Matenda a shuga monga zovuta za kapamba

Pofika m'zaka za zana la 17, kutchulidwa koyamba kwa matenda apamba. Kwa nthawi yayitali, matenda a pancreatitis anali ngati matenda akupha. M'zaka za XX, adayamba kumuchiritsa bwino. Koma panali matenda oopsa omwe amaphatikizidwa ndi gland, matenda ashuga. Pancreatitis ndi matenda ashuga zakhala mkhalidwe wovuta wachipatala womwe madokotala amakono ayenera kuthana nawo.

Gawo loyamba la kapamba wokhala ndi magawo okhululuka ndi nthawi yochulukirapo, momwe kapamba imakhudzira, imayendera limodzi ndi kupweteka kwamphamvu kosiyanasiyana kwa kupezeka kwake ndi kupezeka kwawo ngati muli ndi vuto la oat.

Gawoli limatha kukhala pafupifupi zaka khumi. Zikachitika kuti zakudya zilizonse zitha kugwiritsidwa ntchito, nthawi imatha kukula, koma kuyambika kwa gawo lachiwiri ndikosapeweka popanda kupewa njira zina.

Gawo lotsatira likayamba, Zizindikiro za zomwe zimapangitsa kuti matumbo azigaya zitha kufika;

chisangalalo
kutentha kwa mtima (kuyimitsidwa ndi semolina),
kutsegula m'mimba
kusowa kwa chakudya.

Monga momwe zinthu zilili, pomwe kapamba amayamba ndi matenda a shuga amapezeka ndi iyo, ochepa, koma komabe, kupitiriza kwa kagayidwe kazakudya kumachitika.

Izi zimadziwika chifukwa cha kutulutsidwa kwa insulin, komwe kumachitika ndi ma cell a beta osakwiya.

Pankhaniyi, mukufunika kudya mosamalitsa komanso mosalekeza.

Pakupanga njira zonse zomwe zimagwirizanitsidwa ndi chifuwa chachikulu, maselo a gland yomwe yaperekedwa amayamba kusweka, ndipo kulolerana kwa glucose kumapangidwa. Motere, kuchuluka kwa shuga pamimba yopanda kanthu ndikwabwinobwino, ndipo mutatha kudya chakudya imakwezedwa.

Zomwezo zimagwiranso nthawi yovomerezeka ya hyperglycemia, yomwe imakhala "yogwira" pambuyo podya chakudya, makamaka mapira.

Njira ya pathological ya kupangika kwa matenda ashuga osakhazikika pancreatitis imatenga nthawi yayitali. Imapitilira magawo angapo:

Koyamba - pamene nthawi zakukhathamira zimasinthana ndi nthawi zakhululukidwe za matendawo, matenda osachiritsika omwe amapezeka m'matumbo, limodzi ndi zowawa zamitundu yosiyanasiyana ya kukula ndi kutulutsa. Zimatenga pafupifupi zaka 10 nthawi.
Nthawi yovunda chakudya cham'mimba. Mavuto ambiri a kuuma amayamba kutsogoloku - nseru, kupindika, kutentha pa chifuwa, kumatulutsa, kusowa kudya, komanso kutsegula m'mimba. Pakadali pano, kwa nthawi yoyamba, zizindikiro za matenda a carbohydrate metabolism zimawonekera mwa machitidwe a spontaneous hypoglycemia (kuchepa kwa shuga wamagazi). Izi ndichifukwa choti maselo a beta omwe adakhumudwitsidwa ndi kutupa amatulutsidwa ndikutulutsa kwa insulin kulowa m'magazi.
Kukula kwa kapamba kumabweretsa kufooka kwa endocrine pancreatic ntchito. Wodwalayo amakula kulolera kwa glucose: kuthamanga kwa shuga m'magazi kumatha malire, koma mutatha kudya nthawi yayitali hyperglycemia imayang'aniridwa, yomwe siyigwirizana ndi nthawi yake.
Gawo lomaliza ndikupangidwa kwachiwiri kwa matenda ashuga. Amakhala pafupifupi 30% ya odwala omwe ali ndi pancreatitis yayitali. Ngati ndikufanizira ndi kuchuluka, ndiye kuti matendawa amapezekamo ka 2.

Zomwe zimayambitsa matenda a shuga a pancreatogenic

Njira yotupa yomwe imagwiritsidwa ntchito pancreatic minofu imatchedwa pancreatitis. Njira yake imayendera limodzi ndi kugwiritsidwa ntchito molakwika kwa ziwalo za exocrine ndi endocrine. Matendawa ndi owopsa ndi zotsatira zake, chimodzi mwazomwe zidali matenda a shuga.

Kutupa komwe kumayamba mthupi kumabweretsa kuphwanya ntchito za kapamba. Nthawi zina, insulin imalowa m'magazi. Izi zimabweretsa kuwonongeka kwa maselo ndi ma receptor chifukwa chosowa shuga. Mukuwonongeka kwa maselo, mtundu wachiwiri wa shuga umayamba.

Ngati chifukwa cha kutukusira kwa kapamba kuchuluka kwa maselo kapamba, omwe amachititsa kuti insulini ithepe, ndiye kuti tiyenera kulankhula za matenda amtundu wa 1.

Matenda awiri - kapamba ndi matenda ashuga - samalumikizana nthawi zonse. Kukula kwa zonse kungathe kupewedwa. Pancreatitis yomwe yayamba kukhala yayitali, kuzindikira kwa matenda ashuga ndi kwachilengedwe. Kuyambira pomwe zizindikiro zoyambirira za kapamba zimawonekera, nthawi yayitali ikhoza kudutsa, mpaka zaka 5.

Matenda a shuga, omwe ndi chifukwa cha kapamba, ali ndi zina:

Kugonjetsedwa kwamitsempha yamagazi yaying'ono kulibe, mosiyana ndi mitundu ina ya shuga.
Kuthekera kokulitsa hypoglycemia.
Kuchepa mphamvu ya mankhwala omwe amagwiritsidwa ntchito kuchepetsa shuga pakapita nthawi.
Kusowa kwa chizindikiro monga ketoacidosis.

Kunyalanyaza zizindikiro za shuga ndi kapamba ndizowopsa. Chithandizo choyenera ndikutsimikizira kuti matendawa sapita m'mitundu yoopsa kwambiri pamoyo komanso thanzi, ndipo kapamba limagwira ntchito mwachizolowezi.

Matendawa amatuluka ndikuphwanya endocrine ndi exocrine ntchito za kapamba. Zotsatirazi zomwe zimapangitsa kuwonongeka kwa gululi ndi zida za gland zimasiyanitsidwa:

Kutupa kosalekeza kwa kapamba. Kuchulukana kwapafupipafupi kumapangitsa ngozi ya matenda ashuga. Kutupa kosafunikira kumayambitsa kuwonongeka pang'onopang'ono komanso kufooka kwa zisumbu za Langerhans.
Opaleshoni yamapazi. Zomwe zimachitika chifukwa cha matenda a postoperative amasiyana kuchokera 10% mpaka 50% kutengera kuchuluka kwa maopareshoni. Nthawi zambiri, matendawa amakula pambuyo pancreatectomy, pancreatoduodenal resection, kotenga nthawi ya pancreatojejunostomy, resection ya caudal gawo la kapamba.
Matenda ena a kapamba. Khansa yapancreatic, pancreatic necrosis imayambitsa kuphwanya kwa endocrine ntchito ndikupanga hyperglycemia wolimbikira.

Limagwirira a chitukuko cha yachiwiri matenda ashuga

Poyamba, matendawa amawonekera kupweteka, kenako kugaya chakudya kumayamba, pambuyo pake matenda a shuga amayamba.

Gawo loyamba limatha kukhala zaka zingapo, limodzi ndi zowawa zamphamvu zosiyanasiyana.

Pa gawo lachiwiri, wodwalayo amayamba kutentha, kutulutsa. Amatha kudya, amakhala ndi nkhawa ndi matenda am'mimba opitilira m'mimba. Izi ndi zina chifukwa cha insulini kumasulidwa kwa cell ya beta yomwe yasokonekera.

Mu gawo lachitatu, maselo a chiwalochi atawonongedwa kale ndi matendawa, shuga m'magazi amadzuka pamwamba pamwambo utatha kudya. Vutoli mu 30% ya milandu limatha ndi matenda a shuga 2.

Zizindikiro za pancreatogenicabetes mellitus

Pali njira ziwiri zopangira shuga. Poyambirira, mukazindikira mtundu wa 1 wa matenda ashuga, kumachepetsa kwambiri maselo a kapamba omwe amapangidwa ndi kapamba. Ngati wodwala akudwala matenda amtundu wa 2, ndiye kuti kuchuluka kwa maselo kumasungidwa, koma kuchepa kwawo kwa glucose kumachepetsedwa kwambiri.

Zizindikiro

Kuzindikira matenda a shuga a pancreatogenic ndi kovuta. Ichi ndichifukwa chosakhalapo kwa nthawi yayitali ngati zizindikiro za matenda ashuga, kuvuta kovomereza matenda a kapamba. Ndi chitukuko cha matendawa, zizindikiro za kuwonongeka kwa kapamba nthawi zambiri zimanyalanyazidwa, kumangofotokozera chithandizo chokhacho cha hypoglycemic. Matenda a carbohydrate kagayidwe kachakudya amachitika m'malo otsatirawa:

Kukambirana kwa endocrinologist. Udindo wofunikira umachitika pofufuza mozama mbiri yamatendawa komanso chiyanjano cha anthu odwala matenda ashuga kapamba, ntchito pa kapamba, uchidakwa, mavuto a kagayidwe kachakudya, komanso kugwiritsa ntchito mankhwala a steroid.
Kuwunika kwa glycemia Zimaphatikizapo kudziwa kuchuluka kwa shuga pamimba yopanda kanthu komanso maola awiri atatha kudya. Ndi matenda a shuga a 3, kuchuluka kwa glucose kosala kumakhala mkati mwa malire, ndipo mukatha kudya kumakwezedwa.
Kuwunika kwa pancreatic ntchito. Amachitika pogwiritsa ntchito biochemical kusanthula ntchito ya diastase, amylase, trypsin ndi lipase m'magazi. Zambiri za OAM ndizodziwika: mu shuga wa pancreatogenic, kuchuluka kwa glucose ndi acetone mumkodzo nthawi zambiri kulibe.
Njira zothandizira kuona. Ultrasound yamimba yam'mimba, kapamba Manc imakupatsani mwayi kuti mufufuze kukula, echogenicity, kapangidwe ka kapamba, kukhalapo kwa mawonekedwe ena ndi ma inclusions.

Mu endocrinology, kusiyanitsa matenda kumachitika ndi mtundu 1 ndi matenda ashuga 2. Matenda a shuga amtundu 1 amadziwika ndi kuyamba kwakuthwa komanso koopsa kwa matenda adakali aang'ono komanso zizindikiro zazikulu za hyperglycemia.

Pakuwunika magazi, ma antibodies opita ku cell ya pancreatic beta amapezeka. Zosiyanitsa za mtundu wa matenda ashuga a 2 zidzakhala kunenepa kwambiri, kukana insulini, kupezeka kwa C-peptide m'magazi komanso kusowa kwa kukokana kwa hypoglycemic.

Kukula kwa mitundu iwiri yonseyi ya shuga sikumayenderana ndi matenda opatsirana a kapamba, komanso kulowererapo kwa chiwalo.

Momwe mungachiritsire kapamba ndi matenda ashuga

Njira yochizira pancreatitis mu shuga ndi yovuta komanso yayitali, zimatenga magawo angapo motalika. Aliyense wa iwo ayenera kuyang'aniridwa.

Chifukwa chake, matenda a pancreatitis ndi matenda opatsirana a shuga amatha kuchiritsidwa ndikugwiritsira ntchito mankhwala othandizira, osati kuti athetse kukhathamiritsa kwa mtundu wa carbohydrate, komanso kuchepetsa kuchepa kwa mtundu wa enzymatic.

Munthawi yomwe mwawonetsedwa, ndikofunikira kugwiritsa ntchito osati mankhwala apadera a enzymatic, komanso mankhwala a mahomoni. Dziwani kuti nthawi zambiri kugwiritsa ntchito mankhwala aliwonse mwanjira ya mapiritsi sikubweretsa zotsatira zabwino. Komabe, chakudya chopangidwa mwaluso chinali chofunikira ndipo chimafunikabe.

Chifukwa chake, ndikofunikira kwambiri pakuthandizira, pancreatitis ndi shuga mellitus, kuti mukhale ndi thanzi labwino. Izi zikutanthauza kusiyanitsidwa ndi menyu wazakudya zovulaza kupita kwa kapamba.

Ndikofunikira kwambiri kukana kugwiritsa ntchito zakudya zamafuta ndi zonunkhira, komanso kuchepetsa zopangidwa ndi ufa ndi zakudya zotsekemera muzakudya zanu zokha. Kuphatikiza apo, sikulimbikitsidwa kudya:

msuzi wamtundu,
maapulo
kabichi
mayonesi, ketchup ndi msuzi.

Kuchiza matenda omwewo nthawi imodzi si ntchito yophweka. M'malo mankhwala pankhaniyi ayenera:

sinthani kagayidwe kazakudya,
kuthetsa kusowa kwa michere yam'mimba.

Odwala omwe ali ndi matenda a shuga a 2 komanso kapamba amadziwika kuti ndi mankhwala a enzymatic komanso mahomoni.

Nthawi yomweyo monga kumwa mankhwala, wodwalayo ayenera kutsatira kadyedwe. Kupatula zakudya zovulaza kapamba pazakudya, komanso kumwa mankhwala operekedwa ndi dokotala, omwe ali ndi matenda ashuga, kutupa kwa chiwalochi kungathe kuthandizidwa.

Zotsatira zabwino, ndikofunikira kuchitira limodzi mankhwala othandizira a kapamba ndi matenda ashuga. Iyenera kusiya kusiya kumwa zakumwa zoledzeretsa ndi fodya, kusintha kadyedwe ndi moyo wanu. Chithandizo chophatikizika chili ndi malangizo awa:

Zakudya Zakudya za matenda a shuga a pancreatogenic zimaphatikizapo kukonza kwa kuchepa kwa mapuloteni, hypovitaminosis, kusokonezeka kwa electrolyte. Odwala amalangizidwa kuti achepetse zakudya zamafuta "othamanga", mafuta, mkate, maswiti, makeke, zokometsera komanso zakudya zamafuta. Chakudya chachikulu chimakhala ndi mapuloteni (mitundu yamafuta ochepa yamafuta ndi nsomba), zakudya zovuta (zomanga), masamba. Chakudya chimayenera kuthandizidwa m'magawo ang'onoang'ono 5-6 patsiku. Ndikulimbikitsidwa kupatula maapulo atsopano, nyemba, msuzi wa nyama, sosi ndi mayonesi.
Kubwezera kwa enzyme kusakwanira kwa kapamba. Mankhwala okhala ndi michere ya amylase, proteinase, lipase pamitundu yosiyanasiyana imagwiritsidwa ntchito. Mankhwala osokoneza bongo amathandizira kukhazikitsa njira yogaya, amachepetsa kuchepa kwa mphamvu ya protein.
Kumwa mankhwala ochepetsa shuga. Kuthetsa kagayidwe kazakudya, zotsatira zabwino zimaperekedwa mwa kuperekedwa kwa mankhwala ozikidwa pa sulfonylurea.
Postoperative m'malo mankhwala. Pambuyo pa kuchitapo kanthu kwa opaleshoni ya kapamba ndi mchira wa England, kwathunthu kwa insulin kumawonetsedwa kuti sikupitilira magawo 30 patsiku. Mlingo wama glucose olimbikitsidwa satsika kuposa 4.5 mmol / l chifukwa choopsa cha hypoglycemia. Ndi kukhazikika kwa glycemia ayenera kusinthana poika pakamwa hypoglycemic mankhwala.
Autotransplantation ya maselo ofanana. Imachitika m'malo apadera azachipatala a endocrinological. Kutsatira kwachipambano, odwala amapita pancreatotomy kapena pancreatectomy.

Mankhwala ochizira kapamba

Kodi kapamba angathandizidwe ndimankhwala? Inde! Kuphatikiza pa chakudyacho, madokotala omwe ali ndi matenda a shuga a mtundu wachiwiri komanso matenda a kapamba amaletsa mapiritsi okhala ndi michere yomwe kapamba sangathe kutulutsa pamlingo woyenera chifukwa cha matendawa. Nthawi zambiri amapereka mankhwala a pancreatin ndi chikondwerero.

Mankhwalawa amasiyana mu kuchuluka kwa zinthu zomwe zimagwira. Pali ambiri a iwo mu chikondwererochi, koma ali ndi zotsutsana zambiri ndipo amatha kupangitsa kudzimbidwa, nseru ndi zovuta zina. Pancreatin ndiosavuta kunyamula ndipo nthawi zambiri samayambitsa chifuwa. Dokotala munthawi iliyonse amasankha mankhwalawa ndi mlingo wake kuti azisintha kapamba.

Kutsatira zomwe amalangizidwa ndi adotolo komanso kudya zakudya zoyenera kumathandiza kuti thupi lanu libwezeretse ntchito. Pang'onopang'ono, mkhalidwe wa wodwalayo umayamba kuyenda bwino. Zakudya za anthu odwala matenda ashuga komanso kapamba nthawi yomweyo akamwa mankhwala zimathandiza munthu kupewa zovuta za matenda oyambawa.

Maphikidwe pokonza zakudya zopatsa thanzi komanso zopatsa thanzi

Kodi ndi maphikidwe ati omwe angagwiritsidwe ntchito pa matenda a shuga ndi kapamba? Ndikofunika kutsindika kuti ngati mukuyandikira kupita ku zakudya zamankhwala, tebulo silikhala lothandiza, komanso osiyanasiyana.

Timapereka njira zingapo za maphikidwe omwe angathe kukonzekera wodwala yemwe ali ndi matenda a shuga kapamba.

Kukonzekera vinaigrette, tengani zofanana:

Mbatata.
Kaloti.
Beetroot.
Mafuta owerengeka kuti mulawe.

Wiritsani masamba onse m'masamba, omwe amakupulumutsirani mavitamini ndi zinthu zina zofunika. Masamba akakhala ofewa, ozizira komanso peel. Dulani m'magulu ang'onoang'ono, olumikiza. Onjezani mafuta amasamba, sakanizani.

Nyama Yodzazidwa Pang'onopang'ono Pudding

Pokonzekera chakudya chopatsa thanzi ichi, muyenera kukonzekera izi:

Ng'ombe kapena nyama ina yokonda - 150 g.
Semolina - 10 g.
Dzira - 1 pc.
Madzi - 1/3 chikho.
Mafuta a azitona - 0,5 tbsp

Wiritsani nyama, kenako ndikupota kudzera mu chopukusira nyama. Thirani semolina mu kuchuluka kwa madzi, onjezerani semolina yemwe wakonzedwayo. Ndiye kumenya dzira ndi kusakaniza chilichonse.

Onjezerani mbale mu ophika wodekha ndi batala ndikuyika nyama yophikiramo. Kudulira kumayamwa mpaka kuphika kwathunthu.

Zopindika

Mbaleyi imatha kudyedwa panthawi yachikhululukiro cha matenda a kapamba pamaziko a shuga. Izi ndizofunikira:

Cheke chopanda mafuta chopanda mafuta - 300 g.
Azungu azira - 3 ma PC.
Maapulo okoma - 300 g.
Zouma ndi ma apricots zouma - 50 g.

Sendani maapulo, pakati ndi pakani pa grater yabwino kwambiri. Sanjani zipatso zouma, muzitsuka ndi madzi oyera, kenako ndikuthira madzi otentha kwa mphindi 10. Onjezani maapulo okonzeka, zipatso zosenda ndi agologolo omwe adakwapulidwa thovu loyera kupita ku curd, sakanizani.

Ikani misa yomalizidwa mumtundu uliwonse pa pepala lophika lomwe limakutidwa ndi zikopa, ndikuphika madigiri 180 kwa mphindi 40.

Zotsogola ndi kupewa

Ndi zovuta mankhwala a pancreatic kuwonongeka ndi kukonza kwa hyperglycemia, zakutsogolo kwa matendawo ndi zabwino. Nthawi zambiri, ndizotheka kukwaniritsa zomwe wodwala amakhala nazo komanso zomwe zimapangitsa kuti shuga akhale wathanzi.

M'matenda akulu a oncological, opaleshoni yayikulu paminyewa, matendawo amadzadalira kulowererapo ndi nthawi yokonzanso. Njira yamatendawa imakulitsidwa ndi kunenepa kwambiri, kuledzera, kugwiritsa ntchito mafuta osaneneka, zakudya zotsekemera komanso zonunkhira.

Pofuna kupewa matenda a shuga a pancreatogenic, muyenera kukhala ndi moyo wathanzi, kusiya mowa, pamaso pa kapamba, kumayesedwa ndi katswiri wa gastroenterologist.

Zolemba zamagulu azakudya

Zakudya zapadera za kapamba ndi matenda a shuga zimachepetsa kuchuluka kwakukula m'magazi ndikuwonjezera kulemera kwa odwala.

Pa diabetesic pancreatitis, akatswiri amalimbikitsa kuphatikiza zakudya ziwiri No. 5 ndi No. 9.

Zakudya No. 5 imayikidwa matenda a pancreatic, tebulo No. 9 la matenda amtundu woyamba komanso wachiwiri. Ndi kapamba limodzi ndi matenda ashuga, dokotala yemwe akupezekapo amayang'anizana ndi ntchito yopanga chakudya moyenera, poganizira njira ziwiri zonse.

Zokonda zimaperekedwa ku chakudya chokhala ndi index yotsika ya glycemic (chizindikiro cha kuthamanga kwa mankhwala omwe amapezeka pomwe amatha kuonjezera kuchuluka kwa glucose m'magazi atatha kugwiritsa ntchito). Mwachitsanzo, shuga ali ndi index yayikulu ya glycemic, yotsika - mapuloteni, mafuta ochulukirapo.Ndi kutupa kwa kapamba, makamaka pakagwidwa kovuta sikungatheke: zinthu zopangidwa ndi mafuta ofunika, amchere, masamba, ndi zina zambiri, zomwe zimatha kukhumudwitsa dongosolo logaya chakudya. Zakudya ziyenera kukhala zama calorie ochepa (kupewa mafuta ndi chakudya), ndipo kukhalapo kwa mapuloteni kumakwera tsiku lililonse.Zakudya zonse zomwe zimagwiritsidwa ntchito ziyenera kukonzedwa mosamala, makamaka chifukwa cha zipatso ndi ndiwo zamasamba (zimakhala zofewa), ndipo CHIKWANGWANI chazomera chimabisidwa bwino. Idyani nthawi zambiri - osachepera 5-6 pa tsiku m'magawo ang'onoang'ono.Kudya tsiku lonse - nthawi zosachepera 5-6, magawo - ochepa, onetsetsani kuti mukusunga nthawi yayitali. Kukhalapo kwa mchere ndi mavitamini kumatheka chifukwa cha masamba ovomerezeka ndi zakudya.Imwani madzi ambiri (malita awiri a madzi oyera opanda mpweya). Zakudya zoperewera zokha, zakumwa zamchere ndi zosuta, zakudya zamzitini.Zakudya zamchere zochuluka, kusungidwa kosiyanasiyana, zonunkhira, zokazinga ndi zakudya zamafuta ndizoletsedwa. Ndi koletsedwa kudya chakudya ndi kukhalapo kofunikira kwa minofu yolimba, yomwe imawonjezera ntchito ya m'mimba motility. Zomwe mungaphike: kuwira, kuphika, kuwongolera ndi kuwotcha, zakudya yokazinga ndizoletsedwa.Zosintha zamankhwala othandizira kutentha: kuwongolera, kuwira, kuwira, kuphika (wopanda kutumphuka wagolide). Zakudya ziyenera kusambitsidwa mu puree, kapena zinthuzo zimadulidwa mutizidutswa tating'onoting'ono.

Popeza insulin yomwe imayambitsa shuga m'magazi imapangidwa ndi kapamba, gawo limodzi mwa magawo atatu a anthu omwe ali ndi matenda a kapamba am'mimba amapezekanso ndi matenda a shuga. Chofunikira pakuchiritsa bwino ndikumanga chakudya choyenera, kutsatira zakudya za kapamba.

chakudya, chomwe chimakhala ndi masamba ndi zitsamba,
kuphatikiza zipatso zambiri pazakudya,
kuwonjezera mbewu zamphukira, mtedza kumbale,
kuphatikiza pa zakudya zamphesa ndi mbale za nsomba zotsamira, nyama yazakudya,
Chakudya cham'mimba chofunikira kugaya bwino.

Nthawi zomwe wodwala amayenera kudya zakudya zimasiyanasiyana. Amadalira mwachindunji momwe wodwalayo akuonera komanso malingaliro a dokotala. Akatswiri ena amalimbikitsa kuti azikhala ndi thanzi labwino pamoyo wawo wonse. Mu chifuwa chachikulu, izi ndizomveka.

Zotsatira za kuyesedwa kwa wodwala zikutsimikizira kuti wodwalayo wayamba bwino, ndiye kuti dokotala angalole mpumulo. Sikulimbikitsidwa kudzipatulira popanda kudzipatula pa mfundo zachakudya zoyenera.

Kanema wogwirizana: Kodi ndingadye chiyani ndi kapamba?

Matenda ovuta awa amakakamiza munthu kutsatira zakudya zapadera. Choyamba, muyenera kusiya maswiti, ma muffin, mikate yoyera, komanso zakudya zamafuta ndi zokazinga. Zakudya zomwe zimakwiyitsa m'mimba ziyenera kusayikidwa kunja kwa zakudya. Zakudya za kapamba ndi shuga zimapangitsa wodwala kuti asadye:

misuzi ndi zonunkhira zotentha
mayonesi
msuzi wamafuta
masoseji, nyama zotsekemera,
maapulo ndi kabichi, komanso zakudya zina zomwe zimakhala ndi fiber yambiri.

Mtundu wachiwiri wa matenda ashuga, zakudya zamafuta zimayenera kuwerengedwa komanso kudya kwawo ndizochepa. Shuga sayenera kupatula pamenyu kwathunthu.

Pankhani ya matenda a shuga komanso kupezeka kwa kutupa kwa kapamba, zinthu zotsatirazi ziyenera kuphatikizidwa pazosankha za tsiku ndi tsiku za wodwala:

300 g masamba tsiku lililonse,
zipatso zochepa
mafuta mpaka 60 g
zakudya za mapuloteni mpaka 200 g patsiku.

Ndi kusalolera kwa shuga, thupi liyenera kupatsidwa mavitamini onse ofunikira kuti zovuta zomwe zimayenderana ndi matendawa zisamere. Chakudya chimatengedwa nthawi 4-5 patsiku, onetsetsani kuti mumayang'anira zochitika za tsiku ndi tsiku. Izi zimachitika kuti madzi am'mimbamo amatulutsidwa nthawi inayake musanadye.

Zakudya za anthu ziyenera kukhala zabwino komanso zokhala ndi masamba ambiri ophika mu boiler kapena uvuni wowonjezera. Ndi matenda ashuga, msuzi wamasamba, mphodza, anyezi wophika angagwiritsidwe ntchito, ndipo mbatata ndi chimanga ziyenera kukhala zochepa. Ndi zoletsedwa kudya yokazinga m'matendawa.

Njira yopititsira patsogolo

Kutupa mu kapamba kumalepheretsa kutulutsidwa kwa madzi a pancreatic mu duodenum ndikutulutsa kwa insulin m'magazi. Zapezeka kuti kulibe insulin yokwanira m'magazi oyendayenda, ndipo glucose, m'malo mwake, imakhala yochuluka kwambiri, siyingadutse mu minofu ndi ma cell a chiwindi ndikuwonongeka kwa receptors ndipo maselo amapezeka. Zotsatira za kuwonongeka kumeneku, mtundu wachiwiri wa matenda ashuga umayamba, zomwe zikutanthauza kuti pali insulin yokwanira mthupi, koma sazindikira thupi. Vutoli limatchedwa kuperewera kwa abale.

Koma ngati mukukonzekera maselo a pancreatic omwe amapanga insulin, adayamba kuchepa, chifukwa adasinthidwa ndi minyewa yolumikizana ndi adipose, ndiye kuti matenda amtundu wa 1 amayamba. Vutoli limatchedwa kulephera kotheratu.

Koma sikuti milandu yonse ya kapamba imatha ndi matenda ashuga, komanso matenda a shuga ndi kapamba. Monga mukudziwa, kupsinjika kwa matenda aliwonse kungathe kupewedwa. Ndikofunikira kwambiri kudya bwino, ndipo izi ndizokwanira kuchedwetsa kuyambika kwa matenda ashuga, kapena ngakhale kungochotsa kwathunthu.

Chithunzi cha kuchipatala

Pachiyambi chake, munthu amamva kupweteka ululu kumanzere kwa hypochondrium, ndipo amawoneka maora angapo atatha kudya chakudya (inali nthawi iyi kuti chakudya chimalowa mu duodenum ndi madzi a pancreatic ndikofunikira kuti chimbudzi chikhale). M'miyezi yoyamba ya kapamba, zilonda zam'mimba zimasinthidwa ndi kuchepa. Koma ngati munthu sayamba kudya moyenera, ndiye kuti matendawo amatenga matenda osachiritsika.

Wodwalayo amayamba kudwala kutentha kwamtunda, kutsekemera komanso kutsekula m'mimba, chilala sichimalephera. Izi ndichifukwa choti kutupa kumatenga maselo ochulukirapo a chamba, zomwe zimayambitsa kusowa kwa madzi a pancreatic. Chakudya sichingakodole ndipo zizindikiro zomwe zili pamwambazi zimapezeka nthawi zonse. Zakudya zokha ndizomwe zingathandize.

Insulin yotulutsidwa ndi kapamba imachitika ndi mpweya wotupa kwambiri. Pamene pancreatitis ikupita, maselo ochulukirapo a kapamba amasinthidwa ndi minye yolumikizana ndipo kupanga insulin kumachepa. Mwazi umakhala wochepa kwambiri, ndipo glucose, mmalo mwake, umakhala wambiri kuposa wabwinobwino. Pali mtundu 1 wa matenda a shuga olembe (maselo ochepa kapamba) kapena matenda a shuga 2 (zolandila maselo satha kuzindikiranso shuga).

Kuyesa kwa matenda ashuga

Pali njira zosiyanasiyana zowonera momwe thupi laanthu limayendera ndikupeza matenda ashuga kumayambiriro kwa chitukuko chake:

Ulendo kwa katswiri ndi zopereka zamagazi kuti mufufuze kuti mupeze kulolera kwa glucose, kafukufuku wamankhwala am'mwazi amakulolani "kuwona" ngakhale matenda a shuga ochitika kale.
Kudziwa shuga wamagazi ndi glucometer - kachipangizo kakang'ono komwe kali ndi mikwingwirima yapadera mu zida. Magazi pang'ono kuchokera pachala amawaika pamingwe kenako amawapaka. Phunziroli limatenga mphindi zitatu ndipo zotsatira zake zimawonekera pazenera la chipangizocho.
Yesani mizera kuti mupeze kuchuluka kwa shuga mkodzo. Mutha kuzigula pa pharmacy iliyonse. Koma njirayi ili ndi vuto limodzi - imatha kudziwa shuga pokhapokha ngati ilipo yambiri m'magazi.

Etiology ya matenda ashuga

Masiku ano, akatswiri amadziwa kuti matendawa ndi omwe amayamba chifukwa cha chibadwa chake. Amakhulupirira kuti matenda a shuga amabadwa m'njira yayikulu.

Itha kupangitsa kuti:

Mankhwala osokoneza bongo omwe amakhala ndi mafuta komanso michere yambiri,
Intoxication ndi matenda,
Neuropsychic ndi kuvulala kwakuthupi,
Pachimake ndi matenda kapamba
Kunenepa kwambiri
Diffuse toxic goiter, matenda a Itsenko-Cushing, acromegaly ndi matenda ena angapo a endocrine.

Kuphatikiza apo, njira yopanga matenda a shuga imatha kuyamba ndi pancreatic cystosis, pambuyo pancreatectomy, chikuku, chikuku ndi mumps.

Pancreatitis kapena kutupa kwa kapamba - khalidwe

Kutupa kwa pancreatic (pancreatitis) ndi matenda omwe amatha kugawidwa m'magulu awiri: tryptic pancreatitis (kutupa komwe kumadziwika ndi kapamba chifukwa cha activation ya trypsin isanakwane) komanso osagwiritsa ntchito (ofanana ndi kutupa ziwalo zina).

Magulu onse awiriwa atha kukhala ndi koopsa, kudwala komanso kubwereza.

Mtundu 2 kapena matenda ashuga 1, amapita kukawonongeka kwa maselo a beta, omwe amasinthidwa ndi minofu yolumikizana ndi adipose. Nthawi zambiri pamakhala zotupa zakomweko, zomwe zimakhudza maselo omwe amatulutsa timadziti tam'mimba. Chifukwa chake pancreatitis imachitika mu shuga.

Matendawa amayambitsidwa ndi matenda, kutsekereza (kutsekereza) kwa zomwe zapezedwa, ischemia (kusakwanira kwa magazi ndi oksijeni ku minofu), zinthu zakupha ndi kuvulala.

Nthawi zambiri, zimachitika mwa amuna azaka 30-50, komanso zimakhudzanso achinyamata. Mu 50% ya milandu, chifukwa chake kumwa kwakumwa kwauchidakwa kwa nthawi yayitali, mu 30% - matenda am'mimba komanso mu 20% - tikulankhula za necrotic pancreatitis. Kuphatikiza kwa kapamba ndi matenda a shuga, monga tawonetsera kale, ndikwachilendo.

Mtundu wa 2 kapena matenda ashuga 1 amadziwika ndi kukhalapo kwa matenda osakhazikika, chifukwa njira zonse zimapimikiridwa kwambiri.

Tryptic kutupa kwa kapamba nthawi zambiri amakhala m'gulu la matenda owopsa. Amakhudza kwambiri anthu onenepa, azaka zapakati kapena zopitilira, azimayi ambiri, nthawi zambiri chifukwa cha kuperewera kwa zakudya m'thupi (kudya mafuta ambiri) komanso kumwa mowa.

Matenda a kapamba (ofanana ndi mawonekedwe ake owopsa), matenda ena amathanso kuphatikizidwa:

chifuwa chachikulu
malungo ofiira,
chindapusa
matenda a shuga a pancreatitis ndiwofanso.

Zovuta za Pancreatitis

Monga matenda ena ambiri, chibadwa chimagwira ntchito yayikulu pakukula kwa kapamba. Zowopsa zimaphatikizapo chotupa chowopsa cha kapamba (khansa ya kapamba) m'mabanja ena (omwe amapezeka nthawi zambiri mwa amuna). Vuto lachiwiri ndi chotupa cha ziwalo zina zam'mimba (m'mimba, matumbo), zomwe zimayambitsa kulowerera kwa chotupa mu ziphuphu, izi zimatchedwa yachiwiri chotupa cha kapamba.

Kuthandizira kwakukulu pakukhazikitsa mitundu ina ya kutupa kwa kapamba kumapangidwanso ndi mowa, kunenepa kwambiri komanso kusapeza chakudya chamagulu (okwanira m'mafuta).

Chiwopsezo cha pancreatitis chimachulukanso ndimatenda a gallstone, momwe miyala imatha kuchoka mu ndulu ndikutchingira ndulu ya bile.

Gulu lomaliza la zinthu zazikulu zowopsa limayimiriridwa ndi vuto pambuyo povulala kwam'mimba (mwachitsanzo, mu masewera andewu) kapena kukwera mwamphamvu.

Kupewa kwa Pancreatitis

Kupewa kwa kutupa kwa kapamba sikunafotokozedwe. Komabe, m'pofunika:

Pewani kumwa kwambiri
osamadya mafuta ochulukirapo,
dzipangeni zolimbitsa thupi zokwanira.

Ngozi imacheperanso ngati ma gallstones amaletsedwa (kuwongolera kudya kwa cholesterol).

Ngati mukudziwa za vuto la khansa ya kapamba m'mabanja mwanu, onetsetsani kuti mwadziwitsa dokotala, ndikofunikira kudziwa chotupacho panthawi yake (makamaka chifukwa chakuwonongeka kwake mu minofu ya kapamba).

Zizindikiro zake ndi kapamba

Mwa mawonekedwe owopsa, kupweteka kwambiri kumachitika pamimba kumtunda (epigastrium) kapena kumanzere kwapamwamba, koma nthawi zina kumatha kufalikira pamimba ndikuwapatsanso mbali zina za thupi (kumbuyo, phewa, komanso nthawi zina mapewa).

Kupweteka kumayendetsedwa ndi kusanza (komwe, komabe, sikubweretsa mpumulo, kusanza kumakhala ndi zinyalala za chakudya ndi bile) kapena nseru.

Mkhalidwe wa munthu umadziwika ndi kuthamanga kwa mtima (tachycardia), kupuma mwachangu (tachypnea), kutentha thupi, kusiya kuchita zinthu ndi zovuta zamtundu (kuchuluka kwaukali, mantha).

Mitundu yovuta imayendera limodzi ndi kupweteka, komwe kumachitika nthawi ndi nthawi, ndikachedwa kudya. Munthu amachepetsa thupi, makamaka chifukwa cha ululu, kudya kumakhala kochepa, makamaka chifukwa cha madzi osakwanira am'mimba, kumabweretsa chimbudzi cholakwika cha michere. Kuperewera kwa chimbudzi kumayambitsa masinthidwe owoneka pang'onopang'ono, omwe amakhala onunkhira komanso "mafuta" (ali ndi mafuta ochulukirapo).

Chithandizo chimadalira mtundu ndi kuchuluka kwa chitukuko cha munthu kapamba.

Ponena za matenda osachiritsika omwe amakhalapo kwa nthawi yayitali, osawoneka owopsa, kuchipatala sichofunikira. Nthawi zambiri zakudya zamafuta ochepa kwambiri (lipid) ndizomwe zimayikidwa.

Ngati kutupa kuli kwotalikirapo ndipo ma enzymewo sanapangidwe okwanira, mankhwala amathandizidwa kuti apereke thupi ndi ma enzyme ofunikira kuti ukugaya. Ngati zowonongeka zazing'onoting'ono za Langerhans (motero, kuchepa kwa insulin, zomwe zimapangitsa kuti shuga azitenga m'maselo), ndikofunikira kulipiritsa kukulitsa shuga mothandizidwa ndi insulin yochita kupanga (kupanga) insulin, pamodzi ndi mankhwala a pancreatitis.

M'mitundu yovuta kwambiri, ndikofunikira kuchitapo kanthu mwachangu, chifukwa ngati zinthu zomwe sizinachitike mwadzidzidzi, mankhwalawa amatha kuyamba ngakhale kufa kungachitike. Chifukwa chake, kulandira kuchipatala ndikofunikira.Gawo loyamba ndi chithandizo chokhazikika: chithandizo chododometsa, kutengera kuwonongeka kwa kapamba, mankhwala omwe amachepetsa zochitika zake ndi mankhwala a ululu amalembedwa, mothandizidwa ndi njira zothetsera madzi am'madzi, madzi osowa ndi ma ion amathandizidwa.

Ntchito ya chithokomiro

Zikondwererozi zimapezeka m'mphepete mwa msana ndi m'mimba. Ndizotsatira zake zonse zakunja ndi mkati. Monga endocrine England, imagwira ntchito popanga zinthu zofunika kwambiri kwachilengedwe:

glucagon, amene amachulukitsa shuga wamagazi)
insulin, yomwe imachepetsa kuchuluka kwa shuga m'magazi).

Zomwe zimapangidwa m'thupi zimapanga pawiri - somatostatin, yomwe imayang'anira ntchito ya insulin ndi secretion ya glucagon. Zikondwererozi zimathandizanso pakugaya chakudya, ndikupanga madzi apadera ofunikira kuti chimbudzi chikhale.

Madera achilengedwe

Kuopsa kwa chifuwa chachikulu

Mothandizidwa ndi zinthu zina, njira zingapo za matenda zimatha kupezeka m'matumbo. Chimodzi mwazofala kwambiri ndi chifuwa chachikulu cha khansa. Izi zitha kuyamba kwa nthawi yayitali, pomwe kusinthika kosasintha kumachitika m'maselo a gland.

Ngati matenda a kapamba amayamba ndi zovuta, mthupi panthawi yomwe mwazindikira, mutha kuwona kusintha kwina kwa magawo amthupi oyenera ndi maselo amafuta komanso osakanikirana. Chifukwa cha kusinthaku, njira zotsatirazi zimachitika m'thupi la wodwalayo:

Ma enzymes am'mimba samalowa mu duodenum mwathunthu (kukomoka).
Maselo ndi minyewa yathupi limakhala lolekerera (losaganizira) kukwera m'misempha, yomwe nthawi yayitali imasanduka shuga mellitus (intrasecretory dysfunction).

Matenda a shuga omwe amapezeka mwanjira iyi amatchedwa pancreatic kapena chizindikiro, ndiye kuti, ndi zovuta za chifuwa chachikulu. Koma ngati wodwala matenda ashuga nthawi zambiri amakhala ndi zotupa m'matumbo, ndiye kuti anthu omwe ali ndi chifuwa chachikulu amatha kupewa kukula kwa matenda ashuga.

Zosagwirizana ndi shuga komanso chiwindi. Ndi matendawa, kuchuluka kwake kwazowopsa kumadziwika. Pafupifupi sizimayambitsa kupweteka kwa wodwalayo panthawi ya chiwindi ndi matenda a mtundu 2. Koma ndi matenda amtundu 1, chizindikirochi chimatha kudandaula kwambiri. Gland yovulazidwa imatha kutsogolera ku fibrosis, hepatocellular carcinoma, ndi kulephera kwa chiwindi.

Chithandizo cha matenda a shuga a pancreatic

Ndizovuta kwambiri kuchiza kapamba mwa wodwala m'modzi, komanso matenda a shuga. Milandu ngati imeneyi imafunikira kugwiritsa ntchito mankhwala osintha osati kungokulitsa kagayidwe kazakudya, komanso kuwongolera kuperewera kwa enzymatic.

Musanachiritse matenda a shuga a pancreatic, ndikofunikira kuti muchepetse kutupa komwe kumachitika mu kapamba. Wodwalayo adayikidwa ngati akutsikira ndi kuyambitsa mankhwala osokoneza bongo komanso odana ndi kutupa, mankhwala omwe amachepetsa zochitika za pancreatic enzymes. Nthawi zina, kuikidwa kwa antimicrobial othandizira ndikofunikira.

Pa masiku awiri oyambirira a chithandizo, wodwalayo amakakamizidwa kugwiritsa ntchito mankhwala omwe akukakamizidwa - kufa ndi njala. Kuchita izi ndikofunikira kwambiri popewa njira yotupa, poletsa kaphatikizidwe kazakudya zam'mimba. Umu ndi omwe amatchedwa chithandizo chadzidzidzi cha mtundu wamatumbo. Pambuyo pake, chithandizo chimaphatikizanso kugwiritsa ntchito ma peptides komanso zakudya zapadera.

Koma mankhwalawa a kapamba ayenera kupita limodzi ndi mankhwalawa. Chifukwa chake, kuti muchepetse glycemia, yomwe imayambira kumbuyo kwa kutukusira kwa England, wodwala amafunika insulin. Ngati shuga yochepa ya m'magazi imawonedwa, majekeseni a glucagon amafunikira, omwe amathandiza ntchito ya pancreatic.

Zotsatira zabwino zowonjezera pobwera pochiza odwala zimangokhala zothandizidwa ndi wodwala pokhapokha zakudya zapadera:

Zakudya zamafuta, zakudya zokwanira fiber (zipatso zosaphika, ndiwo zamasamba), zopatsa mphamvu zimayenera kuchepetsedwa m'zakudya za wodwalayo.
Kuyambira msuzi wanyama wolemera uyenera kusiyidwa wokonda masamba.
Pazakudya, munthu sangathe kusiyiratu michere ina iliyonse, kupangira mwayi wina. Mwachitsanzo, kumwa kwambiri mapuloteni popanda zakudya zamafuta ndi mafuta (tikukamba za mafuta athanzi) kungakulitse vutoli ndi ziphuphu, ndikuwonjezera mavuto ku impso.
Makamaka mosamala muyenera kuwerengera kuchuluka kwa chakudya chamagulu m'zakudya. Ngakhale insulini imayang'anira kuchuluka kwa shuga m'magazi, pamakhala chiwopsezo cha mkhalidwe momwe wodwala "adzadyetse" mahomoni. Ndiye kuti, kudya mowa wambiri kumafuna insulini yambiri, yomwe ingayambitse kuchuluka kwake.

Maselo ochulukirapo amatha kupangitsa insulin kukana. Kugwiritsa ntchito mankhwala okhala ndi shuga kwambiri kungayambitsenso kulephera kwapancreatic.

Zitsamba zopangira zotsimikiziridwa bwino kwa kapamba pochizira matenda. Ndi thandizo lawo, mutha kuthetsa ululu, kutupa m'mimba ndikuchepetsa kutupa. Kugwiritsa ntchito kwawo mankhwala kuyenera kuonana ndi dokotala.

Zochita Zambiri

Kuchiza kapamba ndi matenda a shuga sikophweka. Tiyenera kukumbukira kuti ndi kutupa kwa chiwalochi, zinthu zomwe sizigwira ntchito sizibwezeretsedwanso ndi chithandizo chamankhwala. Zitachitika izi, dotolo yemwe akupezekapo angalimbikitse wodwalayo njira zotsatirazi zothetsera vutoli:

Njira zochizira Hardware.
Kusinthanitsa chiwalo chonse.
Kusintha kwa magwiridwe antchito a gland (ma islets kapena ma cell a Langerhans).

Pancreatic transplantation mu shuga mellitus kapena magawo ake ogwira ntchito zimathandizira kuti matenda a metabolic asokonezeka chifukwa cha matenda, komanso kupewa kukula kwa zovuta za matenda.

Matenda a shuga

Pankhaniyi, kuchuluka kwa shuga kumatha kubwezeretsedwanso kwina mothandizidwa ndi mapiritsi ochepetsa kapena shuga. Ndikofunikira kuti mupambane kukwaniritsa zomwe mukufuna. Izi kupewa mavuto obwera chifukwa cha kusinthasintha kwa shuga m'magazi.

Glucose ndiye chakudya chachikulu m'thupi la munthu chifukwa chimapereka mphamvu zofunika. Ndipo glucose yekha ndi amene amaphatikiza ndi maselo a muubongo.

Ngati munthu ali ndi matenda ashuga, ndiye kuti glucose amakhala ndi magazi okwanira, ndipo amawona kuti nthawi zonse amafuna kumwa ndi kumwa, nthawi zambiri amathamangira kuchimbudzi kukakodza, thupi lake limatsukidwa kuti litulutsidwe madzi ndipo amachepera madzi pang'ono.

Ndi zovuta ndi dongosolo la endocrine mu matenda ashuga, munthu amakhala wosakhudzidwa ndi zotsatira zoyipa za glucose m'maselo a minofu, ndikutsatiridwa ndikuphwanya kapangidwe ka mitsempha yapang'onopang'ono komanso kuchepa kwa chidwi cha anthu.

Magazi a m'magazi ndi mitsempha yamagazi imakhala ndi kuthamanga kwa magazi; ndizovuta kulowa magazi mkati mwa minyewa, minofu ndi ubongo wa munthu.

Kuphatikiza apo, matenda osiyanasiyana am'mimba amatha kukhala: njira za metabolic zimasokonekera ndipo kunenepa kwambiri kumawonekera, dongosolo lamtima limakhudzidwa, stroke, ischemia, gangrene, etc.

Pancreatitis ndi matenda a shuga a 2

Ndi chifuwa chachikulu cha khansa, mtundu wachiwiri wa matenda ashuga umapezeka 35% ya milandu. Izi ndizowopsa kwa anthu onenepa kwambiri, chifukwa hyperglycemia kwa iwo imakhala "chizolowezi" tsiku lililonse.

Koma chakudya chamagulu, kudya kwakanthawi komanso koyenera pancreatitis kumayambiriro kwa chitukuko kungathandize kupewa chitukuko cha matenda ashuga amtundu wa 2.

Maselo onse amthupi amakhala ndi shuga wambiri m'magazi, chifukwa shuga amawononga pang'onopang'ono mawonekedwe onse, mwakutero amapangitsa njira zosasinthika.

Kugwiritsa ntchito zakudya zamagulu ochulukirapo pang'ono kumachepetsa chiopsezo chokhala ndi matenda a shuga a 2 nthawi zina. Glycemia, yomwe ili pamlingo wabwinobwino, sikhala ndi vuto losokoneza kapamba, ndipo kapamba amayamba kuchepa msanga.

Pancreatitis ndi matenda ashuga - bwanji zimachitika?

Zikondazo zikawonongeka, kagayidwe kake sikangakhale kokwanira ndipo kakasokonekera. Chiwalo chowonongeka chimalephera kuthekera kopatsa mahomoni muyeso yoyenera, ndipo kuchepa kwa insulin m'thupi la munthu kumadziwika kuti ndizowopsa. Chowonadi ndi chakuti insulini imagwira ntchito yofunika - imatsitsa kuchuluka kwa glucose omwe amapanga chifukwa cha kuyanjana kwa chakudya. Kutupa kwa gland kumapangitsa kuti insulini ipangike ndipo shuga ya magazi ayamba kukwera. Izi ndizomwe zimapangitsa kuti matenda ashuga a 2 akhale. Ndipo munthu akadyanso mosayenera, nthawi zambiri amakhala ndi nkhawa komanso amakhala wopanikizika, amayamba kupeza mapaundi, mosadziwa amapanga mikhalidwe yabwino yopanga matenda owonjezera.

Zizindikiro za matendawa

Pancreatitis yomwe imayendetsedwa ndi matenda a shuga imatchedwa matenda a shuga a pancreatic.

Wodwala ali ndi zizindikiro zosiyanasiyana:

Ululu mu kapamba osiyanasiyana kukula, kumayambiriro kwa matendawo, kuchuluka kwachulukane ndi kuchotsedwa (zimachitika, izi zimatha kuposa chaka chimodzi),
Kutentha kwa mtima, kuletsa chovunda,
Kufalikira
Kutsegula m'mimba
Anachepetsa chilako.

Ngati matenda a shuga ayamba, thupi la munthu limagwiritsa ntchito ma antibodies omwe amawononga maselo opanga insulin. Ndi chifuwa chachikulu, matenda a shuga amatsogolera ku hypoglycemia, koma zimachitika pamene maphunziro a insulin amachitika. Microangiopathy (kuwonongeka kwa ziwiya zazing'ono) ndizosowa kwambiri.

Chithandizo cha kapamba kwa matenda ashuga

Kumayambiriro koyamba kwa matenda a shuga a mtundu wachiwiri, kudya zakudya zochepa m'mthupi kumathandizira kuchiritsa, ndiye kuti, ndizokwanira kusintha kadyedwe.

Pancreatitis pachimake mu mtundu 2 matenda amatha kuthandizidwa ndimapiritsi ndi mankhwala ena a shuga. Komabe, ngati matendawa akukula mokwanira ndipo vuto la insulini lili ndi nthawi, ndiye kuti mankhwalawa sangakhale othandiza.

Wodwalayo adzafunika kukhala woleza mtima, popeza chithandizo cha matenda awiriwa chimatenga nthawi yayitali. Dokotala wopezekayo adzakulangizani chithandizo chamankhwala kuti chithandizire kuperewera kwa enzymatic ndi metabolism ya carbohydrate. Adzayenera kumwa mankhwala a mahomoni ndi enzymatic (mwachitsanzo, pancreatin).

Pancreatitis ikulimbikitsidwa kuti ichiritsidwe makamaka ndi zakudya, kuti muchepetse kukula kwa matenda ashuga a 2.

Wodwalayo akuyenera kutsatira zomwe akuchita tsiku ndi tsiku, kupewa kukayikira, kukhala wolimba komanso kutsatira malangizo onse azachipatala.

Zakudya ndi mndandanda woyenera

Odwala matenda ashuga ayenera kutsatira zakudya zoyenera, chifukwa ndicho chitsimikizo chachikulu cha kuchira kwawo. Kudya mafuta ochulukirapo ndiye njira yoyenera yopezera mapaundi owonjezera.

Njira yoyenera yazakudya imaphatikizira:

Kuchepetsa michere yachangu
Kuchepetsa shuga ndi wowuma,
Kukana zonunkhira ndi mbale za zonunkhira,
Kukana zakumwa zoledzeretsa (makamaka mowa),
Kuchepetsa zipatso zokoma
Malire okwanira pazinthu zopangidwa ndi ufa (pasitala, zamapichesi, etc.),
Kukana koloko.

Kuzindikira kwa pancreatogenic shuga mellitus

Kuyendera kwa panthawi yake kwa katswiri, matendawa akadali pachiyambire, kuzindikira koyenera, ndikutsatira mosamalitsa malangizo onse azachipatala, matendawo ndiabwino kwambiri.

Chowonadi ndi chakuti matenda a shuga a pancreatogenic ndi osavuta kuposa mitundu ina yamatendawa. Koma, komabe, mkhalidwe wa wodwala wokhala ndi pancreatitis mu mawonekedwe osatha ndi katundu. Ndipo moyo wabwino uli ndi tanthauzo lalikulu. Chifukwa chake, ndikofunikira kuzindikira komanso kuchiza chomwe chimayambitsa matenda ashuga, osataya nthawi ndikuchotsa matenda oyambanso.

Kodi kulemala m'matenda a shuga kumapereka komanso ndalama zambiri?

Aliyense wodwala matenda ashuga amadziwa kuti zimatenga nthawi yambiri komanso ndalama kuchiritsa matendawa komanso kukhala wathanzi labwino pamlingo woyenera. Penshoni, yomwe imaperekedwa ndi boma kwa anthu omwe ali ndi vuto lotere, imathandizira kubwereza gawo la ndalama zomwe zimawonongedwa. Imalipira mwezi uliwonse. Koma ndani angadalire ndipo amalipira ndalama zingati?

Kuti mulandire penshoni, wodwalayo ayenera kupita kuchipatala, kukafunsira kwa endocrinologist ndikulemala.

Mapenshoni a matenda a shuga amaperekedwa osati kwa anthu okhawo omwe afika zaka zopuma pantchito. Satifiketi ya penshoni ikhoza kuperekedwa kwa munthu akafika zaka 18 zakubadwa, kulumala komanso njira yofunikira ya chithandizo.

Katswiri wazachipatala amaganiza zopatsidwa gulu la olumala la 1, 2 kapena 3, ndipo thumba la penshoni limakhazikitsa kukula kwa penshoni ya olumala.

Koma ngati wodwalayo sanapatsidwe gulu, ngati akukana kulandira chithandizo kuchipatala kapena kukalandira chithandizo chamankhwala, kapena ngati alibe lingaliro pakuzindikiridwa kuti ndi wolumala, ndiye kuti sangakhale ndi penshoni.

Matenda a Pancreatitis

Matenda a shuga ndi kapamba amathandizika ndi matenda am'mimba, kupweteka kwam'mimba komanso kuphwanya kagayidwe kazinthu. Nthawi zambiri, shuga m'magazi amakhala okwera kwambiri. Izi ndichifukwa choti kapamba sangabisike insulin yokwanira, kutsitsa shuga. Matenda a shuga a mtundu woyamba 1 amapezeka.

Ndi matenda a shuga a mtundu 2, kuwonongeka kwa chakudya kumasokonezeka. Pa misala yayikulu ya insulin, maselo samayankha mahomoni. Izi zimapangitsa kuti kapamba azigwira ntchito molimbika. Zotsatira zake, kutupa ndi atrophic pancreatitis kumapita patsogolo.

Chithandizo cha Conservative

Pancreatitis ndi matenda ashuga amapereka mankhwala. Pankhani ya osakwanira pancreatic enzyme ntchito, m`malo mankhwala ndikofunikira. Dokotalayo amasankha Mlingo wa kukonzekera kwa enzyme komwe kumaphwanya mapuloteni, mafuta, komanso kusintha kagayidwe kazakudya.

Anthu odwala matenda ashuga omwe amadalira insulin amapatsidwa jakisoni wa insulin. Kwa odwala omwe ali ndi matenda a shuga a 2, palibe jakisoni omwe amapangidwa. Odwala amatchulidwa mankhwala omwe amachepetsa shuga ya magazi.

Zakudya Zoyambira Pancreatitis ndi Matenda Ovutika

Malamulo oyenera azakudya chamagulu a kapamba amachepetsa kuchuluka kwa zakudya zomwe zimamwa. Ndikofunikira kuwonjezera kuchuluka kwa mapuloteni, kuchepetsa kuchuluka kwa zakudya zosavuta zamafuta ndikuwonjezera kuchuluka kwa zomera ndi nyama. Zakudya zokhala ndi mapuloteni zimathandiza kwambiri matenda a kapamba. Mapuloteni amapezeka muzakudya: nyama, nsomba, soya, zoyera ndi dzira. Mosasamala kanthu za mbiri yakale ya shuga, chakudya chofunikira ndichofunikira. Njirayo imaphatikizapo chakudya 6 patsiku m'magawo osaposa 300 g.

Pazithandizo za kufinya kwamatumbo ndi matenda osachiritsika a kapamba, pali tebulo lapadera la chakudya No. 5p. Kwa odwala matenda ashuga, tebulo nambala 9 limagwiritsidwa ntchito.

Kwa odwala omwe ali ndi kapamba, ndikofunikira kuti musadzitse khungu lanu mwamphamvu, monga zilonda zam'mimba. Nkhani yowonjezera ya hydrochloric acid imayambitsa kupanga gastrin. Hormayo imalimbikitsa kutulutsa kwa kapamba, michere yake yam'mimba ndi insulin. Kuchokera pachakudya amafunika kupatula zakudya zonunkhira komanso acidic, mbale zomwe zayamba kuwaza ndi kusuta. Kuletsedwa kumwa mowa.

Zakudya za zilonda zam'mimba, komanso kapamba, zimaphatikizapo kuphika mbale za banja kapena chithupsa, kupera ndi kutumizira kutentha. Zotsatira zamakina ndi kusintha kwa kutentha kumakhudza kwambiri m'mimba, zimayambitsa kutupa ndi kupanga ma enzymes apamba.

Zinthu zomwe mungathe komanso zomwe simungathe kuchita ndi kapamba ndi matenda ashuga

Zakudya za odwala muzochitika zonsezi zimasankhidwa payekhapayekha, ndi diso kuti zikugwirizana ndi ma pathologies. Zakudya za pancreatitis ndi matenda ashuga zimayeneranso kuganizira zokonda ndi tsankho la zakudya zinazake ndipo nthawi yomweyo zimapangidwira kuti zikwaniritse kusowa kwa michere. Kuperewera kotere kumachitika chifukwa cha kuperewera kwa mapuloteni, mafuta ndi chakudya. Zosinthazo ziyenera kuganizira kuchuluka kwa glucose kulolera kwa thupi.

Ndi matenda ashuga, kuchuluka kwama protein ambiri kumaphatikizidwa muzakudya za odwala. Zakudya zamafuta ambiri zimaphwanya pang'onopang'ono ndipo sizimayambitsa shuga m'magazi, ndipo zimalimbikitsidwa kwa odwala matenda ashuga.

Ndi kuchulukitsa kwa matenda osachiritsika, mpunga, phala, oatmeal ndi semolina samachotsedwa muzakudya. Buckwheat amasankhidwa. Muyenera kusankha buu imvi, ndipo musanadye, ndi yowuma. Mitundu yophika kumene komanso yolemera, makamaka ndi gastritis yotsika acidity, imayambitsa kuwonongeka kwa chakudya chosakola bwino. Izi zimathetsa kuchepa kwa chakudya, zimachulukitsa katundu pa kapamba ndipo zimayambitsa ma spikes m'magazi. Ndi shuga wofatsa komanso matenda apathengo, zimbudzi za mkate ndi bagel zimaloledwa. Zogulitsa izi ndizochepa kwambiri pama calories. Mipira ndi kuyanika ndibwino kuti zilowerere tiyi. Zakudya zoterezi sizimakwiyitsa mucousitsa ndipo zimalemeretsa chakudya cha wodwalayo.

Mu shuga yayikulu, wodwalayo amaletsedwa maswiti ndi zipatso zokoma. Koma ndi shuga wochepa komanso matenda a kapamba, mutha kuphatikiza maswiti ochepa mu chakudya.

Masamba ndi zipatso panthawi yowonjezera matenda ziyenera kuthandizidwa ndi kutentha. Pa chikhululukiro, amaloledwa kudya zosaphika. Zipatso zouma: maapulo, ma plums, ndi zina zotere. Kuphatikiza apo kuti zipatsozi zimathandizira kupanga timadzi ta m'mimba komanso kapamba, kutuluka kwa pancreatitis kumawonjezera kutsekula m'mimba ndipo kumakulitsa njira ya matenda. Pakukhululukidwa kosalekeza, zipatso zouma zimatha kudyedwa pang'ono. Muli kuchuluka kwa ma asidi achilengedwe, mavitamini ndi michere yomwe imathandiza thupi komanso ntchito zake zosintha.

Ndikwabwino kumwa mkaka wa skim ndi mankhwala a mkaka a shuga, amalolezedwanso kapamba. Chifukwa cha amino acid ndi ma enzyme, zinthu zamkaka zimakumbwa mosavuta, ndipo kupezeka kwa mapuloteni, calcium ndi zinthu zina zazing'ono komanso zazikulu kwambiri kumathandizira kukhazikitsa bata ndikuthandizanso ntchito za thupi.

Komanso muzakudya muyenera kuonanso kuchuluka kwa mafuta. Zakudya za kapamba ndi zilonda zimaletsa mafuta kwa nkhumba, ng'ombe zazitali ndi mutton. Ndikwabwino kutengera kukonda nyama (nkhuku, nyama yamwana wamchere) ndi nsomba zamtsinje. Pazakudya, mafuta a masamba ayenera kukhalapo: maolivi, flaxseed ndi ena. Amakhala ndi machitidwe ochiritsa pakubwezeretsa ma cellular, kusintha cholesterol ndi mafuta metabolism.

Chocolate ndi cocoa ndizoletsedwa kwa odwala. Adyo pachaka, anyezi ndi radish ndi pancreatitis amachititsa kupweteka kwambiri komanso kutsegula m'mimba kwambiri ngakhale chikhululukiro chosalekeza.

Chulukitsani kwambiri thanzi la zitsamba ndi zonunkhira zosiyanasiyana. Amakhutitsa thupi ndi ma antioxidants omwe amathandizira kuchotsa poizoni. Koma muyenera kusamala mukamadya masamba ndi kapamba. Mafuta ofunikira ndi ma organic acid amakhumudwitsa mucosa wam'mimba komanso amachititsa kuti pakhale chinsinsi chachikulu cha michere ya kapamba. Chifukwa chake, sorelo, sipinachi ndi saladi zimaphatikizidwa mu matendawa. Ndi chikhululukiro kwanthawi yayitali, wodwalayo amaloledwa kugwiritsa ntchito zitsamba zina kuphika: basil, cilantro, thyme ndi ena. Zabwino kwambiri ndi katsabola, udzu winawake, nthangala zonyamula, fennel ndi parsley wa kapamba. Mlingo watsiku ndi tsiku wa izi zonunkhira amasankhidwa payekha, kutengera kulolera kwazomwe zimapangidwira komanso zovuta zina.

Zonenedweratu Ndi Upangiri Wonse

Kafukufuku wachipatala awonetsa kuti kuti athe kupeza chikhululukiro chokhazikika cha kapamba ndi matenda ashuga, odwala amafunika, choyamba, kudya moyenera. Ndikofunikanso kumwa madzi okwanira. Zimathandizira kugaya chakudya moyenera, zimasinthasintha mchere wamchere ndikuthandizira kuchotsa zinthu zowola kuchokera mthupi.

Zakudya zoyenera komanso mankhwala othandizira amathandizira odwala. Dokotala akufotokozerani zakudya zomwe zimaloledwa chifukwa cha kapamba ndi matenda ashuga, sankhani zakudya ndikupatsani mankhwala. Izi mu 80% ya milandu zimayambitsa kuchotsedwa kwakanthawi.

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