Yogwira pancreatitis mu mwana

Matenda otupa komanso matenda opatsirana nthawi zambiri samayankhidwa ndi thupi. Pambuyo pawo, madokotala nthawi zambiri amazindikira kuti ali ndi vuto la pancreatitis. Mu ana, Zizindikiro za nthendayi zikuwonetsa kuwonongeka kwa chida chachikulu cha kugaya chakudya - kapamba. Komabe, kusamva bwino m'mimba, kupweteka kwa pamimba komanso kutentha kwa mtima sizimangotanthauza kutupa. Mwana akamadandaula za kupweteka, muyenera kuyimbira foni dokotala. Kudzipangitsanso tokha kumatha kubweretsa zovuta za matenda.

Zomwe muyenera kudziwa za matendawa?

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

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

Zomwe zimayambitsa kutupa

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

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

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

Mawonetseredwe oyamba a matendawa

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

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

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

Choyamba thandizo kuukira kwa kapamba

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

Njira Zodziwitsira

Asanayambe chithandizo cha matendawa, wodwalayo ayenera kukayezetsa.

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

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

Mfundo zoyambirira zamankhwala

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

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

Zakudya za pancreatic kutupa

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

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

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

Kodi zakudya zoyenera kugwira pancreatitis ziyenera kukhala chiyani?

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

Chithandizo cha yogwira pancreatitis ndi mankhwala

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

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

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

Kuchiza ndi wowerengeka azitsamba

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

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

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

Njira zopewera

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

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

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

Mwachidule

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

Kodi yogwira pancreatitis ndi chiyani?

Kuti mumvetse zomwe mwana amatenga pancreatitis yogwira, muyenera kumvetsetsa zomwe zimachitika. Chiwalo chosasinthika cha ana chimakhala ndi chitetezo chamthupi chofooka, chifukwa chake chimatha kugwidwa ndi matenda oyambitsidwa ndi kachilombo komanso matenda opatsirana, monga kupuma kwamatenda opatsirana ndi ma virus, matenda opumira pachakudya, kupweteka kwamatumbo, komanso kutupa kwamatumbo. Mwa matenda awa, gawo lapadera limaperekedwa ku njira zomwe zimayambitsa. Inde, kuubwana, njira zakumaso zomwe zimatuluka zimatithandizira kukula kwamatenda athu onse am'mimba thirakiti. Kodi pancreatitis yothandizira ndi chiyani kwa ana?

Pancreatitis, yomwe ili ndi mtundu wa kukhazikika kwachangu kuwonjezera pa zomwe zimayambitsa matendawa, imayambitsa kuperewera kwa vuto la kuperewera kwa m'thupi komanso kupweteka kwadzaoneni. Zinthu izi, zomwe zimakhumudwitsa kapamba ndi chimbudzi, zimayambitsa kutupa m'matumbo a kapamba, zomwe zimapereka gawo pang'ono kapena lathunthu la njira yoperekera ma enzyme ndi chakudya cham'mimba cha duodenum. Zikuchulukirachulukira, zikuluzikulu zamkati zimatuluka, zimasinthira kumayendedwe ndikuyambitsa. Kuyamba kukonza makoma amitsempha yamagazi, ziwalo, minofu yolumikizika.

Maganizo a kutupa ndi chitetezo chofooka cha mwana amayamba kufalikira, kukhudza ziwalo zatsopano, mtsempha wamagazi. Palibe chithandizo cha zomwe zimayambitsa matenda, chitukuko ndi kupezeka kwa peritonitis, necrosis ya minofu ndi ziwalo, zomwe zimayambanso matenda a oncological.

Mankhwalawa yogwira pancreatitis, ambiri kuchiritsa chiwembu ntchito, monga mankhwalawa pachimake kapamba.

Therapy imaphatikizapo ntchito zazikulu:

• kukhazikitsa mosamalitsa miyezo yazakudya pakudya,
• mpumulo wa zizindikiro za yogwira pancreatitis matenda,
• lipereke mankhwala okhala ndi ma enzymes opangidwa ndi kapamba,
• Kuchotsa kwa zomwe zimakwiyitsa ku gland, pogwiritsa ntchito njira zachikhalidwe.
• Mitundu yogwira pancreatitis, malinga ndi ziwerengero, imawonekera kwambiri komanso imapezeka mwa ana ndi achinyamata, omwe amaphatikizidwa ndi kuperewera kwa zakudya m'thupi, poyizoni.

Maonekedwe a pancreatitis yotakasika sikuyenda bwino kwa mwana, limodzi ndi zotupa za zotupa, kutsekeka kwa sphincter.Kuphuka kumeneku kumathandizira kusunthika mu ma dancts a pancreatic madzi, ma enzyme, omwe pambuyo pake amatsogolera ku zovuta zovuta matenda.

Zizindikiro mwa ana omwe ali ndi mafinya a pancreatitis amafunikira kuti aphunzire mosamala ndikuwonetsetsa kuti ali ndi chithandizo chamankhwala. Zizindikiro zazikulu za pancreatitis yogwira mtima ndi:

• kupweteka msomali,
• kusanza, kusanza
• kupweteka kwambiri pamalo apamwamba,
• kutentha kwa thupi kwa mwanayo mpaka 38 * C,
• kutsegula m'mimba ndi zidutswa zotsalira za chakudya,
• utoto wonyezimira pakamwa,
• kamwa yowuma
• kusokonekera kwa mwana,
• ulesi.

Zizindikirozi ndizotsogola zam'mimba mu kapamba.

Ana akamachepera ana, matenda ofooka a pancreatitis amakhala ofooka. Pazizindikiro zoyambirira za matenda a kapamba, pitani kuchipatala mwachangu.

Mwa makanda, chiwonetsero cha yogwira pancreatitis chimayendetsedwa ndi kulira kosalekeza, kutentha thupi. Kusungunula kumatha kuchitika, koma chizindikirochi chimapezeka kwambiri mwa ana okulirapo kuposa zaka zitatu. The symptomatology yoyambira ndi yogwira pancreatitis mwa mwana imafuna kuzindikira kwathunthu ndi chithandizo, komanso kupumula kwa zizindikiro. Nthawi zambiri ndimachulukirachulukira mu kapamba, pancreatopathy yogwira ntchito imachitika. Kodi kudziwika kwa yogwira pancreatopathy mwa mwana kumatanthauza chiyani?

Reactive pancreatopathy ndikuwazindikira komwe kumachitika ngati pakhungu latha kupunduka popanda kutupa. Amatuluka mwachindunji pa gawo la zofunikira za chakudya, chiwonetsero chifukwa cha zovuta za matenda opatsirana, kukomoka kwa chakudya ndikotheka. Reactive pancreatopathy imayambitsa kupindika m'mapapo, zomwe zimayambitsa kusokonezeka kwa gland. Muubwana, umadziwonekera mu zochitika ngati izi:

• kuphwanya malamulo odyetsa,
• kudya mphesa
• kudya nyama
• zonunkhira ndi zokometsera.

Mavutowa amachititsa kuti mwana azikhala ndi mpweya wopanga wambiri, kupweteka m'matumbo, komanso kuperewera kwa ma pancreatic enzyme. Kupweteka kosalekeza kumagogomezera kufunsidwa kwa dokotala wa ana, gastroenterologist.

Komanso, mtundu wina wa matenda a kapamba amayamba - dispancreatism. Matenda omwe adayamba kukhazikika mwa mwana, ana, ma dyspancreatism sasiyananso ndi matenda ena ngati yogwira pancreatopathy kapena pancreatitis yovuta, yomwe imabweretsa zovuta pakudziwikitsa. Chithunzi cha chipatala cha chitukuko cha matenda ndi chimodzi, kupatula kuchepa kwa kutentha ndi kupweteka panthawi ya ma dissancreatism.

Kuzindikira ndi chithandizo

Mawonekedwe ndi zizindikiro zake zimafunikira kuonana mwachangu ndi dokotala, chifukwa pancreatitis yamtundu uliwonse imafuna kuchipatala. Koma choyamba, njira zodziwira matenda zimachitika ndipo kuzindikira ndi zomwe zimayambitsa matenda zimakhazikitsidwa. Mndandanda wa mayeso ofunikira a kapamba:

• kuyesa kwamwazi wamagazi,
• Ultrasound yam'mimba,
• komanso, kuti muzindikire matendawa, makina owerengera a ziwalo zamkati ndi omwe adayikidwa.

Zimachitika kuti mosamala kwambiri, kusintha sikuchitika, choncho muyenera kulumikizana ndi oncologist yemwe akupatseni kuwunikira kowonjezerapo - biopsy.

Kuzindikira ndi kuzindikira kwa yogwira pancreatitis mwa ana kumafunika kugwiritsa ntchito malamulo azakudya pakudya zakudya komanso mankhwala. Mankhwalawa, kugwiritsa ntchito mankhwala mosavuta kumawonedwa: maantibayotiki, othandizira okhala ndi ma enzymes, mavitamini. Njira ndi kagwiritsidwe kazomwe amagwiritsa ntchito zimasankhidwa ndi dokotala, kutengera zotsatira za mayesowo.

Chithandizo cha mankhwala opangidwa ndi:

• mpumulo wa zowawa,
• kuthandiza pantchito yogaya chakudya,
• kuchotsa kwa poizoni ndi zinthu zovulaza m'thupi,
• kukonza chitetezo chathupi.

Mu chigawo chimodzi cha kumwa mankhwala, zakudya zamafuta zimayikidwa.

Kupewa

Ndi yogwira pancreatitis ana, kupewa kumayamba ndi kugwiritsa ntchito moyenera zakudya komanso zakudya. Panthawi ya kudya, ndizoletsedwa kudya kuchuluka kwakukulu mu chakudya chimodzi. Ndikofunika kuti muphwanye phwando kakhumi ndi kawiri pa tsiku patsiku laling'ono.

Akuluakulu amafunikira kusintha pang'onopang'ono kadyedwe kake ndikuchotsa zinthu zovulaza zomwe zimakhala ndi mitundu yokumba ndi zowonjezera, ndikuzisintha ndi zipatso zabwino zomwe zimakhala ndi mavitamini.

Ngati mukukayikira kuti pali vuto m'matumbo, funsani dokotala, zomwe zingapangitse kuti muchepetse njira zothana ndi vuto lanu ngati matendawo apezeka.

Malinga ndi Dr. Komarovsky, ndi kutupa kwa kapamba, kapamba wothandiza mu ana ndiye kuyenera kwa makolo. Kupatula kwathunthu matenda ndi mawonekedwe a zovuta zomwe zingachitike, tsatirani zakudya zoyenera komanso zopatsa thanzi.

Mfundo za zakudya zopatsa thanzi

Lamulo lalikulu mankhwalawo ndi zakudya zoyenera za kapamba:

• Kuchotsera kwa zotupa za pancreatic ku zakudya,
• kuphika kumaphika, kuphika,
• Zakudya zonse zimakhala ndi mankhwala a mushy (grated),
• kuchepetsa kudya zamafuta ambiri komanso chakudya chamafuta,
• kuchuluka kwa chakudya mpaka nthawi 6-7 patsiku, m'magawo ang'onoang'ono.

Mu tsiku loyamba pambuyo kuukira kwa kapamba, kudziletsa kwathunthu ndikulimbikitsidwa kwa masiku atatu kudya. Munthawi imeneyi, amaloledwa kutenga decoctions a rose m'chiuno, chamomile, mchere wamadzi popanda mpweya.

Mukangodutsa poyandikira kufalikira kwa pancreatitis ndi njala, mutha kuyamba kugwiritsa ntchito zakudya, zakudya.

Zakudya zoyenera za kapamba zimathandizira kubwezeretsa kapamba ndikuthamangitsanso kuchira.

Mavuto

Matendawa amafunika kuwunika pa nthawi yake komanso kuyambitsa chithandizo. Njira yokhayo yopewera kukula kwa zoyambitsa matenda. M'mabanja ambiri, zizindikiritso zoyambirira zoyambirira sizinyalanyazidwa ndipo zimadziwika chifukwa cha zomwe mwana amakonda.

Chifukwa chake, matendawa amakhala osagwirizana kwambiri, omwe amayambitsa zovuta zina zaumoyo.

Ma pancreatic enzymes opangidwa amakhala ndi insulin, yomwe imaphwanya shuga. Ngati palibe gawo lochulukirapo la shuga m'magawo am'mimba, zomwe zimayambitsa matenda a shuga.

Njira yonyalanyaza ya kapamba imanyamula nayo chiwonetsero cha necrosis cha minofu ndi ziwalo, zomwe zimayambitsa: peritonitis, khansa, kutupa kwa purulent.

Pali matenda ophatikizika: matenda osachiritsika a chiwindi, matenda amitsempha, omwe amakhumudwitsa mawonekedwe a chiwindi B, C.

Ndikofunika kwambiri kupatsidwa chithandizo chamankhwala a ana omwe ali ndi vuto la pancreatitis munthawi yake, zomwe zidzateteza thanzi la mwana.

Ndani ali pachiwopsezo?

Matenda a pancreatitis pawokha sangathe kudziwika kuti ndi vuto loopsa, komabe, ngati chithandizo chake sichinayambike munthawi yake, matendawa amayenda moipa kwambiri. Reactive pancreatitis ndi chizindikiro choyamba chakuti munthu akudya kwambiri.

Monga lamulo, amuna amadwala matenda amtundu wa kapamba chifukwa chosasamala zakudya ndi kumwa zakumwa zoledzeretsa. Izi zimapangitsa kupanikizika kwa ndulu ndi duodenum. Zotsatira zake, kutuluka kwa msuzi wa pancreatic kuyimitsidwa ndikuyambitsa matendawa kumayamba. Kuphatikiza apo, pancreatitis yogwira ntchito imatha kukhala chiwonetsero cha matenda aliwonse omwe alipo:

• zilonda zam'mimba
• matenda a chiwindi,
• virus hepatitis
• gastritis
• matenda a ndulu
• cholecystitis.

Matendawa amatha kumenyedwa ndikulandidwa, komwe kumapangitsa kuti minofu ituluke. Zikatero, ma enzyme am'mimba amasiya kulowa mu duodenum, zomwe zimapangitsa kuti minofu iwonongeke komanso kudzipukusa pamimba, zizindikiro pano ndizowala kwambiri.

Nthawi zina, kukula kwa yogwira pancreatitis kungayambitse kugwiritsa ntchito mankhwala pafupipafupi:

Pancreatitis amathanso kuyambitsa kukula kwa matenda ashuga, chifukwa ndiye kapamba amene ali chiwalo chomwe chimayang'anira kupangika kwa insulin. Ngati zisonyezo zikuwonetsa kutukusira kwa England, ndiye kuti zosagwira ntchito zimayang'aniridwa mu ntchito yake, kuchuluka kwa shuga kumayamba kutsika ndipo potero kumayambitsa kuyambika kwa matenda ashuga mwa akulu ndi ana.

Zizindikiro za pancreatitis yogwira

Ngati tikulankhula za zodziwika, ndiye kuti matendawa akuwoneka ndi nthiti zolimba mokwanira, kulimbira kusanza ndi hiccups. Zizindikiro zowawa zimatha kuchitika pafupipafupi komanso mwamphamvu, koma izi sizingakhale chifukwa chotenga okhawo opweteka.

Kuphatikiza apo, zimatha kupweteka m'malo osiyanasiyana, chifukwa chakuti mbali zambiri za ndulu zimayatsidwa. Ngati pansi pake pakukhudzidwa, ndiye kuti kusakhudzika kumamveka pansi pa nthiti yakumanja, ngati thupi la gland, ndiye pansi pa scapula. Kutupa kwa khosi la ndulu kumadziwika ndi ululu pansi pa nthiti yakumanzere. Ngati ndi pancreatic necrosis, ndiye kuti zizindikirozo zidzakhala zowoneka bwino, ndipo zotsatira zake sizikhala zabwino.

Pali zisonyezo zina zakukula kwa matendawo. Zizindikiro zotere zimaphatikizira kuchepa kwamphamvu kwa chakudya, kudana ndi chakudya, ndipo pamakhalanso kugona kosafunikira, phokoso, kutsokomola mwamphamvu, komwe kumawonetsedwa mwa akulu ndi ana.

Ngati tikulankhula za ana, ndiye kuti matendawa nthawi zambiri amayenda ndi matenda otsekula m'mimba, kutentha thupi komanso kusowa kudya.

Momwe mungadziwire matendawa?

Ndikosavuta kuzindikira matendawa chifukwa pamafunika njira zingapo zachipatala:

• mumayesedwa ndi ultrasound ya m'mimba,
• perekani mkodzo pakuwunika kambiri,
• pereka magazi kuti muwunike ndikuwonetsa zamankhwala,
• chitani gastroscopy
• pitani pamakompyuta owerengera.

Iliyonse mwanjira izi ndizofunikira komanso zofunikira kudziwa mtundu wa kuwonongeka kwa thupi. Kuyesedwa kwa magazi kukuwonetsa kuchuluka kwa leukocytes, chifukwa pamaso pancreatitis yogwira, msambo wawo udzakulitsidwa kwambiri. Biochemistry imatha kudziwa milingo ya amylase, yomwe ingathandize kuti adziwe matenda ake omaliza.

Pambuyo popereka njira yovomerezeka ya gastroscopy, adotolo azitha kupeza zotsatira za biopsy, zomwe zikufotokozeranso chithunzi chonse cha matendawa. Gastroscopy iwonetsa kukula kwa kutupa kwa minyewa ya m'matumbo ndi m'mimba. Kuyesa kwa Ultrasound pamimba kumathandizira kudziwa kusintha kwamankhwala komanso kuchuluka kwa kupatuka kwawo kuzungulira ponse ponse. Kuyesa mkhalidwe wa chamoyo chonsecho kumachitika pogwiritsa ntchito njira yopangidwa ndi anthu.

Rease pancreatitis, ngakhale siyowopsa, imafunikira chithandizo mosalephera. Kuphatikiza apo, ndikulimbikitsidwa kuwunikira nthawi zonse zaumoyo wawo, komanso kutsatira zakudya zapadera. Kudzipatsa nokha mankhwala kungakhale chifukwa chachikulu chosinthira matendawa kukhala m'gulu la matenda osachiritsika.

Nthawi zina, pancreatitis yogwira imaphatikizanso kuchipatala komwe kumachitika kwa akulu ndi ana omwe. Ngati kudwala kudwala, ndiye kuti kwa masiku 4 ali kuchipatala amathandizira. Kuchiza panthawiyi kumaphatikizaponso njira yothira madzi a mchere osagwiritsa ntchito mpweya, komanso kugwiritsa ntchito poyatsira kuzizira pamimba.

Kuti muchotse matenda omwe akulu ndi ana ali nawo, ndikofunikira kuchita njira zosiyanasiyana zochiritsira kuti akhazikike bwino m'mimba ndi thirakiti lonse. Chithandizo cha pancreatitis cha mankhwalawa chimayamba ndi ma dropper, ma pinkiller ndi mankhwala okodzetsa omwe amachepetsa kutupa. Kuphatikiza apo, adotolo amafotokozera mankhwala kuti athetse chinsinsi cha madzi a pancreatic.

Dokotala amatikakamiza kuti muzikhala ndi zakudya zapamwamba tsiku lonse komanso chakudya chokhazikika chomwe simungapewe. Idzakhala ndi kuthetseratu kwathunthu kwa zakudya zolemera kuchokera pa menyu: zotsekemera, zokazinga, zamchere, zamafuta, ndizosuta, komanso kupatula zakumwa zoledzeretsa. Kuchuluka kwa zakudya za tsiku ndi tsiku kumayenera kukhala kumadzimadzi.

Ngati pancreatitis yachilendo imapezeka mwa ana, mwachitsanzo, ndiye kuti njira zoterezi zimathandizira. Mankhwala onse amapangidwa potengera zaka za wodwala aliyense komanso kuopsa kwa matendawa. Ndi kuchulukitsa kwa yogwira pancreatitis, kugwiritsa ntchito mankhwala otere ndikulimbikitsidwa:

Kuphatikiza pa mankhwala, chithandizo chimaphatikizapo kudya kwapadera kwamtundu womwe umalimbikitsa akulu.

Pali mankhwala omwe amathandizira ndulu ya bile ndi akulu omwe ndi ana. Amatha kupititsa patsogolo ntchito zawo, komanso kukhazikitsa ntchito ya duodenum. Ndi njira yosakanikirana pochiza matendawa, mabakiteriya amoyo angalimbikitsidwe kuti athandize kusintha kwa microflora yam'mimba.

Amayambitsa yogwira pancreatitis ana

Mosiyana ndi akuluakulu, ana amatha kuyankha matenda ndikutupa chifukwa chophwanya kapamba.

Zomwe zimayambitsa kwambiri pancreatitis yogwira ana ndi:

• kuphwanya zakudya kwambiri,
• kudya pafupipafupi zakudya zamafuta ndi zotsekemera, zakudya zopezeka ndizosungirako komanso utoto,
• Chithandizo cha anti-antiotic,
• pafupipafupi SARS, chimfine, chimfine,
• kubwereza kachilombo ka helminths,
• kusokoneza (chakudya kapena mankhwala),
• kobadwa nako matenda am'mimba, kumathandizira kukulitsa kutupa kwa kapamba,
• kupsinjika, kutengeka mtima.

Zochita zachipatala zimawonetsa kuti zoyambitsa zazikulu za yogwira pancreatitis mwa ana zimakhudzana ndi zakudya. Mwachidziwikire, kuphwanya kwa boma lake, kuyambitsa zinthu zovulaza m'zakudya, komanso kukonda zakudya zopanda pake.

Zinthu zomwe zitha kupangitsa kuti ana azitulutsa pancreatitis:

• Zakudya zokazinga (zonse zamasamba ndi batala),
• zakudya zamafuta
• ankasuta nyama
• zokometsera zokometsera
• chakudya chofulumira (ma hambur, tchipisi, ma frie achi french, ogwetsa),
• maswiti okhala ndi utoto, zina zowonjezera,
• zakumwa zoziziritsa kukhosi
• phukusi laphikidwa.

Chithandizo cha yogwira pancreatitis ana

Kuzindikira matendawa kumachitika pogwiritsa ntchito kuyezetsa magazi (zamankhwala am'mwazi) ndi ultrasound yam'mimba. Ngati matendawa adatsimikizika moyenera, ndiye kuti mankhwalawa amathandizira pancreatitis ana ali ndi mfundo zofanana ndi chithandizo cha matenda omwe ali pachimake.

Njira yochizira pancreatitis yotakasika imaphatikizapo zakudya ndi zovuta za mankhwala. Ikhoza kukhala maantibayotiki, ma enzyme, ma antihistamines - adotolo ayenera kudziwa mitundu yoyenera ya mankhwala.

Chofunikira pa mankhwalawa yogwira pancreatitis mwa ana ndi chakudya. Mfundo zomwe zimapatsa thanzi pankhani ya matenda zimaphatikizapo:

• kusiyanitsidwa kwa zonse zomwe zingakwiyitsidwe muzakudya za ana kuti mutsimikizire kuti zikutsitsa ziphuphu,
• kuyambitsa kwa zinthu zopangika kapena zophika - zimalimbikitsidwa kuti zizitengedwa munthawi yofunda komanso yapamwamba,
• kukhalabe ndi mphamvu ya chakudya - ndikofunikira kuchepetsa mapuloteni m'malo mwa mafuta ndi chakudya,
• chakudya chamagulu ndi pafupipafupi - zakudya zitatu patsiku ndi yogwira pancreatitis imaphatikizidwa. M'malo mwake, muyenera kutsatira dongosolo la chakudya cha 5-6 patsiku mosapitirira maola 4.

Dokotala angalimbikitse kugwiritsa ntchito tsiku loyamba la chithandizo pakusala kwachipatala, komwe kumalola kugwiritsa ntchito madzi amamineral okha popanda mpweya.Ndipo tsiku lotsatila mutha kuyambitsa nkhuku yopepuka kapena msuzi wa kalulu, chimanga, masamba ophika osankhidwa (kupatula kabichi, nyemba, radish ndi radish), tchizi chochepa mafuta, mazira osenda.

Chithandizo cha mankhwala osokoneza bongo kwa ana omwe ali ndi mafinya a pancreatitis ndi:

• kuthetsa kupweteka
• kusintha kwa chakudya cham'mimba,
• kulengeza
• ngati kuli kotheka - kuchotsa mawonekedwe a ziwengo,
• onjezani kukana kwa thupi (Vitamini mankhwala).

Gawo lofunika kwambiri pa matenda a pancreatitis yotakasika ndimatenda a kugaya chakudya. Pachifukwa ichi, Creon® yamakono imagwiritsidwa ntchito. Zimakwanira chifukwa cha kuchepa kwa michere ya kapamba ndipo zimathandizira kuti chakudya chikhale bwino. Chifukwa cha mbiri yotetezeka kwambiri, Creon® imatha kupatsidwa kwa ana kuyambira pobadwa, komabe, izi zitha kuchitidwa mogwirizana ndi malingaliro a mwana wakhanda.

Chofunikira kwambiri pakupewa pancreatitis yogwira mtima ndikutsatira mfundo za thanzi labwino. Makolo ayenera kusinthidwa mwadongosolo, koma mosalekeza kusintha zokonda za mwana, pozindikira kuti ndizokoma komanso zowopsa - iyi ndi gawo ku matenda a kapamba ndi matenda osachiritsika.

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

RUCRE172469 kuyambira 07/13/2017

1. Zotsatira zamankhwala pa gastroenterology ndi hepatology. / Adasinthidwa ndi Kalinin A.B., Khazanova A.I. M: Nyumba Yosindikiza N.I. Burdenko. - 2002.

2. Loginov A.C., Sadokov V.M., Vinokurova L.V. et al. Sandostatin chithandizo kwa odwala omwe ali ndi chifuwa chachikulu. // Ross. Zhurn. Gastroenterol. Hepatol. 1994. - Na. 3.

3. Pennin V.A. Pisarevsky G.N. Kuzindikira matenda apachimbudzi. Opaleshoni. 1993. - Ayi. 12.

4. TarasenkoC., Nazarov A.M., Chevychalova E.V. ndi kusanthula kwina komwe kumathandizira komanso zomwe zimayambitsa kufa kwa odwala omwe ali ndi mitundu yosiyanasiyana ya kapamba .... Kupitilira kwa msonkhano wachiwiri wa sayansi-wothandizila madokotala a dera lankhondo la Volga-Ural "Nkhani zenizeni zokhudzana ndi zida zankhondo komanso zothandiza." - Orenburg, 2001. - C 85-88.

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

6. Boger M.M. Njira zofufuzira za kapamba. -Novosibirsk. 1982.

7. Velichenko V.M. Pachimake kapamba mu kuyesera ndi chipatala. Minsk: Belarus. 1971.

8. Malangizo ogwiritsira ntchito mankhwala a Creon® 10000 kuyambira 05/11/2018