa ndi minofu ndi minyewa kuti atsimikizire metabolic zofunika, monga gwero lamphamvu la maselo. Kupanga insulin yochepa kumabweretsa kuchuluka kwa shuga, kukula kwa matenda a shuga, ndi matenda ena mthupi.

Zizindikiro zomwe zili pamwambazi zimalankhula mwachindunji za zovuta ndi kapamba, ndipo uwu ndi mwayi wofunsa dokotala ndikuti adziwe matenda. Ndikofunikira kupeza muzu wavutoli ndikuyesetsa kuthana nawo, komanso nthawi zina zosasangalatsa.

Pali zizindikiro, ndi nthawi yoti muwunikenso zakudya zanu

Matenda a kapamba, pofuna kupewa mavuto osafunikira, simungadye:

zakudya zamafuta, zokuyenga,
zakudya zokhala ndi shuga
mbewu monga chimanga, ngakhale masamba okazinga kwambiri,
nyama zamafuta, nkhuku,
mafuta mtedza, kirimu, mkaka, tchizi,
mowa
khofi
confectionery, chokoleti, kuphika,
bowa
zonunkhira wowawasa zonunkhira komanso zakudya.

Mavuto a kapamba ndi kapamba, kudya kumangofunika. Komabe, thupi limafunikira michere. Mutha kudya masamba, zipatso, chinangwa, chinangwa komanso nyama yopanda zakudya popanda khungu, nyemba, mazira (kudya mapuloteni).

Ndikofunikira kudya zochepa, koma pafupipafupi. Osanyamula zikondwerero, ndipo, amwe madzi okwanira patsiku.

Pankhani yamavuto a kapamba, chakudya No. 5 chikusonyezedwa, kusankhidwa kwa omwe amasankhidwa ndi zakudya zovomerezeka amachitidwa ndi katswiri wazakudya.

Momwe mungachotsere zizindikiro zomwe zimakhala ndi zovuta zapancreatic

Ngati ululu udawoneka mwadzidzidzi ndipo kwa nthawi yoyamba, muyenera kusiya zakudya kwa masiku angapo, kumwa madzi amchere okha, madzi amchere. Ndiye idyani zinthu zophwanyika zokha, zopangika, kapena zophika, zopatsa mphamvu. Chakudya chiyenera kukhala chotentha chabe. Ndikofunika kuteteza kapamba kuti asapweteke chifukwa cha chakudya chotentha kapena chozizira, sinthani ku chakudya chosamalitsa chambiri kuti thupi lanu lizigwira ntchito bwino.

Ngati pali mavuto ndi gland, chithandizo chimalimbikitsa kuthetsa zizindikirazo, kusintha momwe wodwalayo alili. Kusintha kwachilengedwe mu kapamba zikupita patsogolo mwachangu, motero ndikofunikira kuchitapo kanthu kuti zithetse matendawa kumayambiriro kwa chitukuko chake. Ngati zizindikiro zoyambirira zikuwoneka, ndiye kuti muli ndiulendo wopita kwa dokotala simuyenera kuzengereza. Kudzipiritsa nokha kuli koopsa, kungayambitse zotsatira zosasintha, kukula kwa matendawa, zovuta, kusintha kwa mawonekedwe osatha, kukula kwa matenda ashuga.

Chinthu chachikulu pakuchiritsa kapamba ndi zakudya.

Zachidziwikire, ndiachulukidwe, sizingatheke kubwezeretsanso kugwira ntchito kwapancreatic, chifukwa chake, pakati pa mankhwala, adokotala atha kukulemberani NSAIDs, antacid, antispasmodics, prokinetics. Ndi exacerbations, kapamba, odwala amathandizidwa kuchipatala kuti apulumutse odwala, amayang'aniridwa ndi achipatala mosalekeza. Ndi kutupa, simungathe kuchita popanda maantibayotiki, kuti muchepetse kupweteka - antispasmodics (nos, platyphyllin), kuyambitsa kwa saline vuto la vuto la kutulutsa tulo.

Kuti muchepetse secretion ya m'mimba - phwando Omezazoletsa (lanzapa, zero, rabeprazole) Ngati ma enzyme akhazikika kwambiri - amaperekedwa kudzera m'mitsempha Proudox. Ngati kusanza kosalekeza ndi kutsegula m'mimba kwatulutsa madzi, yankho limaperekedwa Ringer isotonic.

Simungatenge michere ndi kuchulukitsa, kupweteka kwambiri. Pokhapokha matendawo atacheperapo pomwe dokotalayo adzakulangizani momwe mungatengere kapamba musanadye kapena mutatha kudya kuti athandize kugaya.

Zithandizo za Folk monga thandizo la mavuto a pancreatic

Pamodzi ndi mankhwala osokoneza bongo, ndibwino kuti muthe kupanga mitundu yazomera.

Celandine, youma chimanga stigmas, dandelion muzu, tsabola (mbewu), tricolor violet, mbalame kumtunda wosakanizidwa, kutenga 1 tbsp. l mbewu iliyonse. Thirani makapu 0,5 a madzi, wiritsani osakaniza, wiritsani kwa mphindi 7, kukulunga, lolani kuzizira. Sesa msuzi, imwani chikho 1/3 mukatha kudya mpaka kukulira kumadutsa.
Pukuta ndevu zagolide (mashiti 3-4), kuwonjezera madzi (3 makapu), wiritsani, simmer pamoto kwa mphindi 10, lolani kuziziritsa, kupsyinjika. Imwani decoction wa 1-2 tbsp. l asanadye.

Mavuto a kapamba, kapamba. Kodi ndizotheka kupewa

Ndife zomwe timadya. Ndipo, mosachedwa, Zakudya zopanda pake zimakhudza thupi poyambira - kapamba chifukwa cha mawonekedwe osakondweretsa. Ndizotheka kupewa kufalikira komanso kutulutsa kapamba, zotupa zamkaka kwambiri mukasiya kusuta, kumwa mowa, kudya mopitirira muyeso, komanso kusagwirizana ndi zakudya. Ndikofunikanso kupewa kupsinjika, kulandira chithandizo cha mavuto am'mimba, cholecystitis.

Ululu sungapirire, izi ziyenera kukumbukiridwa. Chithandizo cha kapamba, zovuta za kapamba ndizovuta. Kuti muimitse zizindikirazo ndikuwongolera zomwe zimafunikira, ndikofunikira kutsatira zakudya, kuchepetsa kupanikizika kwa thupi, kumwa mankhwala operekedwa ndi dokotala ndi kumwa mankhwala othandizira zitsamba zamankhwala. Iyi ndiye njira yokhayo yomwe mungachotsere zizindikiro ndi kukonza bwino.

Miyala ya kapamba

Kupangidwe kwa miyala - vutoli limapezekanso nthawi zambiri ndipo mpaka pano zomwe sizinayambike zomwe zidayamba. Koma wodwalayo amatha kumva zizindikilo ndi zizindikilo zake.

Pali malingaliro angapo omwe miyala imayang'ana mu kapamba, izi zimachitika:

kusintha kwa m'mimba,
zizolowezi zoipa
matenda a metabolic,
kusokonezeka kwa mahomoni.

Zizindikiro zamiyala zimatha kukhala zosiyanasiyana, kutengera ndi komwe akukhazikitsa (kupweteka kumbuyo kapena kumbuyo kwam'mimba, jaundice).

Mavuto omwe angakhalepo ndi kapamba

Ndi vuto la pancreatitis pachimake, pamakhala kupweteka m'chiuno, pansi pa supuni ndi hypochondrium yamanzere. Chithandizo cha kusaphunzira kungayambitse mavuto akulu ndikusintha kwa mawonekedwewo kukhala mawonekedwe osakhazikika, omwe amadziwika ndi:

Matenda apakhungu amatha kudzetsa kutupa m'matumbo, mapangidwe ndi zilonda zam'mimba, komanso magazi. Ngati matenda a kapamba amayamba, ndiye kuti njira zina zosasinthika monga lipomatosis, necrosis, ndi fibrolipomatosis zimayamba.

Ndi nthawi yayitali yodwala, gawo la kupanikizika kwa kapamba limatha kusokonezeka (kuchepa kwa kuchuluka kwa insulini). Kuperewera kwa insulin, kumayambitsa matenda ashuga.

Chithandizo cha Matenda a Pancreatic

Njira zochizira matendawa zimatengera gawo la matendawa. Ndi kuchulukitsa kwa wodwalayo, ndikofunikira kuti agonekere kuchipatala.

Zinthu zitatu zazikuluzikulu zamankhwala ndi njala, kuzizira, ndi mtendere.

Mu masiku awiri kapena atatu oyamba saloledwa kudya zakudya zilizonse, mumangomwa mchere wa mchere wa alkaline womwe udakali madzi kapena mankhwala azitsamba.

Ndikofunikira kuwona kupumula kwa kama, ndikuchepetsa ululu, muyenera kuyikapo paketi ya ayezi. Kuthetsa spasms, palibe-shpa (drotaverin) ndi mankhwala.

Panthawi yochira, zakudya zotsalira ziyenera kutsatiridwa, ma paninkiller ndi mankhwala othandizira kutupa omwe amaperekedwa, komanso ma pancreatic enzyme.

Zakudya za pathologies a kapamba

Ndi matenda osiyanasiyana amtunduwu, wodwalayo ayenera kutsatira njira yochizira yamoyo wake wonse (tebulo No. 5). Pakukhululukidwa, zakudya zimayenera kukhala zolimbitsa thupi komanso nthawi;

Tisaiwale kuti magawo azikhala ang'onoang'ono kukula, ndipo kutentha kwa chakudya kuyenera kukhala kosiyanasiyana kuyambira madigiri 30 mpaka 50. Zakudya zokwanira zama protein zimayenera kuphatikizidwa muzakudya, muyenera kudya:

sopo pamsuzi wamasamba,
kukonza masamba
nyama yokonda
nsomba zamafuta ochepa
mbewu zamphesa
tchizi chamafuta ochepa.

Onetsetsani kuti mumamwa kwambiri.

Ndi pancreatitis, ndizoletsedwa kudya zokometsera, zokazinga ndi zamafuta, zosuta komanso zamzitini, zakumwa zoledzeretsa komanso zopatsa mphamvu, mkate wa ufa wa rye, zonunkhira ndi zonunkhira. Masamba ena (radash, kabichi, sorelo, anyezi) sangadye osaphika.

Kuti muchepetse mavuto ndi kapamba, muyenera kutsatira moyo wathanzi, osamadya zakudya zamafuta ndi zonunkhira zochuluka, kusiya zizolowezi zoipa. Ngati munthu ali kale ndi vuto la m'mimba, ndiye kuti ayenera kupita kukayezetsa kuchipatala pafupipafupi.

Panthawi yomwe matendawa sakanatha kupewa, poyambira zizindikiritso ndikofunikira kufunsa dokotala, kukayezetsa ndikulandila chithandizo chanthawi yake, zomwe zingakuthandizeni kupewa kukula kwa matenda akulu, chifukwa chake zizindikilo zoyambirira ndizofunikira.

Zizindikiro za matendawa

Chikhansa chimadziwika ndi kutupa kosapatsirana (pancreatitis). Ndi pancreatitis, ma enzymus omwe ma gland amayenera kutumiza ku duodenum kuti akayegaye, akhalebe m'malo mwake, ndikuyamba kuwononga gland.

Pancreatitis imagawidwa mu mawonekedwe owopsa komanso osakhazikika. Kuphatikiza apo, mawonekedwe acute nawonso amagawidwa m'mitundu ingapo. Pali edema ya England, kapena kutulutsa kwa magazi, tiziwalo timene timatulutsa, kapena minofu necrosis imayamba.

Popeza kapamba amapezeka kumbuyo kwa m'mimba, ndipo imagwirizanitsidwa kwambiri ndi njira yokumba, nthawi zambiri zotupa zam'mimba zimachitika pambuyo chakudya. Belu lowopsa likhoza kukhala lolemerera maola 2 mutatha kudya. Zizindikiro zodziwika bwino mu gawo lodana ndi:

Zowawa zopweteka pansi pa nthiti. Ululuwu ukugwedezeka, kupweteka, kudula, komanso mphamvu. Nthawi zina ululu umatha kubweretsa kuwawa.
Kusanza ndi kusanza, ndi mawonekedwe owopsa, kusanza kumachitika mukangotha kudya. Kusala kosakhazikika, kusanza kumadzetsa zakudya zamafuta ndi zonunkhira.
Mavuto a matumbo. Zitha kuwonekera monga kusefukira, kudzimbidwa, kapena kutsegula m'mimba.
Kutsegula m'mimba ndi kusanza kumabweretsa kuperewera kwa madzi, ndipo ngati munthu sabwezeretsa madzi m'thupi, amayamba kuchepa thupi msanga. Kuchepa ndi kufooka wamba kumawonedwanso.
Kwezani kutentha.
Zotupa pakhungu.
Kuteteza khungu.
Mutu chifukwa cha kuledzera.

Zoyipa

Zomwe zimayambitsa matendawa ndizambiri, ndipo amatha kugawidwa m'magulu atatu.

Kwa gulu loyamba Zifukwa zomwe mwiniwakeyo ali ndiudindo zimaphatikizapo:

Kuzunza. Zakudya zokometsera, zamafuta ndi zokazinga zimathandizira kuphwanya kagayidwe kazakudya, komwe nthawi zambiri zimayambitsa kapamba.
Kuledzera komanso kusuta fodya. Zonsezi ziwiri zimapangitsa kuti ma enzyme apangidwe, omwe, monga tafotokozera pamwambapa, amakhalabe m'matumbo ndikuwawononga.
Mankhwala osalamulirika. Mankhwala ena amathandizanso kupanga ma enzyme.

Kwa gulu lachiwiri Kusintha kosiyanasiyana kungachitike chifukwa cha kapamba, ndipo:

Matenda a biliary thirakiti.
Miyala kapena mchenga mumiyala ya tiziwalo timene timatseketsa mzere ndi kusokoneza kuzungulira kwazonse kwa ma enzyme.
Matenda am'mimba.
Zovuta zam'magazi: matenda oopsa, matenda ashuga, matenda a m'matenda a m'mimba ngakhale kukhala ndi pakati.
Matendawa amatha kubweretsa chitukuko cha kapamba.

Gulu lachitatu kuphatikiza ngozi ndi zoyambitsa zina zosadalira munthu:

Mitundu Nthawi zina pancreatitis imawonekera mwa ana kuyambira kubadwa.
Mankhwala am'madzi ndi poyizoni wazakudya.
Kuvulala komanso kuvulala kwam'mimba, kuphatikizapo opaleshoni.

Kuzindikira matendawa

Ngati mukuzindikira chimodzi mwazizindikirozo, funsani dokotala nthawi yomweyo, chifukwa ndi yekhayo amene angadziwe zomwe zimayambitsa kupweteka pamimba ndikupereka chithandizo chokwanira. Kuunikira kumachitika m'magawo angapo:

Kuyang'ana koyambirira.
Maphunziro a labotale, mwachitsanzo, kuyezetsa magazi komwe kumathandizira kudziwa mawonekedwe a kapamba.
Maphunziro ena, makamaka, ultrasound, FGDS, X-ray, angiography yamitsempha yamagazi, tomography ndi laparoscopy.

Nthawi zina ululu mu mawonekedwe owopsa umakhala kwambiri kuti kuchipatala kungafunike. Chipatalacho sichingokhala ndi kuunika kwathunthu, komanso kukhalabe ndi madzi abwinobwino mthupi, kupewa kutaya magazi, ndikumveketsa kuwawa.

Kutupa: kuchuluka

Ngati kapamba pazifukwa zina atasiya kugwira ntchito yake, maselo amayamba kugwira ntchito kangapo kuti apange kuchepa kwa ma enzyme.

Pakuchulukitsa katundu, amayamba "kutupa".

Ngati kapamba akuchulukanso kukula, ndiye kuti zikuwonetsa mtundu wovuta kwambiri wa kapamba. Njira yotupa imatha kufalikira kwa ziwalo zoyandikana.
Ngati kapamba yakula mosiyanasiyana, ndiye kuti ndikofunikira kukhazikitsa komwe magawo atatuwo amapangidwako. Zikondwererozi zimakhala ndi magawo atatu - mutu, thupi ndi mchira. Kutengera ndi gawo liti la zotupa, dokotalayo amazindikira matendawo.

Ndi matenda ati omwe akuyenera kukayikiridwa ndi kapamba wokulitsidwa?

Nthawi zambiri, ndikachulukirapo kamene kamayambitsa kapamba, madokotala amazindikira matenda otsatirawa:

Zoona kapena zowonera.
Kutupa
Chotupa chonyansa kapena chotupa.
Miyala mumiyala.
Duodenitis ndi kutupa kwa matumbo papilla.

Akatswiri amasiyanitsa mitundu iwiri ya cysts - zoona ndi pseudocysts. Mtundu uliwonse umakhala ndi chikhalidwe chosiyana.

Ma pseudocysts, mosiyana ndi owona, amakula motsutsana ndi zomwe zinachitika m'mbuyomu chifukwa cha kutupa. Nthawi zambiri amadzazidwa ndimadzi ndipo amakhala ndi minofu yolumikizana.
Makoma a cysts owona amapangidwa ndi epithelium. Masewera owona amayenda pang'onopang'ono pomwe pancreatic duct imalephera kudutsa chinsinsi cha tiziwoneka tambiri.Komanso, ma cyst amatha kukhala chotupa, kuwonjezera apo, ndikofunikira kuzindikira mtundu wa chotupa mu magawo oyambilira kwambiri. Parysic cysts amakhala pafupipafupi pamene munthu wadwala matenda ozungulira ndi majeremusi ena.

A cyst sangathe kudziwonetsa kwa nthawi yayitali, makamaka ngati yaying'ono. Nthawi zina, wodwalayo nthawi zambiri amadandaula chifukwa cha kusakhazikika m'mimba, kufooka, nseru ndi kusanza, komanso kusowa kwa chakudya ndi chikhalidwe cha izi. Mukamayang'ana kumtunda kapena kowopsa pamimba, dokotala amamva kusokonezeka.

Pambuyo pozindikira kuti chotupa chija chachitika, dokotalayo amapereka mankhwala oyenera. Mitundu ina ya cysts, makamaka, pseudocysts, kutsimikiza paokha kwakanthawi atavutika pachimake pancreatitis. Mitundu yotsala yama cysts imachotsedwa modabwitsa.

Chithandizo cha matenda a pancreatic nthawi zonse ndizovuta, ndipo zakudya zakhala zili zofunikira mpaka pano.

Mu pachimake kapamba m'masiku 2-4 oyambirira, wodwalayo adalizidwa kudya tebulo la chakudya 0. Izi zikutanthauza kuti pakadali pano zakudya zonse, ngakhale zopepuka kwambiri, ndizoletsedwa.

Wodwala amaloledwa kumwa madzi pang'ono. Njira yabwino ikhoza kukhala kuchiritsa mchere wopanda mchere wa mchere, mwachitsanzo, Essentuki.

Patsiku la 3-6 la matendawa, ngati kupweteka kumayima, mutha kuyamba kudya madzi oatmeal kapena phala la mpunga wopanda mkaka, mchere, shuga kapena batala.

Ngati kusintha kwawonedwa, ndiye kuti zakudya zimaphatikizapo supu zamasamba, msuzi wofowoka, nsomba zodontha.

Zinthu zikangokhazikika, odwala amapatsidwa tebulo la chakudya No. 5.

Kodi tebulo 5 limaphatikizapo chiyani?

Magawo ang'onoang'ono komanso chakudya 4-5 patsiku. Ndi zakudya zabwinozi, kulemera kwam'mimba kumachepetsedwa.
Zakudyazo ziyenera kukhala zoperewera, zomwe zikutanthauza kuchuluka kwamapuloteni (60-120 gr), mafuta (60 gr) ndi chakudya chamagulu (300-400 gr). Pankhaniyi, ndikofunikira kusinthana ndi mafuta a masamba, ndikuchepetsa kuchuluka kwawo muzakudya zonse.
Njira yophikira ndi gawo lofunikira la tebulo lonse lazakudya. Wodwala amaloledwa kudya chakudya chophika ndi chophika, kuwotcha ndi njira yabwino kwambiri. Zakudya zokonzedwa bwino zimasenda bwino kuti chithandizire kugaya. Chakudya chofunda chimakonda kutentha kapena kuzizira. Chifukwa chake sichimakwiyitsa chimbudzi.

Ndi zakudya ziti zomwe zimaloledwa kwa odwala omwe ali ndi kapamba?

Mkate wowuma.
Nyama yamafuta ochepa, nsomba, nkhuku, nkhuku.
Mbatata, dzungu, beets, kaloti, zukini, squash.
Mpunga, nyemba zopaka, oats.
Pasitala yaying'ono.
Maelemu opangira mafuta opangidwa kuchokera ku puloteni ya dzira.
Tchizi chamafuta ochepa, yogati, kefir.
Mutha kuwonjezera mkaka wa nonfat ku tiyi.
Batala pang'ono kapena mafuta mpendadzuwa.
Maapulo opanda acidic.
Mutha kumwa zakumwa zoziziritsa kukhosi, zakumwa zosapsa za zipatso, madzi opanda mpweya, chovunda cha rosehip, mankhwala othandizira azitsamba monga momwe adalimbikitsira ndi dokotala, masamba kapena zipatso zamasamba.

Kodi ndi zinthu ziti zomwe ndizoletsedwa?

Mitundu yamafuta am'madzi ndi nsomba: nkhumba, mwanawankhosa, tsekwe, abakha.
Mitundu yonse ya bowa.
Kabichi watsopano, radish, sorelo, nthochi.
Maunda (nyemba, mphodza, nandolo ndi zina).
Maapulo ndi zipatso.
Kofi, koko, tiyi wamphamvu.
Zonunkhira.
Ayisikilimu.

Mukupita kwa nthawi, nkofunikanso kusiya mowa.

Kodi kuchitira wowerengeka azitsamba?

Zithandizo za anthu zimatha kuchepetsa matendawa. Izi maphikidwe otsatira wowerengera ayesedwa ndi mibadwo yambiri ndipo ali ndi zotsatira zopindulitsa thupi.

Mangoboola. Supuni 1 ya katsabola mbewu kutsanulira 1 chikho madzi otentha. Kuumirira kwa ola limodzi ndi kupsyinjika. Galasi yonse iyenera kuledzera m'magawo ang'onoang'ono masana.
Kulowetsedwa kwa oats. 500 g wa oatmeal ayenera kuthiridwa ndi madzi okwanira 1 litre, kunena kwa ola limodzi, kupsyinjika, kuziziritsa ndi kumwa theka kapu katatu pa tsiku.
Kukolola kwazitsamba. Ndikofunikira kutenga gawo limodzi la wort wa St. John, mafuta apamwamba ndi peppermint ndikuthira osakaniza 0,5 l a madzi otentha. Kuumirira kwa theka la ora ndi theka lagalasi theka la ola musanadye.
Zakudya zonona. 1 tbsp. wiritsani supuni ya flaxseed mu 200 ml ya madzi kwa mphindi 10. Kuumiriza msuzi chifukwa cha ola limodzi. Ndiye kupsyinjika ndi kumwa ofunda.

Kanema wothandiza

Kenako, onerani kanema wokhudza zakudya ndi zakudya za matenda a kapamba:

Matenda a kapamba samangokhala osasangalatsa kwambiri, komanso owopsa, kotero pamene zizindikiro zoyambirira za matendawo ziwoneka, simuyenera kuchedwetsa kupita kwa dokotala. Ndi dokotala yekhayo amene angasankhe chithandizo chokwanira chomwe sichingalole kuti matendawa achoke pachimake kupita ku mawonekedwe osakhazikika.