Maonekedwe a kapamba pambuyo pakuchita opareshoni pa ndulu

Biliary pancreatitis atachotsedwa ndulu imawonekera mwa anthu ambiri. Pali lingaliro lolakwika kuti pambuyo poti wapangawo ndi ndulu, kapamba amatenga ntchito yake, ndipo mothandizidwa ndi katundu wotere, parenchyma yake imayamba kugwa. Ziwalo ziwirizi zamkamwa zimathandizira ntchito ya wina ndi mnzake, koma sizingasinthanirane. Limagwirira kukula kwa kapamba akhoza kuyamba ngakhale opareshoni, mogwirizana ndi cholecystitis. Pancreatitis nthawi zambiri imawoneka pambuyo pakuchita opaleshoni, koma kudzera mu cholakwika cha ma pret. Amapitilizabe kupereka chinsinsi cha maselo a chiwindi kwa duodenum 12, koma osati mwa nthawi yonse.

Kodi kuchotsa ndulu kumachitika liti ndipo akuchitidwa opaleshoni?

Cholinga cha opareshoni kuti athetse bile ndi nthawi zambiri ndimatenda osokoneza bongo omwe amapanikizika ndi cholecystitis (kutupa kwa makoma a chikhodzodzo) kapena pancreatitis yayikulu. Pamene miyala ili mu ndulu, imalepheretsa kutuluka kwa bile kulowa mu duodenum. Kubisirana kwa chiwindi kumayamba kulowa mkatikati mwa kapamba ndikuwotcha. Izi zimabweretsa biliary pancreatitis ndi pancreatic necrosis.

Chizindikiro choyamba chakuti wodwalayo akufunika opaleshoni yachangu ndi ululu wammbuyo yamanja mbali yakumanja, yomwe singathe kuimitsidwa ndi mankhwala.

Kukonzekera chikhazikitso cha chikhodzodzo kumachitika pogwiritsa ntchito ultrasound. Ndondomeko amathandizira kuwunikira zomwe zimachitika pamaphunziro a cholelithiasis ndikuphunzira momwe ziwalo zapafupi ziliri. Pochita opaleshoni, njira yotsika pang'ono imagwiritsidwa ntchito - laparoscopy.

Opereshoni imachitidwa pansi pa opaleshoni yotupa. Kuti dokotalayo awone malowo akugwiridwira, kaboni dayokisoni umalowetsedwa m'malo ena am'kati mwa singano, kenako ndi zida zofunika ndi kamera ya kanema. Munthawi yomweyo ndi madzi osungira a bile, ma cystic duct ndi chotupa cha gallbladder around. Chifukwa chake, mafilimu okonza amayikidwa kale kwa iwo pamalo ena.

Ngati ngalande ya cystic yasiyidwa bwino kapena gawo laling'onoting'ono litayatsidwa, ndiye kuti pakapita nthawi imadzaza ndi maselo a chiwindi, kukulira ndikukhala ngati ndulu. Popeza palibe kuthekera kwa kupangana pamakoma ake, bile mkati mwake imayamba kusunthika. Popita nthawi, miyala imapangidwanso, zomwe zimapangitsa kufalikira kwa kapamba.

Chiwalo chomwe chatulutsidwachi chimachotsedwa kudzera pakukokoloka kwakukulu pamimba. Zovuta zimayikidwa mu malo ogwirira ntchito, chubu chopopera chonyowa chimayikidwa pabedi la kuwira. Ngati pakuchita opaleshoni dokotala wa opaleshoni adapeza kuti makhoma a bile adaluka, ndipo chiwalo chokha chikukulitsidwa kapena ziwalo zapafupi zakulirakulira, ndiye kuti opaleshoniyo imamalizidwa ndikuchita opaleshoni yam'mimba yotseguka. Njira ya laparoscopic imatha kuyambitsa zowonongeka komanso matenda ku ziwalo zina. Wodwala amachenjezedwa za kuthekera kwa vutoli ngakhale pokambirana ndi opareshoni.

Zotsatira za chamoyo chonse

Chifukwa chakuyenda bwino kwa ndulu Pambuyo pa opaleshoni, ntchito za chikhodzodzo, zomwe zimasungidwa posungira ndulu kwakanthawi, tengani zigawo za kumanzere kwa kumanzere (kumanzere ndi kumanzere), komanso kulowetsa wamba.

Kusakhalapo kwa bile sikukhudza kwambiri thanzi la thupi. Munthu amatha kusinthika ndi moyo popanda chiwalochi. Odwala ambiri omwe akuchita opaleshoni athanzi.

Zizindikiro za bancary pancreatitis, yomwe ndi matenda oyambitsidwa ndi kuphwanya kutuluka kwa ndulu, amayamba kufooka kenako ndi kutha. Kuchulukitsa kwa matendawa kumaonedwa mwa anthu omwe samatsata malangizo a dokotala okhudza moyo ndi zakudya.

Mavuto a Pancreatic

Ngati pancreatitis imachulukitsa pambuyo pochotsa ndulu, ndiye kuti chifukwa chake chimachepetsa kuphwanya zakudya zamankhwala komanso kumwa mowa. Kuwonongeka kwa kapamba kumachitikanso chifukwa chochepa kulowa koloni ya bile.

Kuchulukirachulukira kwa chifuwa cham'mimba pambuyo pochotsa ndulu ndi chochitika chachilendo. Zizindikiro zamatenda a chifamba chachikulu cha pancreatitis sizichitika kawirikawiri pambuyo pa opaleshoni, nthawi zambiri pakatha miyezi isanu ndi umodzi. Sizosiyana ndi zomwe zimachitika mwa odwala omwe ali ndi chitukuko chayokha cha matendawa, omwe amadziwika ndi nthawi yochulukirapo komanso kukhululuka.

Pancreatitis Prevention Diet

Gometi 5 nthawi zonse imayikidwa atachotsa bile mu kapamba. Kufunika kutsatira mosamalitsa chakudya kuti muchepetse kuchuluka kwa kapamba kumapitirira pafupifupi chaka. Ndi nthawi yino yomwe imafunikira kubwezeretsa thupi pambuyo pakuyambiranso ziwalo zamkati. Zakudya zokhala ndi chikhodzodzo chonyansa ndi kapamba zimapangidwa kuchokera ku zakudya zomwe zimakhala ndi mavitamini, michere ndi michere yambiri. Cholinga cha chakudya chopatsa thanzi ndikuchepetsa katundu pa bile duct ndi chiwindi.

Zakudya tebulo nambala 5 imapereka kutsatira malamulo awa:

Tsiku lililonse, menyu amayenera kukhala ndi chakudya, chomwe chimapatsa chakudya komanso mapuloteni.
Chilolezocho chimagwira ntchito pazinthu zokhala ndi mafuta a nyama.
Njira yophikira imaphatikizapo zinthu zopangika, kuphika ndi kuphika.
Ngati m'zakudya muli zinthu zomwe zimakhala ndi CHIKWANGWANI, ndiye kuti zimangoperekedwa mwa mawonekedwe osweka.
Zomwe zimapangitsa kuti mafuta azikhala ndi mafuta siziphatikizidwa menyu.
Mchere umaloledwa kugwiritsidwa ntchito pang'ono, ndipo zonunkhira zokometsera ndi zokometsera ziyenera kusiyidwa kwathunthu.
Chakudya atachotsa bile bile. Wodwala ayenera kudya pafupipafupi (kangapo 6 pa tsiku), koma pang'ono ndi pang'ono komanso nthawi yomweyo. Chakudyacho chizikhala chotentha.

Zakudya za tsiku ndi tsiku za wodwala wokhala ndi pancreatitis ya biliary atachotsedwa kwa bile zimaphatikizaponso kudya zakudya zomwe zimakhala ndi mafuta, mapuloteni komanso chakudya:

Mapuloteni azomera - 40 g, nyama - 40 g.
Mafuta - mpaka 90 g. Mwa awa, kuchuluka kwamafuta a masamba ndi 30%.
Zakudya zomanga thupi - mpaka 400 g.
Madzi - 1.5 malita kapena kupitirira.
Mchere - mpaka 10 g.

Kwa odwala ena, madokotala amalimbikitsa kuti azidyetsa mankhwalawa ndi mankhwala omwe amasintha ntchito ya chiwindi (Carsil, Essentiale).

Lamulo lovomerezeka lomwe odwala onse omwe ali ndi kapamba ayenera kuwona ndi kumwa madzi pamimba yopanda kanthu. Itha kukhala ya mchere kapena wamba. Tiyi, compote kapena juwisi imadziwika ndi thupi ngati chakudya, ndipo kapamba amatulutsa njira ya bicarbonate ya alkali kokha chifukwa chamadzi. Wotsirizirayo amalepheretsa asidi kulowa m'matumbo ndi chakudya.

Amaloledwa pambuyo kuchotsa bile ndi kapamba zakudya ndi mbale:

Mitu yayikulu yamaphunziro. Supu: masamba - ndi mbatata ndi kaloti, chimanga - ndi buckwheat, mpunga, barele, mkaka - ndi pasitala, zipatso - ndi kuyanika kwa apulo, ma apricots owuma, mphesa zouma. Msuzi wa kabichi wamasamba, msuzi wa beetroot, borscht pa msuzi wa nyama yopanda.
Chachiwiri: pasitala, phala kuchokera kwa mpunga, mapira, buckwheat, pilaf yokhala ndi zipatso zouma. Ndi kapamba, ndibwino kuwonjezera njere za fulakesi mu chakudya chotere.
Zakudya za nyama zamitundu yamafuta ochepa (hake, tuna, pollock) ndi nyama yazakudya (nyama ya kalulu, ng'ombe, nkhuku). Wotenthedwa, wophikidwa ndi zojambulazo kapena wophika chabe.
Mkate Mkate wa nthambi, zopukusa tirigu, zophika biscuit zouma zimaloledwa.
Zinthu zamkaka zomwe zimakhala ndi mafuta osaposa 2%.Kirimu wowawasa, yogati, kefir, tchizi chanyumba.
Masamba (amadyedwa mu mawonekedwe a grated). Cauliflower ndi Beijing kabichi, broccoli, kaloti, beets, squash, dzungu, seaweed, udzu winawake. Tomato ndi tsabola belu ndizochepa.
Zipatso ndi zipatso (chiwerengero chochepa komanso malinga ndi umboni wa dotolo). Zofewa zophika maapulo otsekemera. Nthochi, makangaza, mavwende. Vwende zouma, ma prunes, ma apricots owuma amawonjezeredwa ndi mbale.
Zakumwa (zotsekemera pang'ono). Tiyi yofooka, zakumwa zopanda asidi zomwe zimaphatikizidwa ndi madzi, msuzi wa rosehip, zipatso zabwino ndi zakudya zowuma.

Pa mndandanda wazakudya zoletsedwa kotheratu za kapamba ndi khofi, chokoleti, soups wa bowa, okroshka, nyama yamafuta, zonunkhira zotentha ndi zovala, makeke ochokera ku makeke a puff ndi makeke, mkate watsopano, mtedza, mbewu, koloko.

Chithandizo cha kapamba pambuyo pa cholecystectomy

Pambuyo pochotsa ndulu, wodwalayo amamulembera chithandizo chamankhwala ochepa:

Maantibayotiki. Perekani nthawi yomweyo pambuyo pakuchita opaleshoni kuti muchepetse kutuluka kwa kama. Kulandila kwa antibacterial kumatenga masiku 3-5.
Mankhwala opweteka. Kuchepetsa ululu ndi kukokana komwe kumatha kuchitika atachotsa ma bile, analgesics (Baralgin, Pentalgin) ndi antispasmodics (Drotaverin, Buscopan).
Kuyimitsidwa kapena mapiritsi Ursofalk - kuletsa mapangidwe a miyala mu duct ya bile.
Mapiritsi a Pancreatin - kusintha chimbudzi.

Payekha, kwa odwala ena, pofuna kupewa kapamba, amapatsidwa mankhwala a choleretic ndi ma enzyme omwe amatulutsa microflora yamatumbo ndikuwongolera magwiridwe antchito onse am'mimba.

Ndi chikhodzodzo chakutali, kukokoloka kwa chifuwa chachikulu kumakhala pafupipafupi. Kuti muchepetse kupweteka, madokotala amathandizira odwala oterewa kupatsidwa mankhwala a analgesics ndi mankhwala othandizira kutupa (Paracetamol, Ketanov, Diclofenac). Woopsa, wodwalayo amagonekedwa m'chipatala ndipo opaleshoni yamitsempha yam'mimba amaperekedwa kuti athetse ululu.

Mavuto pambuyo pochotsa ndulu ndi osowa komanso nthawi zambiri chifukwa chophwanya zakudya. Chifukwa chake, ndikofunikira kuti chaka choyamba mutachitidwa opaleshoni, tsatirani malangizo onse a dokotala.

Kodi ndulu amachotsedwa liti ndipo amachita bwanji?

Mankhwala amakono pakadali pano akukwera, koma njira ya cholecystectomy mpaka lero ndi imodzi mwazomwe akutsogolera pakuchiza matenda a cholelithiasis. Ndikofunikira pamilandu yapamwamba kwambiri ndipo nthawi zambiri imakhala njira yopulumutsira wodwalayo.

Kuchotsa m'mimba thirakiti kumaonetsedwa, monga lamulo, ngati kuchuluka kwa miyala ndikwakukulu kwambiri ndipo kumalepheretsa kugwira ntchito kwa ziwalo ndi m'mimba thirakiti yonse, komanso kutsekeka ndere.

Vuto lotere limatha kubweretsa zovuta zingapo, kuphatikiza zomwe zimakhudzana ndi kapamba, popeza mu nkhani iyi bile imatha kulowa m'misewu yake ndikuyambitsa kudzimbidwa kwa chiwalo, momwe chithandizo chimakhala chovuta kwambiri. Zodabwitsazi, zimatha kuyambitsa kusintha kwa ma necrotic. Matenda ofatsa kwambiri amatha kukhala pancreatitis atachotsa ndulu.

Masiku ano, opaleshoni yamtundu wa cholecystectomy ndi osowa kwambiri chifukwa cha njira zochepa zamankhwala. Komabe, njira yosankhira chithandizo imapangidwa payekhapayekha.

Mavuto ndi zotsatira za chitukuko cha cholelithiasis

Matendawa ndi ofunika kuti azindikire munthawi yake. Popanda izi, simuyenera kudalira chithandizo popanda opareshoni. Kukhalapo kwa miyala yocheperako kumayambitsa kutupa ndipo kumakwiyitsa kukula kwa cholecystitis yowerengeka. Pang'onopang'ono, kukula ndi kuchuluka kwa mawonekedwe ake kumawonjezeka ndikukulitsa chiwopsezo cha zovuta.

Panyengo ya chithandizo cha panthawi yake, zotsatirazi ndizotheka:

zotupa zotupa,
jaundice ndi zotupa zina za chiwindi,
kuledzera ndi poyizoni wa thupi,
matenda am'mimba ndi matumbo.

Chimodzi mwazovuta zomwe zimachitika nthawi zambiri zimatha kuwoneka ngati kutupa kwa kapamba. Biliary pancreatitis pamenepa amapezeka pafupifupi 90% ya odwala onse omwe ali ndi cholelithiasis. Ndi iye yemwe amayika mawonekedwe akuwonekera mu kapamba.

Zotsatira za opaleshoni yochotsa ndulu

Odwala nthawi zambiri amalakwitsa poganiza kuti atachotsa ndulu, ntchito za gululi zimaperekedwa kwa kapamba, ndipo chifukwa chakuchulukitsa kwake, kapamba amayamba. Tsoka ilo, ziwalo izi sizimasinthana wina ndi mnzake, ndipo chifuwa chachikulu chimachitika chifukwa cha kutukusira kwa ndulu. Odwala pambuyo cholecystectomy (kuchotsa gallbladder), kukhala bwino kumawonedwa, kuchotsedwa kumatenga nthawi yayitali.
Koma madokotala nthawi zambiri amachitira umboni chithunzi chosiyana: ma duc bile amapanga ntchito ya chikhodzodzo, chifukwa chake, bile limayamba pang'onopang'ono, lomwe limachepetsa katundu wake wa bactericidal, limasintha mu microflora yamatumbo aang'ono, ndipo chimbudzi chimasokonekera. Zotsatira zoyipa zoterezi zimadzipangitsa kumverera pa ziwalo zonse zam'mimba, makamaka kapamba zimavutika, ndipo chifukwa chake, kapamba amachitika.

Matenda a ndulu akasamutsidwa, kutupa kwa kapamba kumapezeka, komwe kumayambitsa matenda monga biliary pancreatitis.

Kutengera ndi komwe miyala ili mu ndulu, kuwuma kwa matendawa kumaululidwa.

Odwala ena amadandaula za mapando otayirira, kuchepa thupi msanga, kutopa kwambiri ndi kufooka, zomwe zingasonyeze vuto la postcholecystectomy syndrome. Amayamba chifukwa cha kusokonezeka kwa ziwalo zina pambuyo pochotsa ndulu, matenda a chiwindi, kukonzanso dongosolo la chimbudzi, mapangidwe opatuka chifukwa cha opareshoni. Postcholecystectomy syndrome nthawi zambiri imakhala ndi kapamba.

Zomwe ziyenera kusiyidwa kuti tipeze kapamba

Pofuna kupewa kuwonekera kwa kapamba, malamulo ochepa osavuta ayenera kutsatiridwa. Muyenera kuyamba pochotsa kupsinjika kwamanjenje, kukana kudya zakudya zokazinga, zamafuta ndi zonunkhira, kusiya zizolowezi zoipa (ngati zilipo). Mutha kukhazikika pakudya yanu powonjezera zipatso ndi ndiwo zamasamba, timadziti ndi zakudya zachilengedwe. Ndikofunikira nthawi zonse kuonetsetsa kuti zakudya zopatsa thanzi ndizabwino komanso zabwino.

Owerenga athu amalimbikitsa

Owerenga athu pafupipafupi adalimbikitsa njira yothandiza! Kupeza kwatsopano! Asayansi a Novosibirsk adazindikira njira yabwino kwambiri yochiritsira pambuyo pochotsa ndulu. Zaka 5 za kafukufuku. Zodzithandiza kunyumba! Popeza tidaphunzira mosamala, tidaganiza kuti zithandizireni.

Ngati pancreatitis yapezeka kale, muyenera kutsatira zakudya zosamalitsa ndikutsatira malangizo onse a akatswiri, kuti musachulukitse njirayi.
Muyenera kuzindikira kuti tsopano zakudya zambiri zosangalatsa komanso zomwe mumakonda kudya ndizotsutsana ndipo muyenera kuyiwalako. Komabe, musataye mtima, chifukwa zikondamoyo zoyenera ndizofunikira kwambiri kuposa zofunikira zilizonse.

Zomwe zimayenera kukhalapo pakudya pambuyo pochotsedwa ndulu

Chakudya chokhwima pambuyo pakuchita opaleshoni sikuti kuzindikira kwa madokotala, koma mkhalidwe wofunikira. Kunyalanyaza malangizo azachipatala kumabweretsa zovuta zambiri. Cholinga chachikulu cha zakudya zotere ndikuletsa kuphatikiza ndulu mumizere. Muyenera kuzolowera izi:

Ndikofunikira kudya zakudya zofunda zokha, ndibwino kupatula zakudya zozizira m'zakudya, chifukwa chomaliziracho chimatha kuyambitsa ma spasms mu bile ducts.
Kudya kumayenera kukhala m'magawo ang'onoang'ono 5-6 patsiku.
Zakudya ziyenera kukhala ndi masamba ndi masamba amkaka, zomwe zimathandizira kutuluka kwa ndulu.
Gwiritsani ntchito zinthu mkaka wowawasa kangapo patsiku: tchizi tchizi, pudding, soufflé.
Osanyalanyaza ng'ombe ndi nkhuku. Nsomba zam'madzi zamafuta ochepa zimakwaniritsa kuyamwa kwa mafuta m'thupi.
Mkate ndi bwino kusankha ndi tsiku lomasuliridwa dzulo, louma pang'ono. Mkate wophika kumene umakhala wokhumudwa kwambiri. Onjezani chimanga pakudya.
Onetsetsani kuti muli ndi zakudya zosiyanasiyana monga chimanga, uchi, jamu, marshmallows, zipatso zouma ndi zipatso.
Pewani zakumwa zoziziritsa kukhosi.
Chulukitsani tebulo lanu ndi zakudya zomwe zimakhala ndi CHIKWANGWANI cha mbewu. Itha kukhala mpunga, mpunga wamafuta, oatmeal.
Chakudya chovunda kapena chophika, chothira pang'ono kapena chophika chopanda kutumphuka, chizipambana.

Ngati mukufunika kuthana ndi kuchotsedwa kwa ndulu ndi kapamba, muyenera kumvetsetsa kuti mtundu wazakudya tsopano walembedwa, womwe umafuna malamulo ena mobwerezabwereza pazinthu zina kapena kuwachotsera kwathunthu.

Nthawi yomweyo, kutsatira malamulo onse ndi malangizo, mutha kukhala ndi thanzi labwino ndikuchenjeza thupi lanu ku ngozi ndi zovuta.

Zogulitsa zomwe zaletsedwa

Matenda osiyanasiyana am'mimba, kuphatikizapo kapamba pamimba ya ndulu yochotsedwa, amatanthauza mndandanda wazinthu zambiri. Zina mwa izi ndi izi:

bowa
makeke ndi zopukutira (makeke, maswiti),
misuzi yosiyanasiyana, mpiru, mayonesi,
zonunkhira zomwe zimatulutsa kukoma (curry, tsabola, sinamoni, coriander),
madzi owala
marinade, masamba otsekemera, kuteteza,
ayisikilimu.

Zizindikiro za kapamba

Kodi kapamba angazindikire ndekha? Kuzindikira kwa 100% kumatha kupangidwa kokha ndi dokotala wa gastroenterologist. Mulimonsemo, mwayi umaperekedwa kuti mudziwe bwino zomwe zimayambitsa matendawa.
Kwa kapamba pachimake, izi ndizotsatira:

Chepetsani kapena kudula ululu waukulu. Kuphatikizika kwa kupweteka kumawonedwa mu hypochondrium yoyenera.
Ma hiccups atali.
Kuchepetsa mseru Nthawi zina, zimayendera limodzi ndi kusanza komwe kumakhala ndi bile.
Kukwiya, kutentha kwa mtima.
Kwezani kutentha.
Kutuluka thukuta, komwe kumadziwika ndi thukuta lomata.
Kwezani / kugwa m'magazi.
Kuuma kumawonekera pakamwa, ndipo kuphimba kwachikaso pakulankhula.
Milandu ya kutsekula m'mimba kapena kudzimbidwa.
Kusamalira pamimba.
Kupuma pang'ono.
Kuchepetsa kwambiri thupi.

Mu chifuwa chachikulu, zizindikiro zake zimakhala zosiyanasiyana. Ululu womwe umadzimva pakukhudzidwa umatha kuzunza munthu kwa zaka zingapo. Izi zimakulirakudya mutatha kudya zakudya zopanda pake (yokazinga, mafuta, osuta, mowa). Kudziwonetsa kwawoko kumadziwika m'dera lomwelo komanso mu mtundu wa matenda.

Zizindikiro zimakhudza mawonekedwe a wodwala. Ndi pancreatitis, khungu pakhungu limasunthika, m'chigawo chokhacho chimayamba kukhala chaimvi. Dongosolo la inguinal limapeza mtundu wobiriwira. Kusintha kwa khungu koteroko kumachitika chifukwa cha zovuta zam'madzi zomwe zimayenda m'magazi chifukwa cha kapamba woipa, magazi amatha kulowa pansi. Ndi mawonekedwe a scancosing a pancreatitis, khungu limatha kutenga tint yachikasu, zomwezi zimachitika ndi azungu amaso.
Nthawi zambiri, kupweteka kwamatumbo pambuyo pakuchotsedwa kwa ndulu kumachitika popanda zizindikiro kapena mawonekedwe ang'onoang'ono. Chifukwa chake, wodwalayo samazindikira matendawa m'magawo oyamba. Matenda a kapamba amadziwika chifukwa cha kusintha kwa kapamba, kuphwanya insulin. Chifukwa cha izi, kuchuluka kwa shuga m'magazi kumachuluka, ndipo izi zitha kukhala zowopsa chifukwa cha mawonekedwe a shuga.
M'pofunika kupempha thandizo kwa dokotala wodziwikiratu ndendende nthawi ya chifuwa chachikulu cha kapamba.Izi zimathandiza kuti magazi asadutse kwambiri.

Pancreatitis pambuyo kuchotsa ndulu

Zikopa ndi ndulu zimayenderana kwambiri. Izi zikuwonekeranso ndikuti, ndikachulukana kwamatenda amodzi mwa ziwalozi, enawo amavutika, bile amatha kulowa m'matumbo a gland ndikusokoneza ntchito zake. Momwe mungathanirane ndi kapamba pambuyo pochotsa ndulu ndipo zimayambitsa pafupipafupi motani?

Kuchotsa gallbladder

Kuchotsa kumayikidwa makamaka ngati miyala ikuluikulu ipezeka yomwe imasokoneza ntchito ya ndulu ndi milulu yake, komanso imayambitsa kuperewera kwa ziwalo zoyandikana. Ngati miyala ikuphatikizidwa ndi nthenda yachiwiri, mwachitsanzo, pafupipafupi ndi kapamba, lingaliro lochotsa limapangidwa pafupifupi.

Chowonadi ndi chakuti kudziunjikira kwa miyala kudzasokoneza kayendedwe ka bile, ndipo imalowa m'mayendedwe amkati, makamaka, kutsogoza kudzipangitsa kwake kudzimbidwa. Mkhalidwe uwu ndiwowopsa osati kokha chifukwa cha kutukusira kwa minyewa ya tinyezi, komanso ndi pancreatic necrosis - kufa kwachilengedwe kwa maselo a pancreatic popanda mwayi wobwezeretsa ntchito yawo.

Mavuto a matenda a ndulu

Odwala ambiri amachedwetsa opaleshoni pazifukwa zawo, makamaka chifukwa choopa zovuta pambuyo pakuchita opaleshoni ndi njirayi.

Izi ndichifukwa choti onse amadziwa bwino zovuta ngati miyala yasiyidwa mu chikhodzodzo. Matenda a Gallstone samadziwika kuti amatanganidwa ndi miyala mu chikhodzodzo, komanso m'mapanga ake. Vutoli limawonedwa mu gawo limodzi mwa magawo atatu aanthu achikulire, lomwe limawonetsa matenda omwe afala.

Kukhalapo kwa miyala kumadzetsa kutupa kwa ziwalo za thupilo, zomwe zimadziwika ndi mankhwala monga kuwerengetsa cholecystitis. Kusiyana kwake kuchokera ku cholecystitis yopanda miyala kuli pamaso pa miyala.

Chikhodzodzo cha ndulu yoyaka chimakhala magwero a matenda opatsirana a thupi. Zovuta zotheka za miyala yomwe idayikidwa mu chikhodzodzo:

Kusintha kwa matendawa kukhala mawonekedwe oyera.
Jaundice
Biliary pancreatitis - yowonetsedwa mu 87% ya odwala omwe ali ndi miyala mu ndulu,
Zilonda zam'mimba ndi duodenum,
Sphincter Oddi Kukanika
Kulimbitsa thupi.

Zotsatira pa kapamba

Ndulu yaying'ono ndipo imafanana ndi sac yomwe ili pansi pa chiwindi. Kutuluka kuchokera ku ndulu ndi khungubwi lomwe limatsekereza kuyenda kwa ndulu.

Chiwalocho chimapangidwira kudzikundikira ndikusunga ndulu, kenako kuphipha kwake m'mimba, ngati kuli kofunikira. Ponena za kapamba, chimabisa madzi a kapamba omwe amayambitsa kugaya chakudya. Kuphatikiza apo, gland imabisa insulin ndi glucagon, zomwe ndizofunikira kukonza shuga m'magazi.

Mabala ndi pancreatic amatuluka mu duodenum kudzera mwa sphincter ya Oddi. Ichi chimakhala chinthu chodziwikiratu pakupezeka kwa biliary pancreatitis. Ngati muli miyala mu ndulu, ngakhale miyala yaying'ono kwambiri yomwe imabweretsa ku sphincter ya Oddi, tsekani lumen yake, ndikupangitsa kubwerera kwa bile ndi kupindika m'matumbo.

Pambuyo pa opaleshoni

Mwa odwala omwe ali ndi pancreatitis ndi cholecystitis, pali malingaliro olakwika akuti atachotsa chikhodzodzo, ziphuphu zimatenga ntchito zake zonse. Koma izi siziri choncho.

Ngati kapamba adawonekera ndendende chifukwa cha kuchuluka kwa miyala mu chikhodzodzo, ndiye kuti kuchotsa kwake kungapangitse kukhululukirana kosalekeza kapena kuchira kwathunthu. Ngati matendawa sanayambike ndipo miyala ija idachotsedwa pa nthawi yake, kuchira kwathunthu ndikotheka.

Oposa theka la odwala, katulutsidwe ka madzi a pancreatic amabwerera kwachilendo atachitidwa opaleshoni. Ngati opaleshoni ikuchitika ndi zolakwika zina, kapena kale panali zovuta zina, zizindikiro za postcholecystectomy zingayambike. Nthawi zambiri zimachitika motsutsana ndi maziko:

Kuchepa kwa chiwindi
Kukanika kwa ziwalo zoyandikana ndikachotsedwa,
Zolakwika pakuthandizira opaleshoni kapena machenjerero ake,
Kukonzanso kwa dongosolo logaya chakudya, poganizira zosintha zomwe zidapangidwa,
Mapangidwe atsopano a matenda mu mawonekedwe a zovuta pambuyo opaleshoni.

Nthawi yogwira ntchito

Chithandizo cha postoperative nyengo imakhala, choyamba, pakutsatira zakudya zoyenera. Mwanjira imeneyi, kufalikira kwa kapamba kumatha kupewedwa.

Chodabwitsachi chimachepetsa kukana kwa ziwalo ndipo chimayambitsa kukhudzika kwamatumbo mu kapamba, wotchedwa kapamba. Kuphatikiza apo, microflora yam'mimba yakukhumudwa imatha kubweretsa kudzimbidwa ndi kutsegula m'mimba.

Popewa kutupa, wodwalayo adayikiridwa nambala ya zakudya zisanu malinga ndi Pevzner ndi kusintha kwa gastroenterologist ngati pakufunika. Malamulo oyambira azakudya ndi motere:

Zakudya zamagawo pang'ono,
Kuchuluka kwa zakudya zazing'ono - mpaka sikisi, kasanu ndi kawiri patsiku,
Kuchepetsa mafuta ndi zonunkhira,
Kuchepetsa ma pickles, kusungira - kunyumba ndi malo ogulitsira, makamaka,
Chakudya chophika, chophika komanso chophika chimakonda,
Tumikirani patebulopo kuti mbale sizitentha kapena osati kuzizira, kutentha kuyenera kukwera pang'ono kuposa kutentha kwa chipinda,
Zosiyidwa ndi zinthu zomwe zimayambitsa kupsa m'matumbo: batala ophika ndi makeke, makeke, maapulo, ma kabichi, kabichi,
Sizikupangidwa ndi zinthu zopangidwa ndi zoteteza, zoyimira, zojambula, zonunkhira, zowonjezera zonunkhira.

Kuwonetsedwa ndi chitukuko cha kapamba pambuyo pa cholecystectomy

Biliary-pancreatitis yotsalira pambuyo pochotsa ndulu, yodzazidwa ndi miyala ngati miyala, imayamba kukula mu 70-80% ya milandu.

Ambiri amati izi zimachitika chifukwa chakuti ndulu imalumikizana kwambiri ndi kapamba ndipo zochita za cholecystectomy zimathandizira kuwonjezeka kwa katundu pa kapamba komanso kukula kwa kapangidwe kake ka kapamba.

Koma izi sizowona, chifukwa izi ziwalo ziwiri zamkati mwakudya zimathandizira, koma sizisinthasintha, ndipo kakulidwe ka kapamba nthawi zambiri kamakhala chifukwa cha gawo loyambira la cholecystitis, lomwe limayendera limodzi ndi njira yolowerera yolimbana ndi maziko a kupindika kwa mwala ngati mwala. Pancreatitis yayitali yokhala ndi ndulu yochotsedwa, nthawi zambiri, amatuluka nthawi yayitali, ndipo wodwala atamuchita opaleshoniyo wawona kusintha kwakukulu paumoyo wonse. Koma, nthawi zina chipatala china cha postoperative chitha kuonedwa, ndulu ya bile ikayamba kugwira ntchito yonse ya ndulu, yomwe imatsogolera pang'onopang'ono ndulu ya matumbo kulowa m'matumbo, kusokoneza njira zam'mimba, kukula kwa kutsekula m'mimba kapena kudzimbidwa, komwe pambuyo pake kumatha kuyambitsa pachimake biliary kapamba.

Mu kuwunikaku, tiona mwatsatanetsatane chifukwa chomwe kapamba amapwetekedwa ndikachotsedwa kwa ndulu ndi matenda am'mimba am'kati, momwe kapamba amathandizira pambuyo pa opaleshoni kuti athetse gallbladder.

Kodi opaleshoni yamwala ndiyofunika?

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Anthu ochulukirachulukirachulukira amapeza matenda amwala, ndipo nthawi zambiri izi zimakhudzanso achinyamata. Zomwe zimayambitsa izi ndizosayenera, zosokoneza komanso zopanda pake kwambiri zamafuta a masamba, mowa wambiri. Miyala imawoneka chifukwa cha kusokonekera kwa kagayidwe kachakudya ndi bile. Njira yamoyo yosagwira ntchito, kusachita masewera olimbitsa thupi kumathandizanso pa izi. Amakhudzidwanso ndi cholowa chamtundu, matenda a chikhodzodzo.

1 Kodi mumagwira ntchito ndi miyala mu chikhodzodzo?
2 Kodi cholecystectomy iyenera kuchitika liti?
3 Kodi ndulu iyenera kuchotsedwa ngati mwala sukubweretsa mavuto?
4 Kodi ungakhale bwanji wopanda chikhodzodzo?

Postcholecystectomy syndrome ndi zomatira

Kukula kwa postcholecystectomy syndrome ndi njira yodziyimira pawokha yomwe imachitika motsutsana ndi maziko a kuphwanya koyendayenda kwa mapangidwe a bile ndi zosayenera zakudya komanso kugwiritsa ntchito zakumwa zoledzeretsa zakumwa zoledzeretsa.

Matendawa amawonekera ndi zizindikiro zotsatirazi:

Maonekedwe a ululu mbali yakumanja, m'mimba ndi m'mimba mwake.
kukula kwa chisangalalo,
mawonekedwe a kutentha
kukweza kutentha kwa thupi m'malire a subfebrile,
kukula kwa matenda am'mimba
kuwonekera kwa kudzimbidwa, komwe kumathandizira kuti mapangidwe a hemorrhoids,
kumva mseru ndi kusanza,
kuoneka ngati kuphulika ndi zowawa zowawa,
kuteteza khungu ndi sclera.

Zizindikiro zowoneka sizitha kuwoneka paliponse, koma chofunikira kwambiri cha postcholecystectomy syndrome ndiko kukula kwa bata komanso zizindikiro zopweteka. Chochita muzochitika zotere?

Kuti tichotsere matenda amenewa, titangomva kupweteka koyambirira ndikofunikira kupempha chithandizo chamankhwala choyenerera ndikupereka chithandizo choyenera, chomwe chimagwiritsidwa ntchito ndi ma enzymatic othandizira, komanso mankhwala a antispasmodic omwe ali ndi choleretic. Nthawi zina, mutha kuchitanso opaleshoni yachiwiri kuti muwongolere zomwe zachitika.

Mtundu wina wamavuto ndi kupangidwa kwa ma adhesions omwe amapezeka mu 30-35% ya milandu pambuyo pakuchita opaleshoni yochotsa ndulu.

Adhesions amapanga mawonekedwe ochokera ku ziwalo zolumikizana, mothandizidwa ndi momwe thupi la wodwalayo limadzitetezera kumalo komwe kuchitapo opaleshoni kunali komweko.

Njira izi zimayamba kuoneka ngakhale atangopeza maopaleshoni ochepa.

Mukachotsa bile, pamatuluka malo ake, pomwe thupi la wodwalayo limayamba kudzaza ndi minyewa yolumikizana. Zizindikiro za adhesions:

Kulowa m'mimba
komanso mawonekedwe a zomverera zowawa ndi ma radiation kupita pamimba kapena mbali yakumanja.

Sizingatheke kuti muchotse kudziphatika nokha, apa ngakhale mankhwala omwe azachipatala amagwiritsidwa ntchito ngati mankhwala azitsamba sangakhale opanda mphamvu, zomwe zingangobweretsa chitukuko cha kusalolera kwa mankhwalawa omwe amwedwa. Popewa kukula kwa kulumala, chithandizo cha odwala omwe ali ndi adhesions iyenera kuchitika kokha motsogozedwa mwamphamvu ndi adokotala.

Kodi kuchotsa ndulu kumakhudza bwanji kapamba?

Pambuyo pa opaleshoni yochotsa ndulu, anthu ambiri amasintha mowonekera pazovuta zawo.

Pancreatitis kwa nthawi yayitali imasiya kuonekera, kudutsa gawo lokhululuka.

Chomwe chimatchedwa "gallstone pancreatitis" chimangokulitsa kokha kumwa mowa womwe umakhala ndi zakumwa zoledzeretsa kapena kuphwanya zakudya.

The kupezeka kwa kapamba pambuyo cholecystectomy

Kukula kwa matenda a pancreatic mu pancreatic patsekeke pambuyo pa cholecystectomy titha kuonedwa ndikuphwanya zakudya, kudya zakudya zomwe sizili mndandanda, komanso kumwa zakumwa zoledzeretsa.

Chomwe chimayambitsa matenda oopsa a pancreatic matenda akhoza kukhala kukhazikitsidwa kwa mapangidwe a bile mu magwiridwe a chikhodzodzo palokha. Pomwe, kutuluka kwa bile kulowa m'matumbo kumachitika m'magawo ang'onoang'ono, osati monga kale - pamene bile idathandizidwa yambiri.

Kusintha kotereku kumadzetsa kuchepa kwa bactericidal katundu wa bile ndi kusintha kwa microflora m'matumbo, komwe kumayambitsa mapangidwe am'mimba, kutentha kwa mtima ndi kudzimbidwa.

Kusintha koteroko kumayamba kukhala ndi vuto pa magwiridwe antchito am'thupi onse amkati omwe amapanga chakudya cham'mimba ndi kapamba komanso.

Chithandizo cha kapamba ndi ndulu yochotsedwa

Ndi zakudya zoyenera, njira zochizira pancreatitis pambuyo pochotsedwa ndulu ndizovuta kugwiritsa ntchito mankhwala. M'malo opanikizika, kwa masiku atatu atachitidwa opaleshoni, mankhwala opha maantibayotiki amagwiritsidwa ntchito pogwiritsa ntchito mankhwala omwe ali ndi antibayotiki.

Kulandila kwa mankhwala a analgesic ndi antispasmodic kudzakuthandizani kuthetseratu zizindikiro zopweteka, Drotaverin kapena Buscopan adalembedwa. Ndiponso, pofuna kupewa kupangidwa kwa miyala mu pancreatic patsekeke, Ursolfak adaikidwa kwa theka la chaka mpaka zaka 2.

Chimachitika ndi chiyani atachitidwa opaleshoni?

Pali malingaliro olakwika akuti kapamba amatenga katundu wambiri kuchokera ku ndulu atachotsa. Komabe, sizili choncho. Ngati kutupa ndi chifukwa cha kukula kwamiyala, ndiye kuti kuchotsedwa kwa chiwalo, kumachitika chikhululukiro chokhazikika komanso kuchiritsa kwathunthu kwa kapamba kumatheka. Odwala ambiri atachitidwa opaleshoni amakhala ndi chinsinsi cha ma enzymes ndi madzi a pancreatic.

Ngati opaleshoniyo idachitika ndi zovuta zina, kumatheka kwa njira ya postcholecystectomy ndikotheka. Monga lamulo, zoyambitsa zake zingakhale:

chiwindi ntchito,
kusokoneza kwamkati (makamaka, chakudya cham'mimba),
zolakwa zomwe zidachitika pa opaleshoni yomweyi,
Kusintha kwa ntchito yapadziko lonse lapansi chifukwa chonyansa cha ndulu,
Kukula kwa zotupa zatsopano pakati pa chitukuko cha matendawa.

Chifukwa chake, kupambana kwa opaleshoniyo kwakukulu kumatengera nthawi yayitali momwe matendawa adapitilira komanso ngati zina zamtsogolo zinaonekera pazoyambira zake.

Zakudya pambuyo opaleshoni yokhala ndi chifuwa chachikulu

Pakapukusira kwamatenda a kapamba ndi cholecystitis, odwala onse ayenera kutsatira kadyedwe kena kuti apumule komanso kuti aletse zizindikiro zazikulu. Komabe, lamuloli ndilofunikira kwambiri ngati cholecystectomy yachitika.

Muyenera kutsatira malamulo otsatilawa:

Idyani pang'ono komanso pang'ono
onjezerani kuchuluka kwa chakudya mpaka sikisi kapena isanu ndi iwiri patsiku,
chepetsa kugwiritsa ntchito zakudya zoyipa (zamafuta, amchere kwambiri komanso okoma, zonunkhira, wowawasa),
kuchepetsa kuchuluka kwa zakudya zam'chitini pazakudya,
konda chakudya chophika ndi chophika,
kuchepetsa kuchuluka kwa mankhwala
pewani kudya zakudya zotentha kwambiri kapena zozizira.

Chakudya chomaliza chizichitika pasanathe maola awiri kapena atatu asanagone. Kudya kwambiri ndi kudya zakudya zomwe zimayambitsa kubwadamuka ndi kupatsa mphamvu sizovomerezeka. Kuchuluka kwa confectionery ndi mafuta ophikira ophika mu zakudya ndikofunikanso kuchepetsa. Zakudya zokhala ndi chikhodzodzo chonyansa ndi kapamba zimayenera kukhala zofewa komanso zofatsa.

Pomaliza

Kodi mungadye bwanji ngati chikhodzodzo chachotsedwa ndipo pali chifuwa chachikulu komanso momwe angakhalire kuti matendawa asiye kusokoneza? Choyamba, ndikofunikira kutsatira malamulo a postoperative ndi zakudya, komanso kumwa mankhwala othandizira. Ngakhale katundu amene amapezeka pancreas atha kuchitapo kanthu pakachitika opaleshoni mu kapamba, kukhalabe ndi moyo wabwino ndizotheka.

Chakudya choyambirira

Chakudya chopaka bwino nthawi zonse chimakhala chokwanira komanso chokwanira, ndiye chida chofunikira kwambiri pakulamulira thanzi la munthu, kukonza dongosolo logaya chakudya .. Ndipofunika kuphunzira momwe mungasankhire zakudya, kudziwa kuchuluka kwa chakudya, kudya nthawi inayake.

Ngati bancary-pancreatitis yodalira imayamba pambuyo pa cholecystectomy, pofuna kupewa chinsinsi, ndikofunikira kuyang'anira zakudya. Atangochita opareshoni komanso ndi pancreatitis yayikulu m'masiku ochepa, amayamba kudya. Izi ndizofunikira kwambiri kuti muchepetse kapangidwe kazinthu zamkati, kubwezeretsa ntchito za ziwalo zamkati.

Pambuyo pochotsa ndulu, tikulimbikitsidwa kuti azitsatira zakudya zabwino, nthawi zambiri zimadyedwa, koma m'magawo ang'onoang'ono. Mukanyalanyaza lamuloli, idyani chakudya chambiri kapena musanamwe pakati pa chakudya, nthawi yayitali, kusokonekera kwa ndulu, kukokoloka kwa vutoli kumachitika.

Kuyambira pomwe chiwalo chichotsedwa, mbale zimadyedwa:

wamanjenje
yophika.

Zakudya zophika ndi zokazinga zimayambitsa kutulutsidwa kwa chinsinsi chambiri ndikuphwanya kwake, komwe kumavulazanso wodwala. Chakudya chochepa chimaloledwa kudya, masabata oyamba amadya mosamalitsa, ndipo nthawi yotsatira kukhudzidwa pang'ono kwakuloledwa kumaloledwa.

Kodi pali ntchito yamiyala mu chikhodzodzo?

Zizindikiro zikuluzikulu ndikulemera mu hypochondrium yoyenera, kuwawa mkamwa, nseru pambuyo chakudya, bicary colic. Kenako muyenera kudutsa ndi ultrasound.
Miyala imatha kudziwonetsa kwa zaka, motero kusapezeka kwa zifukwa zakunja sizimawonetsa thanzi lathunthu. Ngati mukumva kupweteka mu hypochondrium yoyenera, kuwuma kosalekeza mkamwa mwanu, ndipo mukamaliza kudya, mumamva kudwala - muyenera kupita kuchipatala nthawi yomweyo.

Mavuto amawonekera ngati dambo la bile latsekedwa ndi mwala. Pali kuphwanya kutulutsa kwa bile ndipo, chifukwa chake, makoma a ndulu amatulutsa. Kenako wodwalayo amakonda kupweteka kwambiri mu hypochondrium yoyenera, yomwe imafikira kumbuyo, nkono wamanja, kolala. Amadwala nseru, kusanza. Izi zimatchedwa biliary colic.

Pachikhalidwe, ndimatenda awa, opaleshoni yochotsa ndulu iyenera kuchitidwa. Ngati zizindikiro zotere sizikukuvutitsani, ndiye kuti ndibwino kuti musadandaule kwambiri, koma kungoyang'ana pa chithandizo china. M'pofunika kutsatira mosamalitsa zakudya momwe mulibe mafuta, okazinga, zakudya zonunkhira. Sikulimbikitsidwa kumwa mankhwala a choleretic, chifukwa angayambitse kuwonongeka.

Ngati mwala ndi m'modzi kapena angapo, koma ochepa kukula, muyenera kuyeserera ndi kuwachotsa m'thupi mothandizidwa ndi mankhwala apadera, monga urolesan. Kalanga ine, kudalira kwathunthu munjira imeneyi kulibe, popeza njira zamankhwala zotere sizothandiza konse. Zimathandiza pafupifupi 15% ya odwala omwe, pambuyo zaka zingapo, amapitanso kuchipatala ali ndi vuto limodzimodzilo.

Miyala yamtengo wapatali ipitilabe kupanga miyala, ndipo izi sizingasinthidwe. Izi zokhudzana ndi miyala zimadziwika, chifukwa chake cholecystectomy (opaleshoni kutiichotse ndulu) ndizofala. Kapenanso, mawonekedwe ang'onoang'ono amatha kuwonongeka ndi kusefukira. Nthawi yomweyo, miyala imaphwanyidwa timinthu ting'onoting'ono - kenako imachoka m'thupi podzisokoneza.

Bweretsani ku zomwe zalembedwa

Ndingagwiritse ntchito chiyani?

Zakudya zokhala ndi ndulu yochotsedwa ndi kapamba zimakonzeratu makonzedwe oterowo kuti pasapezeke zovulaza. Tsiku lililonse, wodwalayo ayenera kudya zakudya ndi zakumwa zomwe zingapatse kuchuluka kwa michere, michere ndi mavitamini.

Ndi chakudya choyenera, amadya mapuloteni ambiri, chinthu chofunikira kwambiri pakukonzekera kokwanira kwam'mimba komanso thupi lonse. Mapuloteni amatha kuyamwa mosavuta, samapangitsa kuti pakhale zotsatira zoyipa. Zinthu zambiri zimapezeka mu nsomba, zinthu zamkaka, mitundu ina ya chimanga, nkhuku ndi mazira a zinziri.

Zakudya zothandizira kutulutsa kanyumba zimakhazikitsidwa pa kumwa supu zomwe zimakonzedwa kokha msuzi wamasamba. Lekani kwathunthu msuzi wamafuta omwe amachititsa kupanga ma enzymes a pancreatic. Amaloledwa kuphika msuzi wamasamba ndi kuwonjezera kwa nyama yophika pang'ono.

Kuti achepetse kusowa kwa mapuloteni, amadya zam'nyanja, kupewa mitundu yachilendo yam'madzi. Kupha nsomba zamitundu yosiyanasiyana:

Komabe, kudya nsomba zochulukanso kumavulaza, ndikwabwino kukonza masiku omwe amatchedwa nsomba, amatha kukhala nthawi 1-2 pa sabata.

Ndikofunikanso kuphatikiza mkaka ndi mkaka muzakudya, zimadyedwa mwatsopano kapena maziko a kukonza zakudya. Nutritionists akulangizani kusankha mkaka wokhala ndi mafuta ochepa, nthawi yayitali yosungirako sayenera kupitirira masiku 7. Kufupikitsika kwa moyo wa alumali, kumakhala kotheka kuti mupeze chinthu chabwino komanso zachilengedwe.

Pogwira ntchito bwino thupi la wodwalayo, tikulimbikitsidwa kuti mafuta ochepa aziphatikizidwa muzakudya, zimakhala zovomerezeka kukana mafuta kwathunthu. Mafuta osasankhidwa a masamba amasankhidwa kuti akhale ndi thanzi: azitona, mpendadzuwa, zopendekera, chimanga. Kwa odwala ena, dokotala amatha kupereka mankhwala ngati ali ndi mafuta, koma osagwirizana ndi zomwe zimachitika.

Kotero kuti palibe kulemera m'mimba ndi zovuta za vutoli, nyama zamafuta ochepa zimasankhidwa, motere:

khungu lopanda khungu
chofunda cha Turkey
kalulu.

Mankhwalawa amalowetsedwa bwino ngati amadulidwa mosamala kapena kuwaza asanagwiritse ntchito ngati nyama ya nyama. Njira yophikirayi imathandizira kwambiri chimbudzi.

Palibe zakudya zopatsa thanzi zomwe zingachitike popanda kudya masamba ndi zipatso, kupatula mitundu ya acidic yomwe ingalimbikitse kupanga michere. Ngati zipatso zitha kudyedwa mwanjira iliyonse, ndiye kuti masamba azenera kuphika, amagwiritsidwa ntchito monga mbale yodziyimira panokha kapena nyama yam'mbali.

Matenda a pancreatitis kumbuyo kwa chikhodzodzo chakutali amafunikira kuphatikizidwa kwa chimanga m'zakudyazo, zakudya zomwe munthu anganene, zimachokera ku njere. Zakudya izi zimadyedwa pambuyo pochapa mwachangu komanso munthawi yowonjezera yotupa.

Porridge iyenera kukhala ya mucous, yomwe imakupatsani mwayi wokwanira kukhazikitsa makhoma a ziwalo zam'mimba, kusiya kukwiya. Kuphatikiza apo, zakudya zina zimakumwa bwino, palibe zoyipa kuchokera mthupi la wodwalayo.

Zina zofunikira pa tebulo la wodwalayo ndi mazira, zimadyedwa pakudya m'mawa monga mawonekedwe a omelet, ndikuwonjezera mkaka wowerengeka. Mbaleyi ndi yolemera, siyikulimbikitsidwa kuti muzigwiritsa ntchito nthawi zonse, makamaka musanagone.

Matendawa akadwala kwambiri, nthawi ndi nthawi mumatha kuwonjezera maswiti angapo ophika kunyumba pang'ono komanso maphikidwe atsopano. Gululi limaphatikizapo:

Lamulo lalikulu - zosakaniza ziyenera kukhala zatsopano, zachilengedwe, kuchuluka kwa shuga.

Shuga Woyera ndibwino m'malo mwake ndi zotsekemera zachilengedwe, mwachitsanzo, zimatha kukhala stevia.

Zoyenera kukana?

Kuti muthane ndi zizindikiro za kutupa, wodwalayo ayenera kukhala ndi lingaliro la zakudya zoyenera komanso zopatsa thanzi, chifukwa muyenera kudziwa mndandanda wazakudya zoletsedwa.

Chifukwa chake, simungagwiritse ntchito mtundu wina uliwonse wotsiriza: maapulo, marinade, maswiti, zakudya zosavuta, mankhwala ophika buledi. Zakudya zonse ziyenera kuphikidwa kunyumba;

Nyemba, michere ndi masamba omwe amakhala ndi fiber yambiri ndi oletsedwa.Ndizovuta kwambiri kugaya, kumakwiyitsa katulutsidwe wowonjezera, kukula kwa zizindikiro zosasangalatsa.

Zitha kuwoneka kuti mndandanda wazakudya zoletsedwa ndizochepa, koma nthawi yomweyo zimakhala ndi zinthu zonse zomwe zimadziwika pagome lathu. Mwachilengedwe, zoletsa zomveka zimagwiranso ntchito kwa zakumwa, mutha kumwa madzi oyeretsedwa m'mabotolo ndi tiyi wofooka, compotes kuchokera ku zipatso zouma, zipatso. Mowa ndi zakumwa zozizilitsa kukhosi za kaboni siziyenera kuledzera.

Ngati mutsatira zakudya mosamala, mkhalidwewo umakhazikika mokwanira, osamva bwino, mawonekedwe a kutupa atatha:

Ngakhale atakhala ndi thanzi labwino, madokotala salimbikitsa kuti azichotsa pazokha, zosankha zochepetsera zakudya zimapangidwa ndi adokotala kapena azakudya.

Momwe mungadye mutachotsa ndulu ndizouza katswiri muvidiyoyi.

Ndikotheka kuchotsa chikhodzodzo cha ndulu ndi kapamba

Ndikofunika kukumbukira kuti chitukuko cha cholecystitis nthawi zambiri chimayamba chifukwa cha pancreatic patology mu pancreatic patsekeke. Ndipo pomwepo odwala ambiri akuda nkhawa ndi funso loti kodi ndizotheka kudula chikhodzodzo ndi kapamba?

Chowonadi ndi chakuti muzochitika zotere, nkhani yothetsa ndulu siyikukambidwanso.

Izi ndichifukwa choti miyala yomwe yasonkhanitsidwa imalepheretsa kutuluka kwa bile, komwe kumayambitsa kulowetsa kwake mu kacheni ka chifuwa ndi kutseguka kwa michere ya pancreatic, yomwe imayamba njira yodziwonongera mu gland ndikukula kwa zotupa za pancreatic necrotic, zomwe zimadziwika ndi kufa kwa minofu ya tezi, kubwezeretsa zomwe sizingatheke.

Zakudya zochotsedwa ndulu ndi kapamba: mankhwala ndi malamulo a zakudya

Pambuyo pa cholecystectomy, malingaliro apadera okhudzana ndi kusankha zakudya zomwe azidya ayenera kutsatidwa kuti akhale ndi moyo komanso mosamala. Izi ndichifukwa choti tsopano munthu alibe chidebe cha kudzikundikira kwa bile, gawo lomwe chikhodzodzo cha ndulu kale chidachitika. Chifukwa chake, ndikofunikira kuyang'anira nthawi yake kuchoka kwa ducts ya bile.

Mwa njira iyi, akatswiri azakudya adapanga mankhwala apadera kwa anthu omwe ali ndi vuto lomweli.

Zakudya zokhala ndi chikhodzodzo chonyansa ndi kapamba zimaphatikizira kudya pafupipafupi. Ndizosavomerezeka kulola kuchepa kwa bile, apo ayi pali chiopsezo chachikulu cha mapangidwe amwala, omwe amawopseza munthu yemwe ali ndi mavuto akulu.

Akatswiri amalimbikitsa kudya osachepera kasanu kapena kasanu ndi kamodzi pa ola limodzi, kuyesera kuti asapitirire kuchuluka kwa chakudya pa ntchito imodzi.

Chakudya chiyenera kukhala chotentha, simungathe kudya osazizira kapena otentha mbale. Muyenera kudya pang'onopang'ono komanso kutafuna chakudya bwino.

Zakudya pambuyo cholecystectomy ndi kapamba

Chiwalo chilichonse m'thupi la munthu chimakwaniritsa cholinga chake. Kusokoneza kwina kulikonse kumakwiyitsa magwiridwe antchito onse ofunikira ndi ziwalo. Izi zimagwira ntchito makamaka m'matumbo am'mimba, thanzi la munthu wogwira ntchito limadalira momwe limagwirira ntchito molondola.

Zakudya zomwe zimaphatikizidwa ndi chikhodzodzo ndi chikhodzodzo ndicholinga chothandiza wodwalayo kuti abwerere m'moyo wabwino ndi phindu lalikulu.

Kudya ndi kapamba komanso ndulu yochotsera ndikuchotsa kwathunthu zakudya zonse yokazinga kuchokera kuzakudya. Panthawi yokazinga, zinthu zimapangidwa zomwe sizimakhudza bwino njira ya katulutsidwe ka michere ya m'mimba, potero zimayambitsa kutupa kwa m'mimba mucosa. Mavuto osanenawa ndi osayenera kwathunthu atachotsedwa ndulu.

Zinthu zonse zomwe zimagwiritsidwa ntchito pazakudya zaphikidwe zimaphika kokha ndi nthunzi, chophikidwa kapena chowiritsa.

Ndi zakudya ziti zomwe ndiyenera kudya nditachotsa ndulu ndi chamba?

Zakudya zochiritsa ndi chikhodzodzo chonyansa komanso chikhodzodzo zimathandizira kuti pang'onopang'ono magwiridwe onse ofunikira omwe amathandizira kuchotsa kwa bile ndi kusinthana kwa zinthu m'thupi.

Ndikofunikira kutsatira ndi kutsatira malangizo a akatswiri azaumoyo komanso opaleshoni yokhudzana ndi kadyedwe kake.

Mndandanda Wazogulitsa

Pachakudya, kuchuluka kwa mafuta a mbewu ndi mkaka ndi koyenera. Kirimu, mpendadzuwa, mafuta a maolivi ndi opendekera bwino imathandizira kuchotsedwa kwa bile ndipo amathandizira mwachindunji kuzinthu zonse za thupi.
Mkaka wowawasa ndi kanyumba tchizi, mwachitsanzo, soufflés zosiyanasiyana, puddings, ziyenera kupatsidwa chakudya cham'mawa komanso chamadzulo.
M'mawa ndi madzulo menyu, ndikofunikira kuyambitsa mazira ophika kapena owiritsa opangira mafuta.
Zakudya zoyambirira zokhazikitsidwa ndi nyama yopanda kapena msuzi wamasamba wokhala ndi chimanga chosiyanasiyana chimapatsidwa chakudya chamasana.
Zakudya zam'mbali, nkhuku yatsopano, nyama ya ng'ombe imagwiritsidwa ntchito.
Zakudya zopangidwa ndi nsomba zamafuta ochepa zimayenera kukhala patebulo kangapo pa sabata. Kuyenera kuyang'aniridwa kwa nsomba zam'madzi - zimafulumizitsa njira yopindulitsa yoyamwa mafuta ndi thupi.
Nthambi ndi buledi (wopanda kuphika kumene, koma dzulo, ndiye kuti, zouma pang'ono) ziyeneranso kukhalapo pakudya.
Kuyambira zokometsera, amadyera atsopano a katsabola ndi parsley, tsamba la laurel, komanso turmeric, yomwe imadziwika chifukwa cha mphamvu zake zochiritsa, imalimbikitsa.

Zakudya pambuyo pochotsa ndulu ndi kapamba zimatengera kukhalapo kwa mitundu yosiyanasiyana ya chimanga, zipatso, zipatso ndi ndiwo zamasamba.

Monga zakudya zotsekemera, kupanikizana, marshmallows, jamu, uchi, marmalade ndizoyenera, koma siziyenera kuzunzidwa. Gawo la mchere lingalowe m'malo ndi zipatso, zouma zipatso.

Kodi ndiyenera kupewa chiyani ndikamadya?

Pochotsa zakudya zotsatirazi kuti mugwiritse ntchito, mutha kupewa zinthu zambiri zosasangalatsa komanso kubwerera m'mbuyo kwambiri. Zakudya za kapamba ndi ndulu yochotsedwa zimatanthauzira kupatula kwa zinthu zonse zomwe zitha kuyambitsa mavuto m'mimba.

Zinthu zomwe mwanjira zina zimakwiyitsa minofu ya mucous, makamaka adyo, anyezi, horseradish. Mchere wowawasa, wamafuta a nyama ndi nsomba, mbale za bowa ndizoletsedwa.
Zakumwa za kaboni, zophika ndi makeke, chokoleti sizigwiritsidwanso ntchito pambuyo pa cholecystectomy ndi kapamba.
Zogulitsa zomwe zimakhala ndi ulusi wolimba zimachotsedweranso menyu: nyemba, buledi wopanda nzeru.
Sizoletsedwa kudya kabichi, zomwe zingayambitse kupesa m'mimba.
Zakudya zonse, panthawi yogwiritsidwa ntchito ziyenera kukhala zotentha kwambiri. Zakudya zozizira, monga zonona, ayisikilimu zimatha kuyambitsa mavuto, mwachitsanzo, kuyambiranso kwa spasmodic kwa thirakiti la biliary.
Mowa wamphamvu wosavomerezeka.

Pambuyo pochotsa ndulu, kuchuluka kwa michere ya michere mu ndulu, yomwe imayendetsa mafuta, mwatsoka imachepa. Chifukwa chake, nyama ya nkhumba yamafuta, mwanawankhosa, tsekwe, mafuta a ng'ombe ndi soseji zonse ziyenera kuchotsedwa pazomwe zadulidwa.

Ichi ndi chifukwa cha kukhalapo kwa zinthu zina pazomwe zili pamwambazi zomwe zitha kusokoneza mayendedwe oyenera a bile.

Zinthu za zakudya zofewa m'masiku oyambira kuchotsedwa kwa ndulu

Tsiku loyamba. Kuthetsa njala kwathunthu. Kulandila chakudya ndi madzi ndizoletsedwa. Maola anayi atatha kuchitira opaleshoniyo, milomo ya wodwalayo imanyowa ndi poto ya thonje yothira madzi. Kupitilira apo, ndikungotsegula pakamwa pokha ndi mankhwala azitsamba ndikololedwa.

Tsiku lachiwiri. Kugwiritsa ntchito madzi amodzi ndi tiyi kuchokera ku m'chiuno.

Tsiku lachitatu. Mutha kuthira mafuta ochepa kefir, tiyi wopanda mphamvu ndi compote wopanda shuga. Kuchuluka kwa madzi akumwa kamodzi sikuyenera kupitirira 100. Nthawi yodyera - pakatha maola atatu aliwonse. Pazipita tsiku lililonse zakumwa zosaposa 1.5 malita.

Tsiku lachinayi.Mutha kuyesa mapuloteni omata, mbatata zosenda, apulo wopangidwa mwatsopano, maungu ndi zipatso za beetroot, komanso msuzi wosenda pa msuzi wamadzi ndi nsomba yophika. Kutumizira kamodzi kokha - kudya zosaposa 200. Kudya kumayenera kukhala pafupipafupi, koma osapitirira kasanu ndi katatu.

Lachisanu ndi tsiku lachisanu ndi chiwiri. Kuyambira pano pa menyu pang'onopang'ono adayambitsa pang'onopang'ono woonda wophika, womwe amaphika mkaka ndi madzi (1: 1). Ndi chikhalidwe chokhazikika chathanzi, nyama yophika ndi nsomba, masamba osiyanasiyana ndi tchizi chatsopano chimalimbikitsidwa. Kuchuluka kwa madzi akumwa kumawonjezeka mpaka malita awiri patsiku.

Tsiku lachisanu ndi chitatu. Kuyambira nthawi imeneyi, ndipo masiku onse 40, chakudya chimadyedwa pamiyeso yaying'ono kasanu ndi kamodzi patsiku. Zakudya zonse zimaphika kapena kuphika mu boiler iwiri.

Anthu omwe ali ndi vuto la kapamba kapena akapulumuka opaleshoni yochotsa ndulu, ndikofunika kukumbukira kuti kutsatira kwambiri zakudya ndizofunikira kuti adzire bwino.

Tikugogomezeranso kuti zakudya zokhala ndi chikhodzodzo chonyansa komanso chikhodzodzo ziyenera kukhala zazing'ono komanso zazing'ono. Pang'onopang'ono thupi limazolowera malo ake atsopano. M'tsogolomu, mutha kuwonjezera zinthu zina zathanzi, ndikukonza mbale kuchokera kwa iwo pogwiritsa ntchito nthunzi.

Komanso musaiwale za moyo wathanzi. Kuyenda kothandiza, kusambira padziwe, masewera olimbitsa thupi, yoga. Wotengekedwa ndi masewera, osalemetsa thupi lanu mopepuka.

Kutsatira malangizowo pamwambapa ndi malangizo okhudza kadyedwe, munthu, ngakhale atachitidwa opaleshoni yayikulu kwambiri, amatha kukhala osangalala osamva vuto lililonse pogaya chakudya.

Zakudya ndi chikhodzodzo chonyansa ndi kapamba: zakudya zoyenera

Kodi zakudya za chikhodzodzo ndi chikhodzodzo ziyenera kukhala chiyani? Funso limakonda kufunsa anthu omwe adachitidwa opareshoni ndipo akuvutika ndi kutupa kwa kapamba. Ndi zakudya zoyenera zokha zomwe mungaletse matendawa ndikuyambiranso moyo wabwinobwino.

Zoyenera kuziganizira

Pakakhala kuti mulibe ndulu mwa munthu, vuto la chimbudzi limawonedwa, chifukwa ma enzymes ofunikira kuti apangidwe amapangidwa osakwanira.

Zakudya zopatsa thanzi zokhala ndi chikhodzodzo chakutali ndi kapamba wam'mimba zimayenera kukhala zapadera. Mwanjira yabwino, adotolo amakulitsa chakudya chamagulu cha wodwala, kutengera zomwe munthuyo ali. Koma akatswiri omwe amachita njira imodzi ndi imodzi ndi ochepa. Nthawi zambiri, madokotala amapatsa wodwala mayendedwe ambiri, kuwalangiza kuti asamachotsere zakudya zomwe amakonda, koma osatetezeka.

Kuti munthu amvetsetse zoyambira pazakudya zoyenera pambuyo pakuchita opaleshoni, mfundo ya ndulu iyenera kukambirana. GI ndi pathumba pomwe, ngati kuli kotheka (pakudya), kupanga kwa bile m'matumbo kumachitika.

Ngati chiwalo chodwala chikuchotsedwa, ndiye kuti njira zachilengedwe zimasokonekera. Zochitika pamenepa zimachitika molingana ndi zolemba ziwiri: mwina bile limapangidwa mopitilira muyeso, kapena limayenda.

Malangizo onse

Pambuyo pakuchita opaleshoni pa gallbladder (cholecystectomy), odwala onse ayenera kutsatira zakudya zinazake, izi zimapewetsa chinsinsi. Malamulo oyambira omwe ayenera kutsatiridwa:

Pambuyo pa opareshoni ndi mtundu wa pancreatitis woyamba tsiku lanu, muyenera kukana kudya zakudya zilizonse. Kukana chakudya ndikofunikira kuti odwala ateteze chinsinsi komanso kubwezeretsanso pang'ono kwam'mimba.
Ngati wodwalayo ali ndi khunyu atachotsa ndulu, wodwalayo ayenera kusinthana ndi zakudya zina. Munthu ayenera kudya pafupipafupi, koma kuchepetsa kukula kwake. Kudyetsa kwambiri komanso kupuma pakati pa chakudya kungasokoneze thanzi, kuyambitsa kukondoweza kwa bile.
Ngati kapamba adayaka ndipo adachitidwa opaleshoni, ndiye kuti mutha kuphika chakudya mwanjira ziwiri zokha: kugwiritsa ntchito kuphika ndi kuwotcha. Zakudya zophika ndi zokazinga zili ndi zinthu zomwe zimapangitsa kuti pakhale secretion yambiri yofunikira kuti chakudya chisokone.

Wodwala amaloledwa kudya zakudya zochepa komanso zakudya zochepa. Poyamba, zakudya ziyenera kuchitika mosamalitsa, pambuyo pake, atakambirana ndi dokotala, kuloleza zina kumaloledwa pamenyu. Koma muyenera kumvetsetsa kuti kusiyanasiyana muzakudya ndizovomerezeka nthawi zina, ngati muleka kutsatira zakudya, mavuto azaumoyo sangathe kupewedwa.

Kodi ndi zinthu ziti zomwe zingaphatikizidwe pazosankha

Pambuyo pakuchita opaleshoni, ndikofunikira kuti wodwalayo adye moyenerera, ndikupanga zakudyazo m'njira yoti sizikhala ndi zakudya zoletsedwa, ndipo pali chakudya chomwe chili ndi mavitamini ndi mchere wambiri. Pokhapokha ndi njirayi ndizotheka kukhazikitsa chimbudzi ndikuyambiranso mizimu yabwino.

Mapuloteni, omwe amamwa bwino popanda kuyambitsa mavuto, amapezeka mu nsomba, mazira, mkaka ndi mkaka, ndi mbewu zina monga chimanga.

Pambuyo pa opaleshoni, zakudya ndi mbale zotsatirazi ziyenera kuphatikizidwa muzakudya za munthu:

Msuzi wophika mu msuzi wa masamba. Kuchokera ku broth yamafuta ndi olemera, muyenera kukana, zimakhala ndi zinthu zomwe zimapangitsa kubisala.
Nsomba zamafuta ochepa. Kuphika zakudya zapakudya zamadzulo sikuli koyenera, koma nsomba wamba yamafuta ochepa imakhala magwero abwino amino acid. Kudya zakudya zam'madzi zoposa 1 nthawi pasabata sikulimbikitsidwa.
Mitundu yamafuta ochepa nyama ndi nkhuku. Kuti muzitha kuyamwa bwino mbale yophika, tikulimbikitsidwa kuphika osati zidutswa za nyama, koma ku nyama yoboola. Kuchenjera pang'ono kungathandize kuchepetsa kupukusa.
Zinthu monga mkaka ndi mkaka. Amaloledwa kuidya ngati chakudya chokha, ndikuchigwiritsa ntchito ngati chofunikira kwambiri pakuphika. Mukamasankha zamkaka, muyenera kukonda zokonda zomwe zimakhala ndi mafuta ochepa komanso moyo wamshelefu wosaposa sabata.
Pang'ono mafuta. Zakudya zimaphatikizapo kupatula kwathunthu kwamafuta kuzakudya. Koma aliyense amvetsetsa kuti popanda chinthu chomwe chawonetsedwa, thupi silingagwire ntchito bwino, kotero mafuta ochulukirapo ndizovomerezeka.

Ndikofunikira kudya pafupipafupi.

Zina ndizololedwa

Zakudya zotsatirazi zimaphatikizidwa ndi zakudya:

Mbale. Kupatsa thanzi kwa wodwalayo kwakukulukulu kudzakhala ndi phala zosiyanasiyana. Amaloledwa kudya pambuyo poti chithandizo chamasala kudya chatha komanso nthawi yayipa kwambiri.
Zipatso zazing'ono. Zowona, si zipatso zonse zomwe zimatha kudyedwa. Zipatso zowonda ziyenera kusiyidwa, zimathandizira kubisalira.
Zamasamba. Amafunika kudya tsiku lililonse, koma osati zatsopano. Zipatso zimayenera kulandira chithandizo cha kutentha. Masamba otenthedwa kapena otentha amatha kudyedwa monga mbale yam'mbali kapena mbale yokhayokha.
Mazira. Mwa izi, tikulimbikitsidwa kuphika omelet ndikudyanso chakudya cham'mawa. Mbale yofotokozedwayo siyenera kudyedwa tsiku ndi tsiku, chifukwa imayesedwa kuti igaya chakudya.

Ngati wodwalayo sakuda nkhawa ndi kapamba, matendawo akhululuka, ndiye kuti muthanso kudya zakudya zochepa, mungathe kusiyanitsa menyu ndi maswiti opangidwa ndi zinthu zina. Mutha kupatsa wodwala kupanikizana, kupanikizana, kupanga zakudya zonunkhira, ndi zina zambiri. Chachikulu ndikuti kupatsa ulemu kumayenera kukhala kwachilengedwe.

Kodi cholecystectomy iyenera kuchitika liti?

Pakakhala miyala yayikulu, ndipo munthu ali ndi ululu waukulu ndi zonsezi, ndiye kuti muyenera kupita kwa dokotala wa opaleshoni. Adzatulutsa cholecystectomy - njira yochotsa ndulu.

Masiku ano, laparoscopic cholecystectomy yatchuka kwambiri.Amapangidwa pogwiritsa ntchito machubu apadera okhala ndi mulifupi mwake wa 0.5 - 1 cm, ali ndi makamera achitetezo ang'onoang'ono. Ichi ndi chophatikiza chachikulu cha opareshoni iyi, chifukwa njirayi imachepetsa mwayi wovulala, ndipo wodwalayo amapezanso mphamvu. Munthu amataya magazi ochulukirapo ka 10 kuposa nthawi yoyenera kuchitidwa opaleshoni. Pakakhala zovuta zomwe sizinachitike, madokotala a opaleshoni amachita cholecystectomy yotseguka.

Monga momwe zimatsimikizidwira muzochitika, moyo wopanda bubble ndiwotheka, ndipo palibe chotsika mkati mwake. Thupi limatha kukonza zonse mwanjira yoti zizigwira ntchito popanda thupi ili.

Bweretsani ku zomwe zalembedwa

Ndi zinthu ziti zomwe ziyenera kutayidwa

Mndandanda wazinthu zoletsedwa ndizambiri. Kuchotsa kwathunthu pazakudya zomwe mukufuna:

Mafuta, mafuta ophika ndi ophika.
Kupanga mafakitale: msuzi, ma pickles, marinade, kuteteza, maswiti, makeke, ndi zina zambiri. Ngati munthu ali ndi zotupa m'matumbo a ziwalo zamkati, ndiye chifukwa chake kudya chakudya chokha chokha chomwe azikonzekera.
Malemu, chimanga ndi ndiwo zamasamba, zomwe zimakhala ndi fiber yambiri. Imamugaya bwino, imayambitsa mavuto.
Mankhwala osuta. Izi zimaphatikizapo soseji, kabatiate, mafuta anyama ndi zinthu zina. Amayambitsa hypersecretion ndipo angayambitse kukokosera kwa biliary pancreatitis, komwe kungafunikire kuchipatala.

Muyenera kudziletsa nokha osati muzakudya zabwino, komanso zakumwa. Kugwiritsa ntchito zakumwa zoziziritsa kukhosi za kaboni ndi zoletsedwa. Amaloledwa kumwa madzi oyera, tiyi, komanso zakudya ngati zakudya zopanda mankhwala komanso mitundu yokumba. Amaloledwa kugwiritsa ntchito compote kuchokera ku zipatso zouma, zipatso zouma.

Kutsatira mosamalitsa malangizo onse azakudya zopatsa thanzi kwa wodwala kapamba, cholecystitis ndi matenda ena, matendawa posakhalitsa adzakhazikika. Zomverera zosasangalatsa ndi kusasangalala kudzatha, nseru, kutentha pa mtima, kutsegula m'mimba kumatha.

Ndikosatheka kupanga chisankho chodziyimira pawokha pakukula; adokotala yekha ndi amene angalole kugwiritsa ntchito zakudya zoletsedwa.

Zakudya zoyenera mutachotsa ndulu ndi zikondamoyo ndi chifuwa chachikulu

Zakudya za kapamba ndi chikhodzodzo chakutali

Ndulu imadziunjikira ndikuchotsa bile lomwe limatulutsidwa ndi chiwindi kuti lizitenga mafuta. Ndi mapangidwe amiyala, kutupa pachimake, madokotala ochita opaleshoni akukumana ndi vuto la kuchotsa ziwalo. Pambuyo pakuchita opaleshoni, zakudya zapadera zimafunikira ndi chikhodzodzo cha ndulu ndi chamba.

Zakudya za wodwala atachotsedwa ndulu

Ntchito yochotsa ndulu imatchedwa cholecystectomy. Poterepa, ndikofunikira kuti wodwalayo azitsatira zakudya zokhwima.

Tsiku loyamba. M'mola yoyamba, chakudya, ngakhale chamadzimadzi, chimaletsedwa. Mwakuya kwambiri, muyenera kupukuta milomo yanu ndi chopukutira choviikidwa m'madzi amkati osakanikirana ndi magesi popanda kuphatikiza madontho awiri a mandimu atsopano. Pambuyo maola 5 okha, wodwalayo amatha kutsuka mkamwa mwake ndi decoction ya sage.
Tsiku lachiwiri. Wodwalayo, mogwirizana ndi adotolo, amaloledwa kutenga pang'ono kuwunjika pamadzi amkati kapena madzi owiritsa, msuzi wamtchire sunaphuke popanda shuga. Madzi onse omwe amamwa patsiku la 2 sangathe kupitirira 1 lita.
Tsiku la 3. Chovomerezeka chimapatsa wodwala compotes wosaphatikizika, tiyi, kefir yokhala ndi mafuta ochepa. Zakumwa zamtundu uliwonse zimayenera kukhala zowotcha, zimamwa kamodzi osapitilira 200 magilogalamu, kumwa maola 4 aliwonse.
Tsiku la 4. Zosankha zingaphatikizepo mbatata zosenda, viscous, popanda kugwiritsa ntchito batala, mchere pang'ono. Wodwalayo amatha kudya nyama yoyera yoyera, oyera azungu (omeleti), sopo wopanda mafuta. Chakudya cham'mbuyo # 8212, magalamu 200 mu maola 3-4, chakudya chizikhala chotentha.
Tsiku la 5.Mutha kuwonjezera kagawo ka mikate yoyera, yachikale pamndandanda wazakudya, mutha kugwiritsa ntchito zokutchingira, masikono a mkate. Nyama yoyera yoyera, mapira owoneka ndi mkaka wopanda mkaka, masamba osenda.
Tsiku la 6. Kwa zinthu izi adawonjezera mkaka wopanda mafuta wonona mkaka.

Zakudya ziyenera kuvomerezedwa kwa miyezi 1.5 pambuyo pa opaleshoni. Pazakudya sabata yoyamba, mutha kuwonjezera zakudya, zakudya zamasamba ndi zipatso kwa okwatirana, chofunikira # 8212, zonse ziyenera kukhala zotentha ndi kupukutidwa mu zamkati. Ndikofunikira kudya chakudya m'magawo ang'onoang'ono # 8212, 200 magalamu, kudya maola 4 aliwonse. Msuzi wokhala ndi masamba ndi nyama sayenera kukhala ndi mafuta ndikulemera.

Zakudya za pachimake kapamba

Kutupa kwa kapamba, kotchedwa pancreatitis pachimake pamankhwala, kumakhala ndi zotsatirapo zoyipa. Monga mukudziwa, ndizosatheka m'malo mwa kapamba, mosiyana ndi mtima wopanga, impso, chiwindi, ndi zina zambiri.

Nthawi zambiri, kapamba kumachitika pambuyo pochotsa ndulu, komanso choyambitsa kutupa:

zakudya zamafuta
mowa
kusuta
kuvutika
kutupa kwa ndulu,
chiwindi cha mitundu yonse
kumwa mankhwala
poyizoni.

Kuukira kwa pachimake kapamba kumayamba ndi kupweteka kwambiri, nseru, kusanza, kuphuka. Kutentha kwa thupi kumakwera, kuzizira kumachitika. Ululu umakhala ngati lamba, chifukwa zikondamoyo zimayandikana kwambiri ndi khoma lakumaso kwa m'mimba. Ululu umasokonezedwa nthawi zambiri ndi aimpso.

Ngati zizindikirozi zikuchitika, muyenera kufunsa dokotala. Pano, kuzengeleza, kwenikweni, kuli ngati imfa. Makulidwe abisale obisika amatsekedwa ndipo pancreatic necrosis imachitika. Madziwo, omwe ali ndi chakudya champhamvu, chomwe ndi cholowa, amawononga gawo lofunikira # 8212, kapamba.

Mu chifuwa chachikulu cha pancreatitis, madokotala amawona # 8212, pamimba yapoipa ndipo opaleshoni yofunika imachitika pa wodwalayo.

Zakudya Nambala 5 # 8212, njira yochotsera njira yotupa m'matumbo

Zakudya izi ndizoyenera kwa omwe adachitidwa opareshoni, koma zimatheka miyezi iwiri yokha atatha opareshoni komanso kwa anthu odwala chifuwa chachikulu. Zimathandizira wodwala kulandira pafupifupi magalamu 100 a mapuloteni, mafuta ndi mpaka magalamu 500 a chakudya patsiku.

Zakudyazo zimapatsa zakudya zofunikira kuti muchepetse kusayenda kwa ndulu mu ndulu, kutentha kwa chakudya kuyenera kukhala kuchokera madigiri 10 mpaka 60. Kutsatira, moona, zakudya zochiritsa, ndikofunikira osachepera miyezi 18 ndipo mkhalidwe wa wodwalayo wabwerera mwakale.

Chizindikiro choyamba chotsitsimula ndi kusakhala ndi kukoma kwakumwa, kusowa kwa mabala m'mimba. Ngati wodwalayo adachitapo kanthu opaleshoni yodwala cholecystitis, ndiye kuti zakudya zake zimakhala zochepa komanso zoletsa zimakhala zochepa.

Cholecestitectomy yokhala ndi miyala mu chikhodzodzo imafuna kutsatira kwambiri, ngati sichoncho kuyambiranso nkotheka.

Zakudya zamankhwala pambuyo pa opaleshoni ya ndulu

Mukamasankha zakudya za odwala omwe adachotsedwa ndulu, ziyenera kukumbukiridwa kuti pambuyo pa opareshoniyi, chiwindi, ducts, kapamba ndi matumbo nthawi zambiri zimayambitsa matenda a pathological.

Ndi hepatitis, chakudya No. 5 chimayikidwa, kupatsidwa zinthu zomwe zimakhala ndi lipotropic. Izi zimaphatikizapo tchizi tchizi, cod, pike perch, buckwheat ndi oatmeal, choyera cha dzira, chakumwa cha yisiti.

Ndi kuchuluka kwa kapamba pazakudya za odwala, kuchuluka kwa mapuloteni kumawonjezeka mpaka 120-140 g, kuchuluka kwa mafuta kumatsikira mpaka 40-50 g, zinthu zomwe zimakulitsa kutulutsa (mbatata, mkate, nyemba, kabichi), mafuta, zonunkhira komanso zakudya zam'chitini sizikuphatikizidwa.

Ndi bysary dyskinesia ndi kudzimbidwa, zakudya zimayikidwa zomwe zimapangitsa kuti katulutsidwe ka bile ndi matumbo. Zogulitsa zomwe zimakhala ndi mchere wa magnesium, fiber zamasamba (zipatso, masamba, tirigu ndi mkate wa chinangwa, msuzi wa chinangwa, buckwheat, etc.) zimayambitsidwa muzakudya.

Mankhwala othandizira odwala kapamba

Mankhwala othandizira odwala matenda a pancreatitis sikuti ndi njira yothandizira, komanso ndi njira yopewereranso. Chakudya cha nthawi 5-6 chimayikidwa.

Zogulitsa zomwe zimayambitsa kuphulika ndi posunthira siziyikidwa muzakudya. Zakudya ziyenera kukhala ndi kuchuluka kwa chakudya, mavitamini, zinthu zomwe zili ndi lipotropic.

Kuchuluka kwa mafuta okhala ndi mapuloteni abwinobwino m'zakudya ndizochepa.

Sizoletsedwa kutenga kuchuluka kwa zinthu, kumwa mowa, zakudya zamafuta, ma muffin, ma cookie, pickles, marinade, zakumwa zoziziritsa kukhosi.

Odwala omwe ali ndi pancreatitis yosatha amalimbikitsa kanyumba tchizi ndi mkaka, cheesecakes wotsika kwambiri, chimanga - semolina, mpunga, buckwheat mkaka, mbatata zosenda - karoti, mbatata, cutlets kabichi, saladi, nsomba yophika ndi mafuta, soseji yama dokotala, tiyi ndi shuga kapena uchi.

Masamba, mkaka, phala, ndi msuzi wazipatso amalimbikitsidwa ngati maphunziro oyamba. Nyama yamphamvu ndi nsomba zomwe zidasungidwa zimatsutsana. Pakudya kwamadzulo, mutha kudya mbatata zophika, kaloti, ma omeleette oyera a mazira, masamba osenda, mbewu za chimanga zosiyanasiyana zopanda mafuta. Usiku, zakudya zotsekemera zimalimbikitsidwa: yogati yatsopano, kefir, uchi ndi madzi, prunes, zoumba, etc.

Kodi ndulu iyenera kuchotsedwa ngati mwala sukubweretsa mavuto?

Ngati palibe chizindikiro cha kukhalapo kwa miyala mkati mwa ndulu, ndiye kuti madokotala ochita opanga opaleshoni salimbikitsa kuti apite ku cholecystectomy nthawi yomweyo.

Pali mitundu iwiri ya odwala omwe ali ndi matenda a gallstone: anthu omwe ali ndi vuto la biliary colic ndi cholecystitis, ndi omwe nthawi zambiri alibe zizindikiro zamiyala mkati mwa ndulu. Opanga opaleshoni yachiwiri sakulangizidwa kuti ayambe kugwiritsa ntchito cholecystectomy nthawi yomweyo. Pamaso pa miyala ingapo yaying'ono, mwayi wovuta kwambiri umalephera. Anthu oterowo amayenera kumayeserera nthawi zonse pamimba, kutsata njira yolondola, yogwira ntchito, kutsatira zakudya.

Pamene matenda ndi cholecystitis aakulu amawonjezeredwa pamiyala, izi zimatsatiridwa ndi matenda a chiwindi, kapamba. Kutupa kosalekeza kumatha kuyambitsa khansa ya gallbladder. Kuti mupewe izi, madokotala amalimbikitsa kufunsa dokotala wa anthu omwe alibe zizindikiro.

Ndi kuwerengetsa cholecystitis - nthawi zina kuukira kwa biliary colic, cholecystectomy ndiyofunikira. Pali chiopsezo chowerengera cholecystitis kukhala pachimake, zomwe nthawi zambiri zimabweretsa zovuta zazikulu.

Bweretsani ku zomwe zalembedwa

Kodi ndingakhale bwanji popanda chikhodzodzo?

Ndulu yodwala siyitha kukwaniritsa bwino cholinga chake. Idzakhala vuto, chikhazikitso cha zowawa zosalekeza. Cholecystectomy nthawi zambiri imalimbikitsidwa, pomwe chikhodzodzo chimachotsedwa ndipo wodwalayo amachira msanga. Thupi lake limabwerera mwakale, chimbudzi chimabwezeretseka.

Khalidwe ndi zotsatirapo za opaleshoni ya pancreatic

Malinga ndi malipoti ena, kapamba ndi chimodzi mwa matenda ofala kwambiri am'mimba.

Mu deta iyi, pakhoza kukhala malo a overdiagnosis - chinthu choyipa chodziwika bwino cha mankhwala apakhomo, momwe zizindikiro zodziwitsa "zimakopeka ndi makutu." Komabe, pali mbewu za chowonadi zambiri pamawerengero awa.

Chakudya sichimakhudzidwa mwachindunji pakukula kwa matendawa, koma zakudya zamafuta kwambiri zimapangitsa kutupa kwa ndulu ndi kapangidwe ka miyala, ndipo izi ndi zina mwazinthu zomwe zimayambitsa matenda a kapamba.

Kukula kwa matenda a ndulu kumaonetsa kuti pafupifupi 50% ya matendawa amatha kumapeto kwa kapamba.

Amayi ndiwowonjezereka kuposa amuna kuti apange miyala mu ndulu ndi kuwononga mafuta ambiri, motero ali pachiwopsezo cha kapamba.

20 - 25% ya milandu ya kapamba ndizotsatira zakumwa pafupipafupi.Madokotala atalephera kuzindikira zomwe zimayambitsa matenda otupa m'matumbo, amalankhula za idiopathic pancreatitis.

Izi sizitanthauza kuti palibe chifukwa, koma njira zamakono zofufuzira sizimalola kuti nthawi zonse muzindikire momwe wodwalayo alili.

Pancreatitis yachilendo imatha kukhala chifukwa chotenga mankhwala osiyanasiyana: kuchokera ku maantibayotiki kupita ku mankhwala a radiopaque.

Matenda, zotsatirapo zake zomwe zingaphatikizepo kuyambika kwa kapamba, matenda opatsirana (hepatitis, herpes), matenda oyambitsidwa ndi bakiteriya, mwachitsanzo, leptospirosis, tizilombo toyambitsa matenda, fungus, matenda a parasitic.

Pancreatitis pachimake komanso chodwala ndi mapangidwe osiyana siyana. Pancreatitis yachilendo imatha kukhala ndi mawonekedwe obwereranso, ndipo kapamba owopsa amatha kupezeka chifukwa cha chifuwa chachikulu, ndipo sichikhala chowonjezera cha mawonekedwe osakhazikika.

Pancreatitis yachilendo imawonjezera chiopsezo cha kuchepa kwa minofu ya pancreatic.

Mwa zina zodwala matenda opatsirana, ma benign pancreatic formations amatchedwa: adenoma ndi cysts.

Monga khansa yam'mimba, chotupa cha pancreatic nthawi zambiri chimapezeka m'magawo apambuyo, omwe amadziwika ndi metastasis.

Zowawa zimawonekera koyambirira kwa matendawa, koma sizikupezeka kwathunthu, chifukwa chake nthawi zambiri zimasokonezeka ndi ululu wammbuyo ndi radiculitis.

Opaleshoni yamapamba

Choopsa kwambiri mu pancreatitis yayikulu ndi pancreatic necrosis - kufa kwa ziwalo pansi pa zochita za ma enzymes omwe adakhazikitsidwa kale omwe amayamba kugaya nduluyi palokha.

Pankhaniyi, kuledzera kwa thupi kumachitika, komwe kumakhudza ziwalo zosiyanasiyana ndi machitidwe ofunika, chifukwa zinthu zapoizoni zimafalikira thupi lonse.

Pali magawo atatu a kuledzera: ofatsa, odziletsa komanso okhwima. Potsirizira pake, opaleshoni imachitika kwambiri.

M'mbuyomu, opaleshoni inali njira yoyamba yothandizira kupukusira kwa kapamba.

Komabe, ngakhale munthawi yomwe moyo wamunthu udali wofunika pang'ono, kuchuluka kwaimfa kwa 90 - 100% kudatsogolera pakuchepetsedwa kwa kuyesa kwa opaleshoni, ndipo cholinga chachikulu chidapangidwa ndi madokotala pakukula kwa njira zoperekera chithandizo.

Zikondamoyo zimatengedwa ngati gawo lachifundo "chanthete", zovuta zimatha kuchitika ngakhale atachitidwa opareshoni pazinthu zoyandikana.

Zotsatira zoyipa zazikulu za opaleshoni ya pancreatic zimagwirizanitsidwa ndi zovuta: zotupa, matenda, kutulutsa magazi ndi zina zambiri.

Komabe, pakali pano kukula kwa mankhwala amalola kuchita ma opaleshoni opambana kwambiri pa kapamba.

Nthawi zina, mwachitsanzo, ndi purulent-necrotic pancreatitis, sizingatheke popanda kuchitapo opareshoni.

Opaleshoniyo ndiyofunikira mukazindikira pseudocysts - kapangidwe kake kamene kamapezeka mu kapamba, mosiyana ndi kobadwa nako, komanso kuphwanya patency ya ma gland kapena fistula.

Mutu wapadera ndikuchita opaleshoni yam khansa yapancancic. Zonenedweratuzi zimawonedwa kuti sizabwino.

Madokotala adakwanitsa kuchepetsa chiwerengero cha anthu omwe amafa pambuyo pa 5000 peresenti, koma kupulumuka kwa zaka zisanu ndi 8 - 45%.

Kuchuluka kwa kupulumuka kumapangitsa khansa ya kapamba kukhala imodzi mwamatenda oopsa omwe madokotala adakumana nawo.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Komabe, ngakhale mutayambiranso pambuyo pochita opaleshoni khansa, nthawi zambiri, chiyembekezo chamoyo chimakhala chambiri kangapo kuposa kuchitidwa opaleshoni.

Kuphatikiza apo, pali chinthu china monga opaleshoni yopanga, pamene chithandizo sichimalimbana ndi khansa, koma pothana ndi vuto la wodwalayo.

Moyo pambuyo pancreatic opaleshoni

Zakudya (zopepuka zomanga thupi, zakumwa zoledzeretsa ndi zakumwa zoziziritsa kukhosi) ndizofunika kwambiri pa matenda a kapamba:

Zakudya ndi imodzi mwazomwe mungagwiritsire ntchito matenda a ziwalo,
Zakudya zoyenera ndizofunikira kuti pakonzedwe bwino pambuyo pakuchita opaleshoni,
Zakudya - njira yochepetsera kuyipa ndi kushupika kwa kufalikira kwa kapamba, chifukwa chake, ndi njira yothandizira kupewa chiopsezo cha kufooka kwa minofu.
chimbudzi ndi makina, magawo onse omwe ali muubwenzi wovuta. Ngati zolephera zikuchitika chimodzi mwazinthu zake, ndiye kuti kudya moyenera kumachepetsa mwayi wokhudzidwa ndi dongosolo lonse.

Kupanga chakudya ndi madzi a pancreatic ndi ma enzyme ake ndi gawo lofunikira pakukamata chimbudzi.

Ndizomveka kuti chakudya pambuyo pa opaleshoni sichingafanane. Chakudyacho chimapereka chiwunikiro chonse cha mfundo za zakudya.

Atangochita opaleshoni, wodwala amafunikira zakudya zowonjezera: kusowa chakudya kokwanira m'masiku oyamba, kenako ndikuwonjezera pang'onopang'ono zakudya.

Pafupifupi masiku 10 atachitidwa opareshoni, mutha kusintha pang'onopang'ono chakudya, chomwe chizolowera wodwalayo.

Zakudyazo zimakhazikitsidwa ndi mapuloteni omwe amatha kupukusa mosavuta, zakudya zouma, kusakhalapo kwa zakudya zolemera, zamafuta, zowotcha.

Mankhwala obwezeretsanso kwa moyo wonse amafunikira: kukonzekera kwa enzyme ndi kugwiritsa ntchito insulin, popanda zakudya zomwe sizingatheke sizingachitike.

Zaka zingapo zapitazo, kusindikiza kwa dokotala wochokera ku California, Murray Ken, kofunika kwambiri - moyo wabwino kapena kutalika kwake?

Malinga ndi iye, madokotala omwe amadziwa bwino njira zamankhwala zamakono nthawi zambiri amakana njira zazikuluzikulu zochiritsira matenda omwe amwalira kuti athe kugwiritsa ntchito zaka zomalizira, miyezi kapena masiku amoyo pakati pa okondedwa, osati kuchipatala, pamankhwala othandizira.

Palibe zakudya, zakudya zopatsa thanzi kwambiri komanso mankhwala amakono sangatsimikizire kukhala ndi moyo wabwino atachotsedwa kapamba.

Ichi ndi chifukwa chake kudya kuyenera kukhala njira yachikhalidwe ya munthu wathanzi amene angafune kukhala ndi moyo wautali komanso mokwanira.