Mwana wanga ali ndi kapamba

Pali matenda ambiri a kapamba omwe amapezeka mwa odwala azaka zosiyanasiyana. Mndandandawu umaphatikizapo pancreatitis yaumwana - njira yowopsa yokhala ndi zizindikiro ndi mawonekedwe ake. Kutupa kwa pancreatic kumawonedwa mu 5-25% ya anthu kuyambira miyezi yoyamba ya moyo mpaka zaka 18. Ngati mutazindikira matendawa munthawi ndikuyamba chithandizo, ndiye kuti matendawo ndi zabwino, palibe ngozi ndi moyo. Kupanda kutero, pamakhala zovuta zazikulu (shuga mellitus, stenosis wa duodenum 12, etc.).

Kodi kapamba ndi chiyani kwa ana

Kutupa komwe kumakhudza minofu ndi milomo ya kapamba ndi kapamba wamankhwala mwa ana. Chodabwitsachi chimayamba chifukwa cha zochita za ziwalo zomwe zili ndi kuperewera kwa kapangidwe ka michere ya kapamba. Matendawa akapita kwa nthawi yayitali, matumbo a gland limayamba (madokotala amawagawana pamutu ndi zowonjezera, mchira ndi thupi).

Nthawi zina, kapamba alibe zizindikiro kapena amakwiya. Zimatengera kuuma ndi mawonekedwe a njira yotupa. Kuzindikira kwa matenda am'mitsempha kumachitika m'magawo angapo, njira zochizira zimaphatikizapo kudya, mankhwala ndi opaleshoni (ngati pakufunika).

Musanayambe chithandizo, muyenera kudziwa zomwe zimatithandizira kukulitsa kutupa. Pancreatitis mu mwana amayamba ndi izi:

• nthawi yayitali pakudya,
• kuvulala kumbuyo, m'mimba, masewera olimbitsa thupi,
• kuchepa kwa lactose wakhanda kapena khanda,
• dyskinesia
• kobadwa nako pathologies a chitukuko cha m'mimba dongosolo,
• poyizoni wazakudya
• kugwiritsa ntchito mankhwala (metronidazole, furosemide, antibacterial othandizira),
• zakudya zosayenera, kugwiritsa ntchito mankhwala oyipa (koloko, tchipisi, mafuta, okazinga, osuta),
• cystic fibrosis,
• matenda am'mimba dongosolo (mwachitsanzo, ascariasis, gastroduodenitis).

Gulu la kapamba mwa mwana limachitika molingana ndi njira zosiyanasiyana. Ndi chikhalidwe cha maphunzirowa, kutupa kumachitika:

• pachimake (ndondomeko yolimba yamatumbo yomwe imayambitsa kukula ndi kutupa kwa England, komanso kusintha kwa necrotic, hemorrhages, toxemia in kali)
• aakulu (amadziwika ndi ana kuyambira zaka 7 mpaka 14, matendawa amapita pang'onopang'ono, zomwe zimayambitsa matenda a sclerosis komanso kufooka kwa mbali ya mbali).
• yachiwiri matenda a kapamba (amapezeka motsutsana ndi maziko am'mimba, mabiliary, ndi matenda a chiwindi),
• yogwira - mayankho kuwonongeka kwa ziwalo zina zam'mimba thirakiti (m'mimba thirakiti).

Pancreatitis ya ana imagawika m'magulu molingana ndi kusintha kwachipatala ndi zamankhwala m'misempha ya kapamba. Mitundu yotsatira ya matenda:

• hemorrhagic
• zapakati (zam'mphepete),
• purulent
• mafuta pancreatic necrosis kapena kuwonongeka kwakulu kwa kapamba (chosasinthika necrosis ya tiziwalo timene timapangika ndi kulowetsedwa).

Kukhalapo kwa zizindikiro za kutupa ndi kuuma kwawo zimadalira mtundu wamatendawa. Nthawi zambiri, pancreatitis ya mwana imakhala yofatsa kapena yochepa. Kuopsa kwa matendawa ndi necrosis komanso kuwonjezeka kwa minofu ndikosowa kwambiri. Kukula kwa Zizindikiro kungadalire zaka za wodwalayo. Pancreatitis yovuta komanso yosatha imadziwika ndi zizindikiro zenizeni.

Matenda kapamba kwa ana

Matendawa amatenga njira yotupa komanso kupweteka pafupi ndi dera la epigastric, mpaka kumbuyo. Achichepere amamva kupweteka pafupi ndi msomali, ophunzitsira amadandaula za kusamva bwino m'mimba. Kutupa kosalekeza kwa kapamba mwa ana ali ndi izi:

• kusanza, kusanza,
• kutopa, kugona, ulesi, mantha,
• khungu,
• kudzimbidwa kwambiri / kutsekula m'mimba, kubala,
• dermatitis ya mziwindi, totupa pakhungu,
• kuchepa kudya, kulemera.

Chofunikira kwambiri pamatenda otere ndikuti kuopsa kwa zizindikiro kumadalira msinkhu wa wodwalayo: wamkulu mwana, wowonekera bwino pachipatala. Zizindikiro za kapamba mu ana:

• wakhanda ndi makanda akukankhira miyendo yawo pamatumbo awo, amakhala ndi nkhawa,
• kudzimbidwa kwambiri (m'mimba),
• kutentha kwa mtima, nseru, kusanza pafupipafupi,
• kutupa kwa kapamba kumapangitsa kuchuluka kwa kutentha kuzizindikiro zozama (37-38 ° C), hyperthermia (kudzikundikira kwa kutentha kwambiri mthupi),
• wathanzi, kusowa tulo, mphwayi, kufooka (astheno-vegetative syndrome),
• kamwa yowuma, yoyera kapena chikasu pachilime.

Zizindikiro

Ngati pali chikaikiro chofuna kupukusa kapamba wa mwana, dokotala wa ana ndi dotolo amawunika. Ndikofunikira kusiyanitsa matendawa ndi njira zina za m'magazi zomwe zimayambitsa zofananira (zilonda zam'mimba ndi m'mimba, appendicitis, pachimake cholecystitis, hypothyroidism). Njira zikuluzikulu zodziwira matenda a kapamba mu mwana:

1. Palpation (palpation, Manually uchunguzi) wa peritoneum ndikofunikira kuti azindikire momwe matendawa akuwonekera.
2. Chizindikiro chabwino cha Mayo-Robson amalankhula za mtundu wankhanza wa kapamba (pali ululu wowawa mukamakanikira pamimba inayake pamimba).
3. Kuwerengera kwathunthu kwamwazi kumathandizira kudziwa kuchuluka kwa maselo oyera am'magazi - mukutupa, mulingo wawo umakwera.
4. Kuunika kwa urinalosis komanso kuyesa kwa magazi kumawonetsa ma enzyme ochulukirapo: ma pancreatic amylase, trypsin ndi lipase.
5. Ultrasound (ultrasound) yamitsempha yamagetsi imawonetsa kusintha pamlingo wawo, kapangidwe kake ndi kagwiritsidwe ntchito kake.
6. Pulogalamu ikuchitika kuti ipeze chakudya chosakidwa bwino, chomwe chikuwonetsa kusowa kwa michere.
7. Sonography yamimba yam'mimba imakhazikitsa kudzikundikira kwa madera a necrotic, kuwonjezeka kwa kapamba kukula ndi heterogeneity ya parinechal kapangidwe ka ziwalo.
8. Kuti muwonetsetse kuti matendawa ndi olondola, kafukufuku wa radiografia, makina ophatikizira am'mbuyo ndi maginidwe oyendera maginito a peritoneum amachitika.
9. Endoscopic retrograde cholangiopancreatography (ERCP) ndi mtundu wa X-ray momwe mawonekedwe a pancreatic ducts amayendera poyambitsa wothandizira wosiyana nawo.

Chithandizo cha kapamba mu ana

Chithandizo cha kutupa kwa kapamba mwa mwana ziyenera kuchitika kuchipatala. Pamafunika kugona pogona, chithandizo chamankhwala. Magawo a zochizira zozizwitsa:

• muyenera kupereka chopuma chogwira ntchito ngati chida choyaka,
• Kuchotsa oyambitsa matenda,
• kutsatira mosamalitsa kudya
• kumwa mankhwala kuthana ndi zizindikiro za mwana kapamba.

Kuchita opaleshoni kumapangidwira kuti athandizidwe chifukwa chosagwiritsa ntchito bwino mankhwalawa, mawonekedwe a zovuta kapena kukula kwa kapamba. Dokotalayo amachita resection (kuchotsa, kudula gawo la chiwalo) cha kapamba, necrectomy (kuyang'ana mbali yakufa ya gland) kapena kutulutsa kwa chimbudzi chomwe chatuluka m'matumbo.

Mankhwala

Choyamba, mankhwalawa amaphatikizidwa, kugwiritsa ntchito mapiritsi amaloledwa pambuyo pakutha kwa zowawa (pafupifupi sabata pambuyo pakupanga kutupa). Mankhwala akuluakulu ochizira pancreatitis a ana amawerengedwa ndi makina ochitapo kanthu.

Painkiller, antispasmodics, narcotic analgesics yopweteka kwambiri. Mankhwala omwe amakonda kutumizidwa:

• No-spa mu jakisoni kapena mapiritsi ndi amphamvu painkiller, antispasmodic. Chipangizocho chikuchita zinthu mwachangu, kwa mphindi 10-12 mutachigwiritsa ntchito. Pazipita tsiku lililonse mtundu uliwonse wa mankhwalawo ndi 240 mg (osakwatiwa - 80 mg). Ngati bongo wambiri, arrhasmia imatha kuchitika, nthawi zina zovuta, kumangidwa kwa mtima kumachitika. Zimpso, mtima kapena chiwindi kulephera, zaka mpaka zaka 6.
• Analgin imapereka antipyretic komanso yolimbitsa-anti-yotupa, imachepetsa ululu. Mlingo amawerengedwa kutengera kulemera kwa mwana (5-10 mg pa kilogalamu). Kulandila ndalama 1-3 patsiku. Siyenera kugwiritsidwa ntchito ngati matenda a mtima pachimake, ana osaposa miyezi 3 ndi ana osakwana zaka 5 omwe amathandizidwa ndi cytostatics. Zotsatira zoyipa: chifuwa, kuchepa kwa kuthinana, mapuloteni mu mkodzo ndi kuchepa kwa kuchuluka kwake.
• Tramal, Papaverine, Baralgin, Promedol ndi mankhwala ofananawa amagwiritsidwanso ntchito.

Mankhwala a Enzymatic amathandizidwa kuti azithandiza kugaya chakudya ndikuthandizira kugwira ntchito kwa kapamba. Izi zikuphatikiza:

• Mapiritsi a pancreatin amalimbikitsa kutulutsa, kumachotsa kupweteka komanso kusapeza bwino. Odwala ang'onoang'ono azaka ziwiri mpaka 4 amatchulidwa piritsi limodzi (magawo 8000 yogwira) pa 7 kg yolemera. Ana a zaka 4 mpaka 10 - magawo 8000 pa kilogalamu 14, achinyamata - mapiritsi awiri omwe amadya. Mlingo wapamwamba wa tsiku ndi tsiku ndi magawo 50,000. Kuphwanya kwa kapamba ndi kufalikira mu matenda a matenda, kutsekeka kwa matumbo ang'ono, matenda a ndulu, kutsutsana ndi magawo a mankhwalawa.
• Makapisozi a Creon gelatin amagwiritsidwa ntchito pancreatitis ya ana. Mankhwala amalimbana bwino ndi ululu, amakhazikika m'matumbo. Ana amatha kutenga Creon 10000. Ana osaposa chaka amapatsidwa theka la zomwe zili m'mbalewo musanadye chilichonse, ana kuyambira miyezi 12 - 1 piritsi. Chithandizo chimaletsedwa ngati kutupa kapena kufalikira kwamphamvu, ndi hypersensitivity.
• Machitidwe ofanana: Mezim, Festal, Pangrol, Fermentium.

Mankhwala othandizira kukweza magazi m'magazi. Nthawi zambiri amatchulidwa mankhwala ochokera ku gulu:

• Mapiritsi a Dipyridamole kapena jakisoni. Mankhwalawa amapereka anti-kophatikiza, vasodilating ndi anti-kutsatira zomatira. Mlingo wololedwa tsiku lililonse wa mwana amawerengedwa ndi kulemera kwa wodwala (kuyambira 5 mpaka 10 mg pa 1 kg). Kukula kwa zaka 12, kulephera kwa impso, ochepa hypotension, magazi, kumva kukhudzika kwa zigawo zina za mankhwala.
• Curantil ndi mankhwala ochokera pagulu la antiplatelet agents, ma immunomodulators. Lemberani ana kuyambira zaka 12. Mlingo watsiku ndi tsiku wa mapiritsi amachokera 3 mpaka 6 nthawi 25 mg aliyense. Simungatenge ndi hypersensitivity kuti dipyridamole, aimpso ndi kwa chiwindi kulephera, angina pectoris, ochepa hypotension. Zotsatira zoyipa: kusokonezeka kwa mtima, chizungulire, kutsekula m'mimba, kupweteka kwam'mimba, zotupa.

Mankhwala osokoneza bongo kuti muchepetse kumasulidwa kwa michere ya pancreatic ndiyofunikanso pakapangidwe kovuta pancreatitis. Njira zodziwika bwino:

• Mwanjira yovuta yotupa, famotidine imagwiritsidwa ntchito. Amanena za N-2 receptor blockers omwe amachepetsa kupanga hydrochloric acid. Mapiritsi amathandizira kupondereza katemera wa pancreatic, kuchepetsa ululu, kuthetsa nseru, belching ndi zizindikiro zina. Osam'lembera mwana wochepera wazaka 12 komanso womvera kwambiri mankhwala. Tengani mapiritsi 1-2 kawiri pa tsiku (m'mawa ndi madzulo).
• Mankhwala a antisecretory Gastrogen (mapiritsi, lyophilisate wa jekeseni wamkati) samayikidwa kwa mwana wosakwana zaka 14. Mlingo umaperekedwa palokha. Matupi awo sagwirizana ndi mankhwala, aimpso / chiwindi kulephera. Zotsatira zoyipa: kudzimbidwa kapena kutsekula m'mimba, pakamwa youma, mutu, zotupa pakhungu.

Pankhani ya purulent kapena bacterial of pancreatitis mwa mwana, mankhwala othandizira amafunikira. Njira ya mankhwala imatenga pafupifupi sabata. Ma antibacterial ayenera kuphatikizidwa ndi ma probiotic, omwe amabwezeretsa microflora yamatumbo. Mapale: Azithromycin, Amoxiclav, Abactal, Sumamed. Kukonzekera kwa jakisoni wa mu mnofu: Ceftriaxone, Doxycycline, Cefatoxime, Ampioks.

Chimodzi mwa magawo a mankhwala othandizira pancreatitis ndi chakudya. Masiku angapo atangoyamba kumene chithandizo ayenera kumamatira ku kusala kwachiritsira (mutha kumwa madzi ofunda). Malamulo oyambira pazakudya:

1. Zakudya za calorie tsiku ndi tsiku ndizokwanira 3000 kcal.
2. Ntchito zimayenera kukhala zofanana, zazing'ono, kudya pafupipafupi 6-8 patsiku, makamaka nthawi imodzi.
3. Amaloledwa kudya zakudya zotentha (grated kapena madzi kusasinthika).
4. Zakudya zimaphikidwa, kuwotchera kapena kuwiritsa. Ndizoletsedwa zonunkhira, zokazinga, zamafuta, zotsekemera.
5. Tsiku lililonse, mwana ayenera kulandira zosachepera 60% zama protein a nyama.
6. M'pofunika kuchepetsa kugwiritsa ntchito mchere (mpaka 10 g patsiku).
7. Ndikulimbikitsidwa kumwa kwambiri (kuyambira malita awiri patsiku).
8. Menyuyi muphatikizanso zakudya zomwe zili ndi chakudya chamagulu ambiri (400 g g tsiku lililonse), zomwe zimakhala ndi mafuta ochulukirapo (masamba - osapitilira 30%).
9. Zimatanthawuza kupatula kwathunthu kwa chakudya ndi cholesterol, mafuta ofunikira, nayitrogeni, oxalic acid.

Zakudya za mwana wodwala ziyenera kukhala zosiyanasiyana. Mndandanda wazinthu zololedwa zikuwoneka motere:

• masamba ophika masamba
• zopangidwa mkaka: tchizi, kefir, yogati, tchizi chochepa mafuta,
• nsomba yophika, yophika kapena yowotchera ya mitundu yamafuta ochepa (mitundu ya pike, pike, pollock, carp, bream),
• mankhwala azitsamba, mchere wopanda madzi,
• nyama: nkhuku, nkhuku, kalulu, nyama yamwana (wowiritsa, wophika),
• chimanga chamtundu wosiyanasiyana (Buckwheat, mpunga, oat, mapira),
• Mutha kuwonjezera masamba kapena batala pang'ono.

Pofuna kupewa zovuta za matendawa, ndikofunikira kuchotsa zakudya zina zakudyazo. Ndi zoletsedwa kugwiritsa ntchito:

• shuga, mikate yoyera (ikhoza kulowedwa ndi uchi ndi buledi wa tirigu wathunthu),
• mafuta, okazinga, zakudya zonunkhira,
• zinthu za allergen (mkaka wonse, soya, mazira, chimanga),
• zakumwa zoziziritsa kukhosi
• Confectionery
• nyama yofiira
• masamba ena, masamba (sipinachi, sorelo, rutabaga, radish, radish, kabichi).

Kupewa

Popewa kukula kwa matendawa ndikuletsa kufalikira kwake, muyenera kutsatira malamulo osavuta. Kupewera kwa kapamba kumaphatikizapo zinthu izi:

• zakudya zoyenera
• kupewa matenda am'mimba,
• kukonzera chakudya chamagulu cha mwana molingana ndi msinkhu wake,
• kudziwika kwakanthawi komanso chithandizo cha matenda, matenda a helminthic,
• kutsatira chimodzimodzi mlingo wa mankhwala.

Gulu la kapamba mwa ana

Madokotala amagawa matendawa m'magulu atatu: pachimake, osachiritsika komanso otakataka.

Pachimake kapamba mu ana hemorrhagic, purulent kapena edematous. Palinso mtundu wotchedwa mafuta pancreatic necrosis. Pakakhala vuto, makonda amwana amayamba kutupa ndi kutupa. Nthawi zina izi zimabweretsa kutaya kwamkati, matenda ndi kuwonongeka kwa ziwalo zina. Nthawi zina, kumenyedwa pafupipafupi kumapangitsa kuti matenda afalikire.

Matenda a kapamba amapezeka mwa ana nthawi zambiri kuposa pachimake. Amayambitsa kusokonezeka kwapang'onopang'ono chifukwa cha kusintha kwa matupi athu. Kungakhalenso funso loletsa kupanga insulin, yomwe imawopseza wodwala pang'ono matenda a shuga.

Mwa chiyambi, kupweteka kwamatumbo kumatha kukhala koyambirira, kwachiwiri kapena cholowa. Mwa kuopsa - kopepuka, pakati kapena lolemera. Malinga ndi kuopsa kwa maphunzirowa - mobwerezabwereza komanso mosasinthika.Pancreatitis yobwezerezedwayo imadziwika ndi kusinthana kwakanthawi ndi kukhululuka, pomwe kupuma kumachitika posachedwa, popanda mawonekedwe akunja.

The yogwira pancreatitis siimachitika chifukwa extraneous zimayambitsa, koma monga kapamba matenda a ziwalo zina zam'mimba thirakiti. Ndi kuchotsedwa kwa matenda oyamba, mawonekedwe amtundu wa kapamba amathandizidwa. Kupanda kutero, imatha kukhala pachimake, kenako ndikuyipa.

Zimayambitsa kapamba mu ana

Musanayambe chithandizo, ndikofunikira kudziwa zomwe zinayambitsa matendawa kuti zisadzayambenso. Cholinga chachikulu cha kukhazikika kwa pancreatitis yayikulu komanso pachimake mwa ana ndi kuwonongeka kwa minyewa ya m'mimba ndi michere yake, yomwe imachitika chifukwa cha kusayenda bwino kapena kuchita zinthu zambiri. Izi zimachitika ndi izi:

1. Kuwomba pamimba, kugwa kosaphula kanthu, kapena, mwachitsanzo, pangozi yagalimoto yomwe idapangitsa kuwonongeka pamimba.
2. Matenda a Gallstone amadziwika kuti ndi chimodzi mwazifukwa zazikulu za kapamba mu ana - mpaka gawo limodzi mwa magawo atatu amayamba chifukwa cha vutoli.
3. Zakudya zopanda pake komanso kugwiritsa ntchito zakudya zomwe zimakhumudwitsa chakudya cham'mimba - zokazinga, zosuta komanso zonunkhira, chakudya mwachangu, koloko ndi zina zotero.
4. A ziwengo chakudya amakhumudwitsa kapamba mu mwana wazaka zilizonse, ndipo lactase akusowa ngakhale khanda.
5. Mwazi, chimfine, salmonellosis, nkhuku ndi matenda ena omwe amakhudza, mwa zina, kapamba.
6. Matenda a horoni (makamaka mavuto ndi chithokomiro cha chithokomiro).
7. Kumwa mankhwala oopsa (chemotherapy, maantibayotiki, sulfonamides) amachititsa 25% ya milandu yokhudzana ndi pancreatitis ya ana.
8. Kutupa kwa ziwalo zina zam'mimba.
9. Poizoni ndi lead, Mercury ndi zitsulo zina zolemera.

Nthawi zambiri (mpaka 20% ya milandu) sizotheka kukhazikitsa chomwe chimayambitsa matendawa. Chodabwitsachi chimatchedwa idiopathic pancreatitis.

Zizindikiro za kapamba mwa ana

Kuwonetsera kwakunja kwa zovuta za pancreatic mwa ana a mibadwo yosiyana sikufanana. Pa zaka, mwachitsanzo, zaka 3, Zizindikiro zimakhala zowoneka bwino ndipo kapamba amatuluka, monga lamulo, posachedwapa, ndiko kuti, pafupifupi. Mwana wamkulu adzazunzika kwambiri.

Chizindikiro chachikulu cha pancreatitis pachimake mwa ana ndi kupweteka kwam'mimba pamimba, makamaka kumanzere. Ululu umathanso kukhala lamba kapena kufalikira kumapewa ndi kumbuyo. Kutentha pang'ono ndikotheka, ngakhale nthawi zambiri kumakhalabe kozungulira.

Mofananamo, mwana amakhala ndi mavuto ndi m'mimba mwake: kutulutsa, kutentha kwadzidzidzi, kulemera. Kutha mseru komanso kusanza mobwerezabwereza, kudzimbidwa, kapena, kutsegula m'mimba.

Zotsatira zotsatirazi zimachitika chifukwa cha kuipitsidwa kwa magazi ndi kuwola kwa zinthu za pancreatic minofu:

• kumverera kofooka
• mutu ndi chizungulire,
• kamwa yowuma
• kuchepa kwamtima.

Woopsa milandu, ndi kukula kwa pancreatic necrosis ndi supplement, kutentha kwa thupi kumatha kuwonjezeka kwambiri, chifukwa cha poyizoni wa thupi mumakhala Zizindikiro za kutsekeka ndi kupsinjika kwa matumbo.

Mu chifuwa chachikulu cha pancreatitis, ziphuphu zambiri zotayidwa zimawonjezedwa ku zowawa, zonyezimira komanso zonunkha chifukwa cha mafuta ambiri. Kutsegula m'mimba koteroko kumasinthana ndikudzimbidwa.

Ululuwo umakhala wokhazikika, wofooketsa kapena umachitika mosayembekezereka chifukwa chogwiritsa ntchito zakudya zosayenera, manjenje kapena kuchuluka kwa thupi. Kutalika kwa khunyu kumasiyana kwa ola limodzi mpaka masiku angapo.

Komanso, matenda osachiritsika amakhala ndi mutu, kutopa, komanso kusinthasintha.

Ndi yogwira pancreatitis, kutentha kwa thupi kumakwera, kulibe kudya, khungu limakhala loyipa. Pali kusanza kobwereza, nthawi zambiri, kumakulitsidwa tsiku lachitatu. Ululu wake ndi waukulu kwambiri mpaka mwana wagona "m'mimba mwa fetal."

Ndi isanayambike zizindikiro za mtundu uliwonse wa kapamba, ndikofunikira kuyamba mankhwalawa munthawi yake, apo ayi zingachitike zovuta. Izi zimaphatikizapo: cysts, peritonitis ndi mitundu ingapo ya purulent m'matumbo a kapamba. Muzochitika zazikulu, matenda a shuga amatha.

Zimayambitsa kukula kwa kapamba mwa mwana

Pancreatitis mu ana amakula mothandizidwa ndi zosiyanasiyana zakunja ndi zamkati zinthu zoyipa:

• kusadya bwino, kudya kwambiri, kudya kwambiri mafuta, zonunkhira komanso zakudya zonona zambiri,
• thupi siligwirizana mankhwala, chakudya, chilengedwe,
• kuwonongeka kapena kugwiritsidwa ntchito kwa dongosolo la chimbudzi,
• kuwonongeka kwa khoma lam'mimba,
• kuchuluka kwa matenda ena ammimba,
• chidziwitso chowopsa cha kapamba,
• helminthiasis,
• matenda endocrinological,
• anasamutsa matenda opatsirana,
• kusokonezeka kwa mahomoni
• mankhwala osalamulirika.

Mosasamala kanthu za zifukwa zomwe zimakhalira ndi kapamba mu ana, mwana amafunikira chithandizo chamankhwala choyenera ndikuwunika kwathunthu.

Malinga ndi kafukufuku wazidziwitso, akatswiri amadziwa zinthu zomwe zimayambitsa kupatsirana kwa kapamba, kusankha njira yabwino yothandizira, ndikumachita prophylaxis kuti musabwererenso.

Pachimake kapamba mu ana

The pachimake mawonekedwe a kapamba amatha chifukwa cha chotupa chotupa, motsutsana ndi kuwonongeka kwa kapamba. Matendawa nthawi zambiri amapezeka atatha kudya kwambiri komanso kudya zakudya zamafuta kwambiri, komanso motsutsana ndi kachilombo ka matenda a virus ndi matenda a helminth.

Kutupa kwachimbudzi kumayendera limodzi ndi njira yowonongeka ndi yotupa. Mwanayo ayenera kugonekedwa kuchipatala kuti apewe kukula kwa zovuta ndi zovuta zazikulu m'matumbo a 3. Kuyendera dokotala panthawi yake kumathandizira kupewa zoyipa, mwachitsanzo, kukulira kwa puritive peritonitis (kutupa kosafunikira kwa peritoneum).

Yogwira pancreatitis ana

The yogwira pancreatitis amakula ana motsutsana maziko ena matenda am'mimba, kuwonongeka kuwonongeka (mwachitsanzo, chifukwa cha poyizoni wa mankhwala), sayanjana. Zambiri zomwe zimayambitsa kutupa zimagona pakuchulukana kwa matenda a ndulu ndi matenda a chiwindi.

Rease pancreatitis imayamba maola angapo pambuyo poyipa a mkati ndi kunja. Zizindikiro zotsatirazi zalembedwa:

• kupweteka pambuyo chakudya,
• Zizindikiro zopanga gasi,
• kutentha kwa mtima
• nseru kutembenukira kusanza
• kuda ya bile ndi ntchofu mu masanzi 4.

Zakudya za kapamba mu ana

Ndi kapamba, mwana ayenera kutsatira zakudya.

Zakudya ndi zakumwa zotsatirazi sizikuphatikizidwa:

Ndi kapamba, mwana ayenera kutsatira zakudya.

Zakudya ndi zakumwa zotsatirazi sizikuphatikizidwa:

• buledi watsopano ndi makeke,
• madzi owala
• mafuta amkaka,
• nyama zakudya, zonunkhira ndi zonunkhira,
• masitolo ogulitsa
• nyama yamafuta
• kabichi
• mandimu
• ngongole
• nyemba
• khofi 5.

Nzimbe za Mucous zomwe zimakonzedwa pamitengo ya masamba ndizothandiza. Mutha kudya nsuzi zanyama zopangidwa kuchokera ku nkhuku (nkhuku yopanda khungu), nyama yamwana wamkaka, kalulu, yomwe kale inkawotchera kapena kuwiritsa. Panthawi yochulukirapo, chakudya chimayenera kusenda, osakhala ndi ziphuphu ndi zidutswa zoyipa zomwe zitha kuvulaza mucous membrane wam'mimba.

Kugwiritsa ntchito kukonzekera kwa enzyme

Ndi kuchulukitsa kwa kapamba mu ana, ntchito ya kapamba ndizovuta, zomwe zimapangitsa kuti azichita nawo chimbudzi. Kuti athandize chiwalo chovulazidwa komanso thirakiti lonse lamatumbo, akatswiri amapereka mankhwala okonzekera. Muli ndi pancreatin, yomwe imathandizira kuwonongeka kwa chakudya chamafuta, mafuta ndi mapuloteni, zomwe zimapangitsa kuti azilowetsedwa m'magazi.

Creon ® ndi njira yamakono yopanga ma pancreatin mwanjira ya minimicrospheres, omwe amaikidwa mu kapisozi ka gelatin. Kashiamuyo imasungunuka m'mimba, michere yam'mimba imamasulidwa, yomwe imasakanikirana ndi zomwe zili m'mimba. Chidutswa chilichonse cha minimicrospheres chimakutidwa ndi chipolopolo chosagwira asidi, chomwe chimawalola kuti atuluke m'mimba momwe adalili kale ndikudutsa matumbo ndi chakudya. Kusintha kwa pH m'matumbo, maantiamu osagwira asidi osungunuka amasungunuka, ma enzymes am'mimba amamasulidwa ndikuyamba kugwira ntchito. Mwa kusakaniza ndi zomwe zili m'mimba, tinthu tating'onoting'ono tomwe timagwira ntchito timalowa m'matumbo ndipo timathandizira mwachangu.

Zinthuzi zidapangidwa mothandizidwa ndi Abbott ndicholinga chowonjezera chidwi cha odwala paumoyo wawo. Zomwe zalembedwazo sizilowa m'malo ndi upangiri wa azaumoyo. Onani dokotala

RUCRE172288 kuyambira 06/06/2017

1. Belousov Yu.V. Matenda a kapamba mu ana: kapamba kapena kapamba? Zaumoyo ku Ukraine. 2004, 26: 28-32

2. Serebrova S.Yu. Matenda a kapamba: njira yamakono yodziwira matenda ndi chithandizo. Russian Medical Journal. Matenda ogwiritsa ntchito m'mimba. 2008, 10

3. Danilov V.G., Kosarev V.A., Duryagin D.S. ndi ena. Pachimake kapamba mu ana // Opaleshoni. 1995. - Na. 4.

4. Gudzenko J.P., Pancreatitis mu ana // M: "Mankhwala", 1980.

5. Astashkin V.A. Matenda a kapamba mu ana.67 Opaleshoni. 1975. - Na. 10.

Chidule cha makolo

Pancreatitis mwa ana sichachilendo, koma akapezeka, pamafunika malingaliro akulu ndi chithandizo cha odwala, kuti muchepetse kukula kwa pafupipafupi komanso zovuta za matendawa.

Ndikofunikira kumvetsetsa kufunikira kwa mankhwala ochizira piritsi la kapamba. Kubwereza pafupipafupi kwa matendawa, kumamuwonjezera kuphwanya zakudya, kuchedwetsa chithandizo kumayambitsa chitukuko cha shuga, chomwe chidzasokoneza moyo wonse wamtsogolo wa mwana.

Dokotala wa ana E.O. Komarovsky amalankhula za zovuta za kapamba mu ana:

Chithandizo cha makolo

Kuchiza kwachikhalidwe kumadalira njira zosungirako komanso pokhapokha ngati pakufunika kuchitapo kanthu pochita opaleshoni. Chithandizo cha mankhwalawa ndi:

• bweretsani kapamba,
• Chotsani zizndikiro ndi chifukwa cha kapamba,
• perekani ulamuliridwe wodekha wam'mimba.

Mavuto akachitika kapena ngati chithandizo chokhazikika sichikupereka kanthu, opaleshoni ndiyofunikira. Gawo lililonse lamatumba azikondazo limachotsedwa, kapena mawonekedwe amadzimadzi amatsitsidwa.

Mankhwala, mankhwala otsatirawa amagwiritsidwa ntchito:

• Antispasmodic ndi ma analgesic othandizira - analgin, no-spa, papaverine ndi ena. Muzovuta kwambiri, ngakhale ma narcotic painkiller amagwiritsidwa ntchito (kupatula morphine, omwe angapangitse zotsatirapo).
• Madontho okhala ndi mayankho a michere ndi mankhwala omwe amachepetsa kuledzera.
• Tikutanthauza kuchepetsa kugawidwa kwa michere ya kapamba.
• Mankhwala omwe amasintha kufalikira kwa madzimadzi mu zimakhala.
• Potenga matenda kapena kufalikira, maantibayotiki amagwiritsidwa ntchito.

Chithandizo cha pancreatitis yogwira ntchito imaphatikizaponso chithandizo cha matenda oyambitsidwa, chifukwa kuchira ndikosatheka popanda kutha.

The aakulu kapamba kunja kwa pachimake gawo, nthawi zina mankhwala ndi sanatorium mankhwala ikuchitika, umalimbana kuthandiza kapamba ndi kupewa kubwererenso matenda. Mwanayo amayang'aniridwa ndi dokotala wa ana ndi gastroenterologist.

Zakudya zochizira pancreatitis

Kupatsa thanzi mankhwalawa pancreatitis ndikofunikira kwambiri. Kumayambiriro kwa mankhwalawa, mwana amasankhidwa kuti azisala kudya kwathunthu kwa masiku atatu, pomwe amaloledwa kumwa madzi ofunda okha, osakhala a carbonated. Pambuyo pake, wodwalayo amasamutsidwa ku zakudya zapadera. Pakusala kudya, mwana nthawi zonse amachotsa madzi am'mimba, chifukwa amakhumudwitsa kutulutsidwa kwa michere mu kapamba.

Kumapeto kwa njala ya masiku atatu, mwana amapatsidwa chakudya pang'onopang'ono: choyamba, chimanga chamadzimadzi, kenako supu yamasamba kapena mbatata yosenda, compotes ndi jelly. Chakudya chimaperekedwa kasanu kapena kasanu ndi kamodzi patsiku, m'magawo ang'onoang'ono ndikuwotha. Kenako mazira amtundu wamtundu wotentha, ma borde owiritsa ndi nsomba zimayambitsidwa pang'onopang'ono. Zakudya zonse zimaperekedwa mwamafuta osankhidwa.

Pafupifupi mwezi umodzi chiyambireni chithandizo, zakudya zimakulitsidwa: amapereka zakudya zamkaka, mkate, kirimu wowawasa, masamba ndi batala. Chakudyacho chimaphikidwa chonse.

Kwa miyezi isanu ndi umodzi atatha chithandizo, mwana amasungidwa pakudya zomwe zimapatula zakudya zomwe zimakhumudwitsa m'mimba: zakudya zosakhwima, kachere, zakudya zomwe zimasunthidwa, koloko, zakudya zamafuta ndi zokazinga.

Mofanananso ndi chiyambi cha kudyetsa, mwana amapatsidwa mankhwala opangira enzymatic omwe amathandizira kugaya chakudya. Amayenera kutengedwa osachepera miyezi itatu yoyambirira. Kenako, malinga ndi zotsatira za kusanthula, zimathetsedwa.

Chithandizo cha anthu

Kuphatikiza pa njira zachikhalidwe, mwana amathandizidwa mosagwirizana. Mwanthawi yovuta ya kapamba, ana amafunika kupatsidwa mankhwala omwe samathandiza kwambiri pakhungu lawo. Ngati angagwiritsidwe ntchito bwino, mankhwala achilengedwe samangokhala chithandizo chabwino, komanso m'malo mwa mankhwalawa, othandizira kapamba, wofooka chifukwa cha matendawa. M'tsogolo, izi zidzakhala ndi phindu pa thanzi la mwana.

Kuphatikiza kwabwino kwa mankhwala osokoneza bongo ndi chakudya chapadera kudzakhala mitundu yambiri yazitsamba, timadziti tamadzimadzi ndi madzi amchere. Palinso maphikidwe apadera a zakudya odzola omwe amathandizira kutukusira kwa kapamba.

Mndandanda wazitsamba womwe ungathandize pamavuto ndi kapamba ndi wokulirapo: chamomile, wort wa St. John, mahatchi, mizu ya licorice, ndi zina zambiri. Komabe, kugwiritsidwa ntchito kwa ndalama kuchokera ku zitsamba izi kumalimbikitsidwa pokhapokha ngati atakambirana ndi gastroenterologist ndi phytotherapist. Zomera zina zimakhudza kupanga ma enzyme, pomwe zina, ana amangokhala zaka zochepa.

Chifukwa chake, kuti mufotokozere bwino za mankhwala omwe amakhalapo kwa makolo omwe amapatsa mwana, aliyense payekha, muyenera kufunsa dokotala.

Zambiri

Pancreatitis mu ana ndi autocatalytic enzymatic yotupa ndi dystrophic lesion ya kapamba. Kukula kwa kapamba pakati pa ana okhala ndi m'mimba thirakiti yam'mimba ndi 5-25%. Njira ya kapamba mwa mwana, mosiyana ndi munthu wamkulu, imakhala ndi zovuta zake: matendawa amatha kupezeka ndi zinthu zingapo zamkati komanso matenda amkati, amatha kukhala asymptomatic, otsekeka ndi matenda ena am'mimba: gastritis, gastroduodenitis, dysbiosis yamatumbo, ndi zina. ana ndi ntchito yofunika kwambiri ya ana ndi ma gastroenterology a ana.

Zotsogola ndi kupewa

Mtundu wofatsa wa kapamba wam'mimba mwa ana ali ndi tsogolo labwino, ndi mawonekedwe a hemorrhagic komanso purulent, komanso pancreatic necrosis, pamakhala chiopsezo chachikulu cha kufa. Kukula kwa matenda kapamba mu ana zimadalira pafupipafupi kutulutsa.

Kupewera kwa kapamba mu ana kumaphatikizaponso zomveka, zaka zoyenera zakudya, kupewa matenda am'mimba thirakiti, matenda opatsirana, a zonse, matenda a helminthic, mankhwala omwe dokotala anakhazikitsa. Ana omwe ali ndi pancreatitis yosasunthika amayang'aniridwa ndi dotolo wa ana ndi dokotala wa ana, chifukwa chodana ndi kubwezeretsanso komanso chithandizo cha spa.

Zosankha zamasiku 14

Pofuna kuti musabwere ndi maphikidwe osiyanasiyana a ana omwe ali ndi kapamba, mutha kugwiritsa ntchito zotsatirazi, zomwe zidapangidwa milungu iwiri:

1. Chakudya cham'mawa, maphikidwe monga oatmeal angagwiritsidwe ntchito. Thirani supuni zitatu zazikuluzikulu za phala ndi madzi otentha usiku, ndipo m'mawa muziphika mafuta oatmeal. Pambuyo masiku 14, maphikidwe atha kukula. Amaloledwa kuphatikiza oatmeal ndi zipatso zophikidwa muzakudyazo.
2. Chakudya chamasana, ndikofunikira kugwiritsa ntchito maphikidwe popanga msuzi wosenda. Menyuyi ikusonyeza karoti wophika ndi msuzi wa beetroot ndi mpunga kapena buckwheat.
3. Kutha kwa masana kumakhudza menyu kuphatikiza cheesecake pudding. Zophikira za mbalezi ndizosiyanasiyana. Mutha kutenga supuni ziwiri zazikulu za semolina, madzi oyera ndi mazira komanso kanyumba tchizi.
4. Chakudya chamadzulo, pezani maphikidwe a pollock yophika. Mutha kuphatikizanso tchizi chamafuta ochepa muzakudya.

Pogwiritsa ntchito menyuyi, ana a zaka 5 mpaka 17 akhoza kubwezeretsa zachilengedwe.

Zomwe muyenera kudziwa za matendawa?

Pancreatitis ndi amodzi mwa matenda ofala kwambiri a kapamba. Zimachitika onse akulu ndi ana. Chithunzi cha chipatala ndi mawonekedwe amomwe mapangidwe a pathological amatsimikizira mawonekedwe - owopsa kapena osachiritsika. Matendawa ndi owopsa. Ngati simutenga nthawi yake kuti muchotse zomwe zimayambitsa matendawa, muyenera kutsatira zakudya mosasamala moyo wanu wonse.

Rease pancreatitis mu mwana ndi osiyana pang'ono ndi waukulu mawonekedwe a matenda. Kukula kwake kumayamba ndi kutupa kwa kapamba. Zotsatira zake, ntchito ya thupi imasokonekera, ndipo ntchito zomwe adapatsidwa sizichita mokwanira. Ma Enzymer omwe amatenga nawo gawo pakusala kwa chakudya sangadutse m'malo oyaka. Amakhalabe m'matumbo ndipo amayamba kuyigaya kuchokera mkati.

Zomwe zimayambitsa kutupa

Posachedwa, pancreatitis yogwira ana imapezeka kawirikawiri. Madokotala amafotokozera izi mwa kusintha kwa zomwe anthu amakonda. Masiku ano, chakudya cha mwana chimakhala ndi zinthu zomwe zimakhala ndi utoto wambiri, utoto ndi zonunkhira. Zinthu izi zimawononga ntchito ya kapamba. Zimayambitsa kuphipha kwa chitho, chifukwa ma enzyme samalowa mgawo. Njira yotupa imayamba pang'onopang'ono.

Rease pancreatitis mu mwana imatha kuchitika chifukwa cha matenda aposachedwa. Mwachitsanzo, matenda opatsirana oyambitsa kupuma kapena matenda opumira kwambiri nthawi zambiri amakhala ngati oyambitsa matenda. Vuto linanso la matendawa ndi mankhwala othandizira. Kugwiritsidwa ntchito kwa "Metronidazole" kapena "Furosemide" pamankhwala kumawonjezera mwayi wokhala ndi matendawa.

Nthawi zina, pancreatitis yogwira imayamba chifukwa cha matenda obadwa nako a kapamba. Izi zimaphatikizira kuchepa kwa lactase, cystic fibrosis, kusintha kwachilendo pakadutsa duodenum. Odwala otero kuyambira ali aang'ono amadziwa za zovuta zaumoyo, chifukwa chake amatsatira zakudya zapadera ndikumwa mankhwala. Chiwopsezo cha kutukusira m'mapamba sichimveka, komabe chilipo.

Mawonetseredwe oyamba a matendawa

Zizindikiro za yogwira pancreatitis mwa ana kwenikweni sizosiyana ndi zomwe zimayambitsa matenda akuluakulu. Kukula kwa njira ya pathological kumayendera limodzi ndi kupweteka kwambiri m'chigawo cha epigastric. Chithunzi cha chipatala chimathandizidwa ndi mseru, chopondapo chopondapo. Zowopsa za matenda otsegula m'mimba zimapereka kudzimbidwa. Ndi matenda am'mimba, chopondapo ndi chamadzimadzi, ndipo ndowe zimakutidwa ndi zokutira zabwino. Ana nthawi zambiri amadandaula pakamwa pouma, ludzu lalikulu. Kukonda kumakulirakulira, ndipo ana ena amakana kudya nawo konse.

Matendawa nthawi zambiri amakhala ndi matendawa. Mwana amakhala woopsa komanso woopsa, amataya chidwi ndi zonse zomwe zimachitika. Amafuna kugona nthawi zonse, ndipo kutentha kwambiri sikumamuloleza kuchita zinthu zofananira.

Kukula kwa zizindikiro za matendawa kumatengera msinkhu wa wodwalayo. Mwana akamakula, ndiye kuti matendawo amayamba kulimba. Mwa makanda, kupweteka kwam'mimba kumasonyezedwa ndi kusinthasintha kwa thupi ndi kuchuluka kwa magalimoto. The yogwira pancreatitis ana aang'ono komanso limodzi ndi kusapeza bwino mu navel. Komabe, sangawonetse komwe ululu ulipo. Ana okalamba nthawi zambiri amadandaula ndi mseru wamphamvu komanso kusanza. Zizindikiro zonsezi zimatha kukhala maziko a chisamaliro chamankhwala.

Choyamba thandizo kuukira kwa kapamba

Ngati zizindikiro za yogwira pancreatitis zikuwoneka, muyenera kuyitanitsa gulu la akatswiri azachipatala. Thandizo lisanafike, muyenera kuyika mwanayo mosamala pa sofa kapena pabedi, kuti mutsimikizire kuti ali ndi mtendere weniweni. Pamimba, mutha kuyikapo kutentha. Sitikulimbikitsidwa kuti mupeze wodwala analgesics kapena mankhwala ena, chifukwa amatha kuthira chithunzi chonse cha matenda. Matenda a pancreatitis omwe ali ndi ana, omwe matendawa amakhudzidwa ndi makolo, ndi matenda osakhalitsa. Chifukwa chake, chithandizo chake chikuyenera kuchitika mosamala kwambiri komanso mosamala.

Njira Zodziwitsira

Asanayambe chithandizo cha matendawa, wodwalayo ayenera kukayezetsa.

1. Kuwerengera kwathunthu kwamwazi kumafunika pakuwerengedwa kwamaselo oyera. Kuchuluka kwa zinthu izi kumawonjezeka ndi kapamba.
2. Ultrasound yam'mimba ziwonetsero zikuwonetsa kuphatikizika kwa gland, komanso kusintha kwina kwa ziwalo.
3. Kuyesedwa kwa magazi kwamomweku kumakupatsani mwayi wofufuza kuchuluka kwa ma enzymes omwe amapangidwa ndi kapamba.
4. Mothandizidwa ndi gastroscopy, dokotala amatha kutenga zinthu kuti zimuyang'anire mu ma cytological.

Ngati mayeserowo amatsimikizira pancreatitis yogwira mwana, mankhwalawa amayamba nthawi yomweyo.

Mfundo zoyambirira zamankhwala

Kuchiza zotupa mu kapamba kumafunika njira yolumikizira. Nthawi zambiri zimaphatikizapo mankhwala komanso zakudya zovuta. Kusankhidwa kwa mankhwala enaake ochiritsira kumatengera wodwala ndi mthupi lake. Wodwala ayenera kuyikidwa kuchipatala. M'masiku ochepa oyambilira ayenera kuonetsetsa kuti akupuma mokwanira. Ulamuliro wakuchipatala munthawi yowonjezera matendawa umakulolani kuti musadandaule za zomwe menyu uyenera kukhala wothandizira pancreatitis mwa ana.

Makolo ayenera kutsatira mosamalitsa malangizo a dokotala, chifukwa iye amafuna kuti mwanayo achiritsidwe mwachangu. Chifukwa chake, zoletsa zonse pazakudya sizingaganizidwe ngati zabwino kwa dokotala, monga momwe ambiri angaganizire. Ngati wodwala wochepa ali kale ndi vuto la pancreatitis yotakataka, zizindikiro zake zawoneka, kudya mokhazikika ndi gawo lofunikira la mankhwala. Kupanda kutero, mungayambenso.

Zakudya za pancreatic kutupa

Zofunika kusintha mu zakudya ndi kuzindikira kwa yogwira pancreatitis? Zakudya za mwana siziyenera kukhala zochititsa manyazi. Ayenera kuyiganiza monga gawo la moyo wamba, chifukwa zoletsa zazikulu zimangogwira pazinthu zovulaza. Mndandandandawu umaphatikizapo zakudya zamafuta ndi zonunkhira, nyama zakusuta ndi chakudya mwachangu. Ndikulimbikitsidwanso kupatula chokoleti, cocoa ndi timadzi tokhathamira. Malamulo otsalira azakudya alembedwa pansipa.

1. Ndikofunikira kupatsa zikondamoyo ndi kupumula kwogwira ntchito. Choyamba, zonse zoyipa siziyenera kuperekedwa kwa zakudya za wodwala pang'ono. Katundu wophika kapena wowotcha ayenera kuthiriridwa kutentha.
2. Ndikofunika kusamalira kuti mukhalebe ndi mphamvu komanso zopatsa thanzi. Palibenso chifukwa chodyetsera ana chakudya chokwanira cha protein. Zakudyazo ziyenera kukhala zosiyanasiyana monga momwe zingathere komanso zimaphatikizapo zakudya zamagulu.
3. Muyenera kudya zazing'ono, koma pafupipafupi. Ndikulimbikitsidwa kukumbukira mfundo za zakudya zopatsa thanzi. Kutalika pakati pa chakudya sikuyenera kupitirira maola anayi.

Pofuna kupewa kufalikira kwamatenda atsopano, muyenera kuyang'anira kudya kwanu nthawi zonse. Kuyesa kulikonse pa chakudya kumatha kudzetsa vuto lina komanso kufunika kwa kumwa mankhwala.

Kodi zakudya zoyenera kugwira pancreatitis ziyenera kukhala chiyani?

Ana okhala ndi zizindikiro za kutupa amakhala makamaka amadyedwa ndi chakudya cham'mimba. Kwa masiku awiri, odwala amaloledwa kumwa madzi wamba wamba. Kuyambira tsiku lachitatu la mankhwalawa, chakudyacho chimaphatikizidwa ndi zopeka zopangira tini ndi tiyi wopanda shuga, oatmeal pamadzi. Kenako mutha kuphatikiza mafuta onunkhira, mkaka, mikate yoyera. Pa tsiku lachisanu la mankhwala, msuzi wophika masamba kapena mbatata yosenda umaloledwa. Pakatha masiku ena asanu, pokhapokha ngati pali mphamvu zambiri, odwala amatha kudya nyama yopanda mphamvu, zidutswa za nthunzi. Masamba atsopano ndi zipatso ziyenera kuyambitsidwa m'zakudya pang'onopang'ono, makamaka zaposachedwa. Mndandanda wonse wazakudya zomwe ziloledwa pa gawo lililonse lazakudya ziyenera kutsimikiziridwa ndi dokotala.

Chithandizo cha yogwira pancreatitis ndi mankhwala

Kugwiritsa ntchito mankhwala mu matendawa kumakuthandizani kuti muchepetse kupitilira kwake ndikuyimitsa zizindikiro. Mankhwala onse omwe amaphatikizidwa ndi mtundu wonse wa mankhwala amatha kugawidwa m'magulu awiri omwe ali ndi mikhalidwe:

1. Antispasmodics. Gululi limaphatikizapo mankhwala "oyera" ("No-shpa") ndi mankhwala omwe amaphatikiza painkiller ("Analgin", "Paracetamol").
2. Othandizira enezymatic. Kuchita kwawo ndikofunikira kukonza njira yokumba. Mu gululi, mankhwalawa amagawidwa m'magulu awiri: Enzymes (Mezim, Pancreatin) ndi bile okhala ndi (Festal, Ferestal). Sikoyenera kugwiritsa ntchito mankhwala osokoneza bongo, chifukwa thupi limatha kuzolowera thandizo lazinthu izi. Kukonzekera kuchokera ku gulu lachiwiri kumapereka chithandizo chokwanira, koma kugwiritsidwa ntchito kwawo kumaphatikizidwa mu cholelithiasis ndikuwonjezera kwa gastritis.

Kupititsa patsogolo njira zochizira zamankhwala, madokotala amalimbikitsa kuwonjezera maantiacid. Amathandizira kuchepetsa acidity yam'mimba, potero amawonjezera phindu la mankhwala.

Kuchiza ndi wowerengeka azitsamba

The pancreatitis yotakasika mu mwana sangathe kuchiritsidwa popanda kugwiritsa ntchito mankhwala. Komabe, kusiya zizindikirazi, mutha kugwiritsa ntchito maphikidwe a madokotala aanthu. Musanayambe maphunziro, muyenera kufunsa dokotala.

Chimodzi mwazinthu zodziwika bwino zochizira pancreatitis ndi mafuta odzola. Itha kugwiritsidwa ntchito pokhapokha ngati mwana sakonda uchi. Kutalika kwa njira ya mankhwala ndi miyezi 2-3. Kenako muyenera kupumula pang'ono kwa masiku angapo. Kutenga zakudya zamafumu kumalimbikitsidwa supuni katatu patsiku. Ndikwabwino kusungunula pang'ono pang'onopang'ono, osamamwa lonse.

Muthanso kupanga kvass zopanga tokha kuchokera ku celandine. Kuti mukonzekere, muyenera 3 l of Whey. Ngati simungathe kuzipeza, mutha kuzisintha ndi madzi opanda kanthu. Madziwo amayenera kuthiridwa mu chotengera, kuwonjezera supuni ya kirimu wowawasa ndi shuga. M'thumba la gauze, theka la kapu ya udzu wa celandine uyenera kutsanuliridwa, ndikuthira mumtsuko wamadzi kapena Whey. Kwa milungu iwiri muyenera kuyambitsa kvass tsiku lililonse. Ngati mumatsatira bwino malangizo omwe aperekedwa, pa 10th tsiku lomwe chakumwa 10 chiyenera kuyamba kufooka. Tengani kvass kwa sabata limodzi supuni katatu patsiku.

Njira zopewera

Sikuti nthawi zonse makolo amatha kuteteza mwana wawo ku zinthu zomwe zimapangitsa kuti pakhale pancreatitis yogwira mtima. Ndiye chifukwa chake ayenera kufotokozera ana za kuwopsa kwa matendawa, kukambirana za kufunika kotsatira zakudya zapadera.

Ana ambiri ndi mano okoma. Ndi makeke ndi makeke omwe amayambitsa kupweteka kwambiri kwa kapamba. Chimodzi mwazinthu zopewera matendawa ndikuchepetsa kugwiritsa ntchito maswiti. Ntchito yawo mmalo akhoza kukhala uchi wofala kwambiri. Komabe, ndichakudya ichi ndikofunikira kuti chisapirire. Ma supuni awiri amtunduwu ndi okwanira kwa mwana, pokhapokha ngati palibe zovuta. Lamulo lina lofunika sikuti kudya kwambiri. Mwanayo ayenera kunyamuka patebulo ndi nkhawa pang'ono.

Njira ina yothanirana ndi matendawa ndi kulandira munthawi yake matenda opatsirana ndi kutupa, matenda ammimba. Nthawi zambiri, poyerekeza ndi kumbuyo kwa mavutowa, pancreatitis yogwira mtima kwa mwana imayamba. Pokhapokha pogwiritsa ntchito mankhwala othandizira omwe amatha kudziwonongera pancreas. Dziwani kuti mankhwala alionse azithandizo ayenera kuyikidwa ndi dokotala. Kudzisankhira mankhwala ndizoletsedwa.

Mwachidule

Rease pancreatitis mu ana, Zizindikiro ndi chithandizo chomwe chafotokozedwa m'nkhaniyi, imawoneka ngati yowopsa. Zizindikiro zoyambirira za matendawa zikaonekera, timafunikira kupita kuchipatala. Kunyalanyaza zamatsenga kumatha kubweretsa zotsatirapo zosasangalatsa. Pakati pawo, choopsa kwambiri ndi kudziwononga kwa kapamba. Chifukwa chokaona dokotala mosayembekezereka mtsogolo, mwana akhoza kuyamba kudwala matenda ashuga.

Kodi pancreatitis yothandizira ndi chiyani kwa ana?

Pancreatitis ndi amodzi mwa matenda ofala kwambiri a kapamba pakati pa akulu ndi ana. Matendawa ali ndi mtundu wovuta komanso wodwala. Pali zifukwa zambiri zosiyanitsira ziwalozi.

Rease pancreatitis ana ali mosiyana ndi mawonekedwe akuluakulu a matendawa - ndi kuphipha kwa ma pancreatic ducts, chifukwa chomwe ma enzyme samalowa mgawo, amangokhala mkati mwa gland ndikuyigaya zenizeni kuchokera mkati. Potengera maziko awa, njira yotupa imayamba. Kansa yamtunduwu imayamba motsutsana ndi maziko a zotupa zilizonse mthupi - matenda aliwonse, kupsinjika, kudya kwambiri, poyizoni, etc.

Zomwe zimayambitsa zotumphukira zotchuka kwambiri mu ana

Monga tafotokozera pamwambapa, pakhoza kukhala zifukwa zambiri. Koma otchuka kwambiri ndi:

• Zakudya zopanda ntchito kapena kusintha kwakazakudya. Mwachitsanzo, chilimwe chikadzafika, makolo amapatsa mwana wawo zipatso zambiri kapena zipatso.
• Kugwiritsa ntchito kwambiri zakudya zomwe zimakhumudwitsa. Mwachitsanzo, soda, nyama zosuta, zipatso, kudya mwachangu, zipatso zazitali, etc.
• Poizoni wazakudya.
• Lactase akusowa.
• Mankhwala ena ndi zakudya kapena mankhwala ena.
• Kubadwa kwatsopano kwa chimbudzi.
• Matumbo dongosolo.
• Kuvulala kwam'mimba ndi kumbuyo.
• Matenda opatsirana.
• Kumwa maantibayotiki.
• Kupsinjika kwambiri.

Zizindikiro za pancreatitis yotakasika ana

Kusiyanitsa pancreatitis yogwira pathupi kapenanso matenda amtundu wa kapamba, ndikofunikira kudziwa zizindikiro zake. Zizindikiro za pancreatitis yotakataka imafanana ndi ya pachimake. Acute pancreatitis siivuta kuzindikira, imadziwika ndi ululu waukulu pamimba. Amatha kuperekedwa kumbuyo kapena kuwunikira pamimba, ndichifukwa chake ana aang'ono nthawi zambiri samatha kunena komwe zimapweteka.

Zizindikiro za pancreatitis yovuta kwambiri imakhalanso:

• Kuchepetsa mseru
• Thupi.
• Kutsegula m'mimba
• Kulira, kusakwiya, kufooka, etc.

Mukangozindikira izi, pitani kuchipatala msanga.

Matenda apathengo, mosiyana ndi pachimake, sizivuta kuzindikira, chifukwa nthawi zambiri siziwoneka kwa nthawi yayitali mpaka kufalikira kuchitika.Koma makolo ayenera kudziwa zinthu zazikulu zomwe zingayambitse matendawa, amafotokozedwa pamwambapa (zakudya, matenda, ndi zina).

Zizindikiro za chifuwa chachikulu chitha kukhala motere:

• Ululu pamimba pamimba kapena mchombo. Ndipatseni kumbuyo.
• Thupi lawo siligwirizana.
• Kuchepetsa thupi, kusowa kudya, kudzimbidwa kosatha kapena kutsegula m'mimba.
• Kutopa, misonzi.

Zakudya zoletsedwa za kapamba

Ngakhale mawonekedwe a kapamba, simuyenera kupatsa mwana zinthu zotsatirazi:

• Zakudya zonse zokhala ndi nyama yamafuta kapena nkhuku (nkhumba, mwanawankhosa, bakha, tsekwe) - msuzi wolemera, cutlets, etc.
• Zakudya zonse zokhala ndi nsomba zamafuta (sturgeon, carp, pangasius, etc.),
• Nyama zakusuta, soseji, zakudya zamzitini,
• Soda
• Ayisikilimu
• Kuphika,
• Maapulo
• Chocolate
• Bowa
• Salo
• Mkate wa brown
• Zakudya zoziziritsa kukhosi ndi zakumwa,
• Cheeses zipatso ndi ndiwo zamasamba nthawi yowonjezera.

Pancreatitis pachimake mu ana ndi matenda omwe amayenda limodzi ndi kukhalapo kwa njira yotupa mu kapamba. Vutoli limachitika chifukwa cha ntchito yayikulu ya michere yawo ya kapamba. Mwana wazaka 4 mpaka 17 amakhala ndi zizindikiro monga kugunda kwa kupweteka, kusowa kudya, nseru, kutentha thupi, kuchepa thupi.

Kupereka mankhwala othandiza, ndikofunikira kuzindikira bwino. Ndipo apa muyenera kulimbana kale ndi mitundu yamatendawa.

Kodi chibwana cha mwana ndi chiyani?

Pancreatitis ndi matenda otupa a kapamba. Kasitomala ndi chiwalo chomwe ndi gawo la chimbudzi ndipo chimapangidwa kumbuyo kwa m'mimba.

Thupi limatulutsa ma insulin ndi glucagon, omwe amawongolera kuchuluka kwa shuga m'thupi.

Koma kapamba ndizofunikanso mu chimbudzi. Amatulutsa michere yofunika yomwe imathandiza kukonza chakudya chomwe timadya.

Ngati kapambayu ali wathanzi, ma enzyme samagwira mpaka atafika pa duodenum. Koma ndulu ikayamba kuyaka, ma enzymewo amayamba adangoyamba kumene, adakali chiwalo chokhacho, ndikuwononga ziwalo zamkati.

Tizilombo ta pancreatic timene timapanga ma enzymes timawonongeka ndikusiya kutulutsa ma enzyme atsopano. Popita nthawi, izi zimatha kuwonongeka.

Chithandizo cha pachimake kapamba mu ana

Chithandizo cha kapamba mu ana ndichithandizo chothandizira. Palibe mankhwala amodzimodzi kapena chithandizo chomwe chingathandize kuti kapamba ayambe kuchira. Ana omwe ali ndi ululu wam'mimba amatha kupatsidwa mankhwala opweteka. Kusanza ndi kusanza kumathandizidwa ndi antiemetic mankhwala.

Ngati mwana sangadye, chifukwa akumva kupweteka, kusanza komanso kusanza, samadyetsedwa, koma amapatsidwa madzi kuchokera m'mitsempha kuti apewe madzi.

Mwana amatha kuyamba kudya akamva njala ndipo ali wokonzeka kudya chakudya. Pankhani ya zakudya, zakudya zina zimaperekedwa kuchokera kuzakudya zoyambirira, kuyambira msuzi wopatsa thanzi mpaka zakudya wamba.

Kusankhaku kumadalira kuopsa kwa vuto la mwana komanso zomwe adokotala amafunikira. Mwanayo, monga lamulo, amapezanso thanzi m'masiku oyamba awiri kapena awiri atadwala chifuwa cha kapamba.

Zimachitika kuti zizindikirazo ndizazikulu kapena zimapitilira kwa nthawi yayitali. Mwanjira imeneyi, mwana adzapatsidwa chakudya kudzera chubu kuti ateteze kudzimbidwa ndikuchira.

Chithandizo cha matenda kapamba

Malangizo azachipatala amayang'ana kwambiri kuchepetsa kupweteka komanso kukonza chimbudzi. Kuwonongeka kwa kapamba sikungakonzeke, koma ndi chisamaliro choyenera ambiri mawonedwe amatha kuwongoleredwa.

Mutha kuchiza matenda a chibwana m'njira zitatu:

Mankhwala

1. Zopweteka.
2. Kukonzekera kwa enzyme ya chakudya (ngati kuchuluka kwa enzyme ndi kotsika kwambiri) kwa chakudya chabwinobwino.
3. Mavitamini osungunuka a mafuta A, D, E ndi K, popeza kuvuta pakumwa mafuta kumapangitsanso kuti thupi lizitha kuyamwa mavitamini awa, omwe amathandiza kwambiri kuti akhale athanzi.
4. Insulin (ndi kukula kwa matenda ashuga).
5. Ma steroid, ngati mwana ali ndi kapamba amachokera ku autoimmune, komwe kumachitika maselo a chitetezo mthupi akaukira kapamba awo.

Endoscopic mankhwala. Nthawi zina, ma endoscope amagwiritsidwa ntchito pochepetsa ululu ndikuchotsa zoletsa. End endope ndi chubu lalitali, losunthika lomwe adokotala amayika mkamwa mwake.

Izi zimathandizira adotolo kuchotsa miyala mumakumba a ma pancreatic, ikani timachubu tating'onoting'ono (stents) kulimbitsa makhoma awo, kusintha kayendedwe ka bile kapena kuteteza kutulutsa kwa timadziti tam'mimba.

Opaleshoni. Opaleshoniyo siyofunikira ana ambiri. Komabe, ngati mwana ali ndi ululu waukulu womwe sungagwiritsidwe ntchito ngati mankhwala, kuchotsa ziphuphu nthawi zina kumathandiza. Kuthandizira opaleshoni kumagwiritsidwanso ntchito kuti atsegule ngalande ya pancreatic kapena kukulitsa ngati ili yopapatiza kwambiri.

Si ana onse omwe amakhala ndi vuto lalikulu la pancreatitis omwe amakhala ndi mawonekedwe osakhazikika.

Palibe umboni wowonekeratu kuti zakudya zapadera za ana zimafunika pancreatitis yayitali. Komabe, madokotala ambiri amakupatsani zakudya zamafuta ochepa ndipo amalimbikitsa kuti odwala azidya pafupipafupi m'magawo ang'onoang'ono, omwe amakhala ndi mafuta osakwana 10 g.

Ndikosatheka kuchiritsa pancreatitis yayitali, ndimkhalidwe wa moyo wonse, zizindikiro zimayambika nthawi zina kenako zimazimiririka. Ana akuyenera kuwonetsedwa kwa dokotala pafupipafupi kuti adziwe momwe alili, apatsidwe zakudya zoyenera ndikufotokoza njira zamankhwala Amayeseza endocrine pafupipafupi kuti adziwe zovuta zilizonse zokhudzana ndi kulolera kwa shuga kapena kukula kwa matenda ashuga.

Ana omwe ali ndi matenda osachiritsika omwe ali ndi matendawa amakhala pachiwopsezo cha khansa ya pancreatic. Kuchuluka kwa zoopsa zimatengera chifukwa chachikulu cha kapamba, mbiri ya banja komanso mtundu wa chibadwa.

Zomwe zimayambitsa matendawa:

1. Matenda wamba opatsirana a ana (SARS, tonsillitis, etc.).
2. Matenda a dongosolo la m'mimba.
3. Kuvulala kwam'mimba.
4. Kugwiritsa ntchito mankhwala amphamvu.
5. Poizoni wa Chemical Poizoni.
6. Zakudya zosavomerezeka.
7. Zinthu zopangidwa bwino komanso mitundu yambiri ya "zinthu zabwino" zomwe sizothandiza m'thupi la mwana.
8. Kumayambiriro kwa zakudya zosayenera msinkhu kwa makanda (msuzi wowawasa, nyama).

Kusiyana kwapakati pancreatitis yotupa ndi mtundu wa matenda:

1. Zomwe zimayambitsa kupanikizika kwa kapamba ndimatenda a ziwalo zina, ndipo chifuwa chachikulu cha pancreatitis chimachitika chifukwa chazowopsa komanso zowononga zosiyanasiyana.
2. Rease pancreatitis, ngati siyikusamalidwa, imalowa mu mawonekedwe owopsa, koma kapamba wamkati samasinthanso.
3. Kupatula pokhapokha ngati pali matenda, matendawa amatha kuthandizira.
4. Mukamafufuza zizindikiro za yogwira pancreatitis, zizindikiro za nthendayi zimayambira, kenako ndi zizindikiro za kapamba. Mu chifuwa chachikulu cha pancreatitis, zizindikiro zazikulu ndi chizindikiro cha kapamba.
5. Pozindikiritsa yogwira pancreatitis, komanso kukhazikitsidwa kwa zizindikiro za kapamba, zizindikiro za matenda a ziwalo zina zimapezeka. Ndipo pachimake mawonekedwe - sikofunikira.

Zofanana:

1. Kuzindikira kumachitika pogwiritsa ntchito njira zomwezi.
2. Mankhwalawa amatchulidwa chimodzimodzi ndi mtundu wa matenda.
3. Njira zopewera nthawi zambiri zimagwirizana.

Zizindikiro za zotupa za tchire titha kugawidwa m'magulu awiri: mawonetseredwe azachipatala amomwe amayambitsa matendawa komanso zizindikiro za kutupa kwapachiwonetsero palokha.

Mwachitsanzo, ngati pancreatitis yogwira imayamba chifukwa cha matenda am'matumbo, pamakhala kutentha kwambiri komanso chimbudzi kangapo patsiku.

Kukhazikika kumakhala kovuta kwambiri.

Zizindikiro zofala kwambiri za yogwira pancreatitis

Zowawa m'mimba. Khanda limadzakhazikika m'mimba mwake kuti lithe kuchepetsa matenda ake .. Pambuyo masiku awiri oyamba, kupweteka kumakulirakulira.

Zizindikiro zina zimaphatikizapo:

• kusanza kosalekeza, kukulira pambuyo pa masiku awiri oyamba,
• kusowa kwa chakudya
• jaundice (khungu lachikaso),
• kutentha kwambiri
• kupweteka kumbuyo ndi phewa lamanzere.

Zizindikiro zazitali zimaphatikizapo kuchepa thupi komanso kuthamanga kwa magazi.

Mwa ana aang'ono, zizindikirazo zimakonzedwa ndipo sizitchulidwa kwambiri. Kuphatikizidwa kwa chimodzi mwazizindikiro izi ndi ululu wam'mimba kosalekeza ndizomwe mungalumikizane ndi katswiri. Kuyesayesa kwaokha kwa makolo kuthana ndi vutoli kumadzetsa zotsatirapo zoyipa kwambiri.

Ndingadye chiyani?

Zakudya ndi mbale zotsatirazi ziyenera kuphatikizidwa muzakudya za ana:

• nyama zamafuta ochepa
• mbalame yopanda khungu
• zoyera
• skim kapena mafuta ochepa mkaka,
• amondi, mkaka wa mpunga,
• mphodza
• nyemba
• zopangidwa ndi soya
• Mkate wachiwiri wa ufa,
• njere zonse
• mpunga
• pasitala
• masamba ndi zipatso, zatsopano kapena zachisanu,
• masamba ndi zipatso zamasamba,
• tiyi
• supu zamasamba
• madzi.

Zakudya za ana zokhala ndi kapamba zimayenera kukhala ndi zakudya zomwe zimakhala ndi michere yokugaya. Mwachitsanzo, zinanazi, papaya.

Chitsanzo cha menyu

Chakudya cham'mawa:

• Azungu awiri azizuwa okhala ndi sipinachi,
• chidutswa chimodzi cha tirigu wathunthu,
• tiyi

Chakudya chamadzulo:

Chakudya chamadzulo:

• mpunga, nyemba zofiira kapena zakuda,
• mkate umodzi,
• 100 g wa nyama ya m'mawere
• madzi kapena madzi.

Zovuta:

• ufa wotsika pang'ono,
• nthochi
• madzi.

Chakudya chamadzulo:

• kubisa
• gawo laling'ono la saladi wobiriwira (wopanda mafuta) ndi msuzi wamafuta ochepa kapena viniga wa basamu,
• madzi kapena madzi.

Zakudya zam'mawa pambuyo chakudya:

• Yogati yopanda zakudya yama Greek
• madzi kapena tiyi pa zitsamba.

Lankhulani ndi dokotala wa mwana wanu komanso za ana anu zokhudzana ndi zakudya pazakudya za mwana wanu. Ngati muli ndi matenda ashuga, matenda a celiac, tsankho la lactose, kapena mavuto ena azaumoyo, kusintha kwa zakudya kumafunika.