Yogwira pancreatitis ana

Pachimake kapamba ndi pachimake yotupa ndi zowononga za kapamba zimayenderana ndi kutsegula kwa michere ya kapamba mkati mwa tiziwalo tokha ndi enzymatic toxemia. Pancreatitis yachilengedwe imakhala yochepa kwambiri kwa ana kuposa akuluakulu.

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Kodi chimayambitsa pancreatitis pachimake mwa ana ndi chiyani?

Zomwe zimayambitsa pancreatitis yovuta kwambiri kwa ana ndi iyi:

1. matenda (mumps, virus hepatitis, enterovirus, Coxsackie B, nthomba, herpes, chimfine, pseudotuberculosis, kamwazi, salmonellosis, sepsis),
2. kuvulala kwapancreatic chifukwa chomenya kwambiri m'mimba,
3. Matenda okhala ndi chotchinga komanso kuchuluka kwa ma pancreatic ducts (papillitis, choledocholithiasis, cyst kapena kukakamiza kwa wamba bile duct, duodenostasis ndi duodenopancreatic Reflux, kutsekeka kwa duodenal nipple ndi ozungulira, opisthorchiasis, fascioliasis, clonorchiasis),
4. hepatobiliary matenda (gallstone, cholecystitis)
5. hypercalcemia (hyperparathyroidism kapena hypervitaminosis D),
6. poizoni (poyizoni ndi lead, mercury, arsenic, phosphorous) ndi kuwonongeka kwa mankhwala (azathioprine, hypothiazide, furosemide, metronidazole, tetracyclines, sulfonamides, milingo yayikulu ya glucocorticoids)

Kugwiritsa ntchito mafuta ochulukirapo, zakudya yokazinga kumatha kukhala chinthu chowonjezera chomwe chikuchititsa chiwonetsero cha matenda motsutsana ndi zifukwa zina zapamwambazi. 25% ya ana omwe ali ndi pancreatitis yovuta kwambiri, etiology sangakhazikike.

The pathogenesis of pancreatitis pachimake

Tizilombo ta pancreatic tikawonongeka, timadzi tomwe timatulutsa timayamba, timatulutsa timadzi tomwe timayambitsa ma enzymes (trypsinogen) omwe amawononga gland. Chifukwa cha kuchuluka kwa magazi a zinthu zofunika kuchita, kuvuta kwakanthawi ndi ma cellcirculatory kumayamba, kugwa ndikotheka.

Zizindikiro za pancreatitis pachimake mwa ana

Mu ana, interstitial pachimake kapamba makamaka amapezeka.

Madandaulo akulu ndi iye kupweteka kwam'mimba:

• mwamphamvu, pobowola, limodzi ndi kumva kuwawa, kusyasyalika ndi kuyamwa,
• odziwika mu epigastrium kapena navel,
• Nthawi zambiri kuwala kwake kumanzere kwa hypochondrium, dera lumbar lamanzere.

Kusinthana ndikotheka, komwe nthawi zina kumabwerezedwanso. Kutentha kwa thupi kumakhala kwabwinobwino kapena kochepera.

Pakufufuza, dziwani:

• kufooka kwa nkhope,
• tachycardia, chizolowezi cha hypotension,
• Mimba imatha kutupira pang'ono, nthawi zina minyewa ya epigastrium imawululidwa.

Zizindikiro zabwino ndi Mayo-Robson, Frenkel, Bergman ndi Kalk, omwe amatsimikizidwa ndi kupweteka kosalekeza mkati mwa palpation yayikulu m'malo a Shoffar, pamalo a Mayo-Robson ndi Kach. Monga kuwonjezeka ululu pambuyo palpation pamimba.

Poyesedwa m'magazi, pakhoza kukhala pang'ono leukocytosis, neutrophilia, nthawi zina kuwonjezeka pang'ono kwa ALT, hypoglycemia. Hyperfermentemia (kuchuluka kwa amylase, lipase, ndi trypsin) yokhala ndi pancreatitis yapakati ndi yochepa komanso yochepa.

Pancreatitis yowononga pachimake mwa ana sichofunikira.

• kupweteka kwambiri kosalekeza kumanzere kwachikhalidwe,
• kusanza kosamveka
• matenda a hemodynamic: nkhawa, kugwa,
• mafuta necrosis yotheka ya mafuta onunkhira pamimba, nthawi zambiri kumaso ndi miyendo. Pakhoza kukhala ma ecchymoses, zotupa za hemorrhagic, jaundice,
• kutentha kwa thupi subfebrile kapena febrile.

Pa kuyang'aniridwa chidziwitso:

• kukoka kumachitika pafupipafupi, kudzazidwa kofooka, kowonjezera hypotension,
• pamimba ndi kutupa, kovuta, kakhalidwe kakang'ono ndikovuta chifukwa chovuta kwa khoma lamkati lakumbuyo.

Mu kuyesedwa kwa magazi - kutchulidwa kwa neutrophilic leukocytosis, kuchuluka kwa ESR, thrombocytopenia. Hyperfermentemia nthawi zambiri imatchulidwa komanso kulimbikira.

Pancreatic necrosis ikhoza kubala zovuta.

• koyambirira - mantha, chiwindi, kulephera kwa impso, DIC, magazi, matenda a shuga,
• mochedwa - pancreatic pseudocysts, abscesses ndi phlegmon wa kapamba, fistulas, peritonitis.

Zomwe zimayambitsa kufa mu mitundu yayikulu ya pancreatitis pachimake ndi kugwedezeka, magazi, purititititis.

Kodi pancreatitis yothandizira ndi chiyani kwa ana?

Pancreatitis pachimake kapena chachilendo kwa ana adakali aang'ono sichimachitika, kupatula milandu ya kubadwa kwa matenda am'mimba kapena kuvulala kwam'mimba. Pancreatitis ndimatenda a akulu omwe akhala ndi moyo wopanda thanzi kwa zaka: sanadye bwino, kumwa mowa, kumwa mankhwala ambiri, kusuntha pang'ono ndikudya kwambiri.

The yogwira pancreatitis mu mwana ndi yotupa ndondomeko yotupa ndi zina zam'thupi zochitika mu thupi. Nthawi yomweyo, kapamba ndi gawo lathanzi ndipo, mutachotsa zomwe zimayambitsa, mutha kuiwala za zovuta nazo.

• matenda (chimfine, tonsillitis, pertussis, rotavirus, wamba SARS) zimatha kuyambitsa matenda,
• opisthorchiasis ndi giardiasis - matenda a parasitic,
• kumwa mankhwala, mwachitsanzo, maantibayotiki amphamvu,
• poyizoni
• kobadwa nako matenda a ndulu (osowa kwambiri)
• kuvulala kwam'mimba kwambiri
• kuperewera kwa zakudya m'thupi ndi kudya kwambiri kwa nthawi yayitali.

Zizindikiro za pancreatitis yotakasika ana

Dokotala amatha kukayikira yogwira pancreatitis mwa mwana pamaziko a zisonyezo:

• kupweteka pamimba yapamwamba (imapereka kumbuyo kapena lamba),
• kuchuluka kosasunthika kwa kutentha kwa thupi (m'dera 37 37,5,5 ° C),
• general malaise
• kusanza, kusanza,
• makina otayirira amtundu wopepuka,
• kukana chakudya
• kuteteza khungu,
• kamwa yowuma
• lilime lophimbidwa ndi zokutira zoyera.

Zizindikiro zazikulu za pancreatitis yogwira ana imawonekera atakula. Ana nthawi zambiri amakhala alibe mphamvu yofotokozera momveka bwino zomwe zimayambitsa nkhawa, makolo ayenera kusamala ndipo ngati pali ululu wamimba womwe ukupitilira limodzi ndi zomwe zikufotokozedwazo, pezani kuchipatala. Asanapimidwe ndikuzindikira, ndikulimbikitsidwa kuti muchepetse kuchuluka kwa chakudya chomwe mumadya, kuti mutsimikizire mtendere kwa wodwalayo. Kuti muchepetse kupweteka, ndizovomerezeka kuyikira ayezi pamimba.

Mavuto a yogwira pancreatitis

The yogwira pancreatitis ana ndikofunikira kuzindikira koyamba. Kenako, kuchotsa zomwe zimayambitsa matendawo ndikuchita zofunika, ndikotheka kupewa zotsatira zoyipa zaumoyo. Nthawi zambiri, zizindikiro zoyambirira za matendawa zimangonyalanyazidwa ndipo zimawonekera chifukwa cha kusangalala kwa mwana. Kutupa kumakhala kosakhazikika ndipo kumayambitsa zovuta. Zotsatira za kapamba ndizovuta, zimafuna chithandizo cha nthawi yake komanso kuwongolera.

Zikondamoyo, kuphatikiza ma enzyme, zimatulutsa insulini, ngati dipatimenti yopanga mahomoni ikukhudzidwa, chiwopsezo cha matenda a shuga chikuwonjezeka. Pancreatitis yothamanga ikuwopseza kuti ikhale pancreatic necrosis (kufa kwa maselo apakhungu), kutupa kosaneneka, kumayambitsa zilonda zam'mimba za m'mimba.

Kusintha kwachilengedwe m'misempha kumayambitsa mapangidwe a cysts ndi zotupa za khansa. Zotsatira zakupweteka kwambiri komanso kuledzera ndikuchita mantha - chisokonezo chazomwe thupi limachita. Pafupipafupi anzawo a kapamba ndi zotupa za chiwindi ndi matenda a mtima. Kutuluka kwa magazi mkati.

Kuzindikira ndi chithandizo

Kuzindikiritsa ndi kuchiza kwa yogwira pancreatitis mwa ana ikuchitika ndi gastroenterologist. Pambuyo poyankhulana ndi wodwala ndi makolo kuti atenge chidziwitso chofunikira (zakudya, matenda am'mbuyomu, kumwa mankhwala, kuopsa kwa zizindikiro, nthawi komanso kutsatira kwake), wodwala wachinyamata amawunikiridwa. The pallor of the khungu ndi mucous nembanemba, kuyera loyera pa lilime, tachycardia, kutsika kwa magazi, kupweteka pakukhazikika kwa m'mimba pamimba kumakhala chitsimikiziro cha matenda a pancreatitis yogwira ntchito.

Pambuyo pa kufufuza, mayeso a labotale amaperekedwa:

• kusanthula kwa magazi ndi mkodzo,
• kuyesa kwamwazi wamagazi,
• kuwunikira
• Ultrasound yam'mimba.

Musaiwale kuti pancreatitis yogwira ntchito mwa ana ndi matenda achiwiri, choyambirira chimayenera kupeza chomwe chimayambitsa ndi kuthetsa zomwe zimapangitsa. Ana omwe ali ndi vutoli amapititsidwa kuchipatala kuti ayang'anire matendawa ndikuwunika kusintha kwa thanzi la wodwalayo.

Chida chachikulu chothandizira pancreatitis chikhalirebe zakudya zomwe adokotala amapita malinga ndi gawo ndi kuopsa kwa matendawa. Masiku awiri kapena atatu oyamba ndikulimbikitsidwa kukana kudya. Kenako chiwalo chowonongeka chimaperekedwa ndimtendere komanso kupumula. Chifukwa chaichi, kukonzekera kwa enzymatic kumayikidwa, kupangidwira kuyamwa kwa mapuloteni ndi chakudya. Ndikofunikira kudziwa kuti kugwiritsa ntchito mankhwalawa kwakanthawi kumabweretsa kuchepa kwa kapangidwe ka madzi a pancreatic, ndipo kapamba amasiya kugwira ntchito!

Pothandizira kupweteka, antispasmodics ndi analgesics amagwiritsidwa ntchito. Chizindikiro chachikulu chakuchira ndi kufooka kapena kusowa kwathunthu kwa ululu.

Mfundo za zakudya zopatsa thanzi

1. Zomwe zimayambitsa ngozi yayikulu ndi kuperewera kwa zakudya m'thupi - kuchuluka kwamafuta, zakudya zamchere komanso zonunkhira (chakudya chofulumira) muzakudya.
2. Kugwiritsa ntchito zakumwa zoziziritsa kukhosi, zomwe, kuphatikiza kuwonjezera kuchuluka kwa m'mimba, zimakhudza makoma a duodenum ndikuti zimayambitsa kuponyedwa pazomwe zimayikidwa m'matumbo a pancreatic, zimawonetsedwa molakwika mu dongosolo logaya chakudya. Chifukwa cha izi, kutsegulira kwa ma enzyme kudzachitika osafika komwe akupitako, ndikuyamba njira yogaya timimba ta chiwalo chathanzi.
3. M'pofunikanso kuti muzisamalira ma size. Kuvutitsa magazi sikovomerezeka. Pofuna kupewa zovuta zam'mimba, simuyenera kukakamiza mwana kuti adye ngati akana.
4. Zakudya zamagetsi zomwe zimachitika pafupipafupi ndi mdani woipa wazomwe zimagwira ntchito m'mimba.
5. Makongoletsedwe azakudya, mankhwala osungira komanso zowonjezera zonunkhira sayenera kuperekedwa pakudya kwa mwana nthawi iliyonse yomwe zingatheke.

Kupewa yogwira pancreatitis

Pofuna kupewa kufinya, makolo amafunika kuyang'anira ana awo, kupereka chithandizo choyenera komanso chanthawi yake matenda opatsirana, kukhazikitsa malamulo a moyo wathanzi, kuonetsetsa kuti kudya zakudya zabwino, osagwiritsa ntchito mankhwala osokoneza bongo, koma osanyalanyaza kufunika kogwiritsa ntchito, kuyeserera mayeso komanso katemera molingana ndi kalendala yachipatala. Magengenital endgenital omwe angayambitse kukula kwa yogwira pancreatitis amachotsedwa kapena amayang'aniridwa ndi achipatala mosalekeza. Mukangoyamba kudwala mwa mwana, pitani kuchipatala msanga.

Rease pancreatitis imatha kuvulaza thanzi ndi moyo wa mwana ngati simutenga matendawa mozama komanso osalabadira kupewa. Chifukwa chake, onse makolo ndi ana ayenera kuphunzira mfundo za kadyedwe koyenera ndikusamalira thupi lawo, komanso kudziwa zizindikiro ndi chithandizo cha matendawa ngati akadalimbana nawo.

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu:

Kodi zimayambitsa matendawa?

Nthendayi ndi yotupa m'mimba. Ngati matenda amtunduwu apezeka, ndikofunika kuyang'aniridwa ndi achipatala.

Mpaka pano, matendawa amapezeka mwa ana nthawi zambiri, ngakhale m'mbuyomu ziwonetserozi sizinawoneke.

Masiku ano, chakudya cha mwana chimakhala ndi zakudya momwe mumakhala zosungirako zambiri komanso zowonjezera.

Ndikofunika kuunikira zifukwa zazikulu zomwe kufalikira kwamatendawa kumayambira:

• Kuperewera kwa zakudya m'thupi - Ichi ndi chimodzi mwa zifukwa zofala kwambiri. Zitha kuphatikizira kusintha kwakuthwa m'zakudya, kudyetsa ana kosayenera, kugwiritsa ntchito molakwika zinthu zomwe zimakhala ndi vuto kapamba.
• Matendazomwe zimapezeka mthupi la mwana zimatha kuyambitsa matenda.
• Matenda a parasiticchomwe ana amadwala nawo nthawi zambiri chimayambitsa matenda,
• Kumwa mankhwalamonga maantibayotiki,
• Zotheka njira zothandizira kubereka komanso ntchito zamaguluzomwe zimayambitsidwa ndi kupanda ungwiro pakugwira ntchito kwa gland. Pewani kukula kwa zovuta kungakhale chakudya chamagulu kapena opaleshoni,
• Zovala zikondamoyozingayambitse kutupa. Kupatula apo, kuwonongeka kwa chiwalo kungayambitse kutupira kapena kupasuka kwa chiwalo,
• Komanso zilipo poyizoni wa mankhwala. Fomu yovuta kwambiri yomwe ingayambitse zovuta. Ndikofunika kusunga mankhwala apanyumba kutali ndi ana,
• Matenda a Biliary imatha kupezeka pa ultrasound mwana akadandaula chifukwa cha mseru, kusanza ndi kupweteka pamimba,
• Vitamini D Kuchuluka kwa vutoli, ngakhale kugwiritsidwa ntchito kwa vitaminiyu kwa mwana, izi zimatha kuyambitsa ziwopsezo.

Zizindikiro zake ndi chithandizo chake zimawonedwa payekha ndi dokotala wopita. Inde, matenda ambiri ali ndi zizindikiro zofananira ndipo ndikofunikira kuchititsa maphunziro a labotale ndi zamankhwala kuti muzindikire moyenera.

Zizindikiro mwa ana

Kuwoneka kwa zizindikiro za yogwira pancreatitis sikukuyenda bwino kwa mwana. Zimaphatikizidwa ndi kutupa kwamatumbo.

Zizindikiro za pancreatitis yogwira ana amafunikira kuti aphunzire mosamala ndi kuwazindikira moyenera kuti athandizidwe.

Mwa ana, izi matendawa amawonekera motere:

• Kupweteka kwa msomali
• Kugunda miseru komanso kusanza
• Zowawa kwambiri mutagona
• Kutentha kumakwera mpaka madigiri 38,
• Matenda akulu am'mimba
• Chovala chofiyira palirime,
• Pakamwa pakamwa
• Mchitidwe wamanjenje wamwana umasokonezeka.

Zofunika! Zizindikiro mu ana aang'ono sizitchulidwa choncho, muyenera kuwayang'anira mosamala ndikuwonetsetsa kuti matendawa ali munthawi yake.

Pancreatitis imatha kupezeka m'mwana wakhanda chifukwa cha kulira kosalekeza komanso kutentha thupi. Nthawi zina, kusanza kumatha kuchitika, koma nthawi zambiri kumachitika mwa ana okulirapo kuposa zaka zitatu. Ngati mwana wapezeka ndi matendawa, ndiye kuti ndi bwino kusiya kaye zizindikirazo, kenako ndi mankhwala omwe amayankhidwa.

Kodi yogwira pancreatitis imachiritsidwa bwanji?

Chithandizo cha yogwira pancreatitis ana ayenera kukhala ndi kugwiritsa ntchito mankhwala. Mankhwala oti agwiritsidwe ntchito ngati mankhwala ikhoza kugawidwa m'magulu angapo:

1. Ophera, womwe uyenera kuthandizidwa pa nthawi yake kuti aletse kuukira ndikuletsa ululu.
2. Pofuna kukonza dongosolo logaya chakudya, sankhani Kukonzekera kwa enzyme. Mu gawoli, amagawika m'magulu angapo. Zokonzekera zomwe zimaphatikizapo ma enzymes ndipo zimakhala ndi bile. Uwu ndi mtundu wothandizirana nawo, motero samalamulidwa kuti agwiritse ntchito kwa nthawi yayitali.

Thandizo! Kusintha momwe mankhwalawa amathandizira, madokotala amalimbikitsa kugwiritsa ntchito ma antacid omwe amathandizira kuchepetsa acidity.

Makolo ena amakonda kulumikiza njira zachikhalidwe za anthu ndi chithandizo, koma musaiwale kuti zinthu zina zimayambitsa vuto, chifukwa musanagwiritse ntchito, muyenera kufunsa dokotala.

Jelly yachifumu ndiye njira yodziwika kwambiri yothandizira kapamba kwa ana.. Mutha kumugwiritsa ntchito ngati mwana sakonda uchi.

Kutalika kwa mankhwalawa kuyenera kukhala miyezi iwiri kapena itatu, motero ndikofunikira kutenga nthawi yayifupi yopuma patsiku. Ndikulimbikitsidwa kuti muzimwera supuni katatu patsiku, osameza nthawi yomweyo, koma sungunulani.

Muthanso kuphika zopangidwa kvass kuchokera ku celandine. Kuti muchite izi, muyenera malita atatu a Whey kapena madzi omveka. Madziwo amathiridwa m'chiwiya, ndipo kirimu wowawasa ndi shuga amawonjezeredwa. Udzu wa Celandine umathiridwa mu thumba la gauze lomwe lakonzedwa bwino ndikuviika mumtsuko wamadzi kapena Whey. Masiku angapo oyambilira, kvass iyenera kusunthidwa, ndipo pa 10th iyenera kuyamba kuchita thovu.

Zambiri! Ndikofunika kukumbukira chinthu chachikulu kuti chithandizo chikuyenera kuchitika kokha kuchipatala, moyang'aniridwa ndi dokotala.

Zakudya zoyenera

Zakudya za yogwira pancreatitis ana - Ichi ndiye chithandizo chachikulu chomwe chimayenera kutsatiridwa ndi makolo mukamayamba chithandizo. Akatswiri amalimbikitsa masiku angapo pambuyo pa kuukira kuti azisamalira njala ndikumwa madzi okha osakhala ndi kaboni. Kenako yambambani pobweretsa zinthu zingapo, zowongoka.

Zotsatirazi zitha kusiyanitsidwa Yaikulu malamulo mankhwalawa kapamba:

• ndizofunika osapanga kapamba, kupatula zonse zoyipa zakumwa kwaana. Chakudya chomwe chimaphika kapena kuwotchera chimayenera kudulidwa ndikugaya ndikuthira. Ana osaposa zaka zitatu amalangizidwa kuti azipukuta chakudya nthawi zonse chikhululukiro,
• ayenera kutero kukhalabe ndi mphamvu komanso kupatsa thanzi chakudya chosankhidwa. Mwana akapezeka ndi kapamba, palibe chifukwa choti apange menyu yemwe azikhala ndi zinthu za protein. Akatswiri amalimbikitsa kusiyanitsa makinawo ndikuphatikiza mavitamini ndi michere yonse yofunikira, chifukwa mwana ayenera kukula ndikukula. Ndikofunika kufunsa dokotala ndikusankha mankhwala abwino,
• ndizofunika tsatirani malamulo a zakudya zabwino, osati monga mwachizolowezi chakudya cham'mawa, nkhomaliro, chakudya chamadzulo, koma kangapo ka 5-6 patsiku. Palibe chifukwa chokonzera mipata yayikulu pakati pa chakudya, mwana amafunika kuperekedwa nthawi zambiri, koma pang'ono ndi pang'ono.

Ngati mwana amadwala kwambiri, ndiye kuti ndikofunikira kupatula chakudya kwa masiku angapo, ndimangomwa madzi okha osakhala ndi kaboni. Kenako, thupi likapuma ndikuchira, mutha kuphatikiza oatmeal ndi tiyi muzakudya, koma popanda shuga.

Pakatha masiku ochepa, mutha kudya chinthu chachikulu si buledi ndi mkaka watsopano wopanda mafuta ambiri. Pang'onopang'ono muphatikize zogulitsa nyama.

Nyamayo iyenera kuphikidwa yophika kapena, ngati ili yotsekera nyama, ndiye kuti iyenera kukhala yopanda mphamvu. Masamba ndi zipatso, ndizothandiza kwa thupi, koma pambuyo povutitsidwa zimayenera kuperekedwa mosamala, koma ndibwino kungodikirira kwathunthu.

Thandizo! Mndandanda wathunthu wa mbale wololedwa uyenera kutsimikiziridwa payekha ndi dokotala.

Kodi matenda a pancreatitis a ana ndi chiyani?

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

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

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

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

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

Zimayambitsa kapamba mu ana:

• matenda a ndulu. Pakati pa 10% ndi 30% ya ana omwe ali ndi pancreatitis amatha kudwala ma gallstones. Kuthana ndi vutoli kungathandize kubwezeretsanso zachilengedwe pancreatic,
• matenda a polyorganic. Makumi makumi awiri ndi atatu a milandu ya pancreatitis pachimake amayamba ndi zochitika zomwe zimakhudza ziwalo zingapo kapena ziwalo zingapo, monga sepsis, hemolytic-uremic syndrome, kapena systemic lupus erythematosus,
• matenda kagayidwe. Matenda a metabolism angayambitse 2 - 7% ya milandu yovuta kwambiri ya kapamba. Ichi ndi vuto la kagayidwe kachakudya kwa ana omwe ali ndi milingo yambiri ya lipids kapena calcium m'magazi:
• matenda. Acute pancreatitis nthawi zina amapezeka ngati mwana ali ndi matenda. Komabe, ndizovuta kukhazikitsa ubale wolunjika pakati pa zinthu ziwiri izi. Matenda ena opatsirana omwe amaphatikizidwa ndi pancreatitis akuphatikizapo mumps, rubella, cytomegalovirus, kachilombo ka chitetezo cha mthupi, adenovirus ndi Coxsackie virus group B,
• anomomical anomalies. Kusokonezeka kwakapangidwe ka kapamba kapena kapangidwe ka biliary kungayambitse kapamba,
• kapamba amatha chifukwa cha mankhwala. Mankhwala akukhulupirira kuti amayambitsa gawo limodzi mwa magawo anayi a matenda a kapamba. Sizikudziwika chifukwa chake mankhwala ena amatha kuyambitsa pancreatitis. Chimodzi mwazinthu zakuti ana omwe amathandizidwa ndi mankhwalawa ali ndi zovuta zina zowonjezera zomwe zimawapangitsa kuti apange pancreatitis,
• kapamba nthawi zina amayamba chifukwa chatsoka. Kuvulala kwa kapamba kumayambitsa pancreatitis pachimake. Zowonongeka zamakina zimatha kuchitika pangozi yagalimoto, pamasewera, pakugwa, kapena chifukwa chazunza ana,
• Pancreatitis ndi cholowa, zomwe zikutanthauza kuti idafalikira ndi kholo limodzi kapena onse. Izi ndichifukwa cha cystic fibrosis, masinthidwe amtundu omwe amapezeka mwa mwana, koma osati mwa makolo.
• pamapeto pake, pali chiwerengero chachikulu cha matenda a kapamba pomwe chifukwa chake sichikudziwika. Izi zimatchedwa idiopathic pancreatitis.

Pachimake kapamba

Mawonekedwe owopsa a kapamba ndi kutupa kowopsa komwe kumakhala kwakanthawi kochepa. Njira ya matendawa - kuchokera pa kusapeza bwino mpaka matenda akulu, owopsa. Ana ambiri omwe ali ndi vuto linalake lamatendawa amachira pambuyo poti alandire chithandizo choyenera. Woopsa milandu, pachimake mawonekedwe kumabweretsa magazi mu chiwalo, kuwonongeka kwambiri minofu, matenda ndi mapangidwe a cysts. Pancreatitis yayikulu imayambitsa ziwalo zina zofunika (mtima, mapapu, impso).

Nthawi zina, kugwidwa mobwerezabwereza kwa kapamba am'mimba kumayambitsa matenda omwe angayambitse nthawi yayitali kupweteka kwa kapamba.

Pachimake kapamba mu ana nthawi zambiri amadutsa mwachangu, pasanathe sabata limodzi. Koma ndikofunikira kuti muwone zizindikirozo pasadakhale ndikufunsira katswiri kuti muchepetse zovuta.

Chizindikiro chodziwika bwino cha pancreatitis yayikulu ndi kupweteka kwambiri pamimba. Ululuwu nthawi zambiri umakhala wolimba kuposa momwe zimakhalira colic. Imatha kukhala yosasinthasintha, itatha, itatha kudya. Nthawi yomweyo zimakhala zovuta kuti mwana akhale wowongoka.

Zizindikiro zina za kapamba mu ana:

• wotupa, m'mimba modekha
• ululu uli kumbuyo
• nseru
• kusanza
• kusowa kwa chakudya
• kutentha kwambiri
• zokonda mtima.

Chithandizo cha pachimake kapamba mu ana

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

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

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

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

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

Matenda a kapamba

Matenda a kapamba kwambiri mwa ana ndi kutupa kwa kapamba. Pokhapokha pazowonongeka zomwe zimachitika ndi pancreatitis yovuta pachaka, kutupa m'magulu ena a ana otengeka mosavuta kumapitilirabe ndipo kumapangitsa kuwonongeka kwampangidwe ndi kapangidwe ka kapamba. Zachilengedwe komanso zachilengedwe zimayambitsa vuto la kapamba.

Mkhalidwe wamatendawa umapitilira kwakanthawi ndipo umawononga pang'onopang'ono kapangidwe ka kapamba. Mwachitsanzo, itha kusiya kutulutsa insulin. Zotsatira zake, mwana amakula shuga. Matenda a kapamba am'mimba amathandizanso kuti achepetse thupi chifukwa chimbudzi.

• ana nthawi zambiri amakhala ndi zizindikiro ndi zofanana ndi zomwe zimayambitsidwa ndi pancreatitis yayikulu. Uku ndikumva ululu wam'mimba, kuwonjezereka mutatha kudya, zochitika zomwe zimabwerezedwa mobwerezabwereza,
• Chizindikiro china chodziwika ndi kuchepa thupi. Gawo la chifukwa chake ndikuti mwana sangathe kudya. Nthawi zina, ana amapewera chakudya chifukwa chimachulukitsa Zizindikiro zopweteka. Nthawi zina kapamba angayambitse kuchepa kwa chakudya, komwe kumayambitsa kuchepa thupi.

Zizindikiro zina za matenda phatikizani:

• nseru
• kusanza (kusanza kumatha kukhala kwachikaso, kubiriwira kapena kuyera chifukwa cha zosafunikira za bile),
• kutsekula m'mimba ndi mafuta oyikira,
• chimbudzi,
• khungu lachikaso
• pamakhala kupweteka kumbuyo kapena phewa lakumanzere.

Zomwe zimayambitsa matendawa

Pancreatitis mwa mwana imayamba chifukwa cha zovuta zoyipa za michere yake papancreas. Chiwalochi chimayamba kudzimbidwa chokha, minyewa, ndowa, ndi ziwiya zowonongeka.

Njira zimatha kuyambitsa zifukwa:

• kubadwa kwatsopano kwa dongosolo la chimbudzi,
• kuvulala kwam'mimba
• Zakudya zopanda pake, zopanda thanzi (kupezeka kwakanthawi muzakudya za shuga, mafuta, chakudya mwachangu, zakumwa zozizilitsa kukhosi ndi zakudya zina zopanda pake),
• poyizoni wazakudya,
• matenda a ziwalo zina, mwachitsanzo, ndulu ndi matumbo,
• matenda opatsirana
• thupi lanu siligwirizana ndi chakudya kapena mankhwala,
• kufupika kwa lactose,
• kumwa mankhwala.

Malinga ndi ziwerengero zachipatala, ngakhale atapanga njira zodziwitsa, mu 20% ya milandu sikotheka kukhazikitsa zoyambitsa za matendawa.

Mitundu ya kapamba ndi zizindikiritso zake

Kutengera ndi chithunzi cha matendawa mu ana, pali mitundu itatu yayikulu ya kapamba:

Zizindikiro ndi chithandizo cha mitundu iyi ya matendawa ali ndi mawonekedwe wamba komanso osiyana kwambiri. Tiyeni tiwone bwinobwino.

M'magawo oyamba, kapamba amayamba popanda chizindikiro. Mu nthawi yovuta kwambiri, mitundu yosiyanasiyana imawonetsedwa ndi zizindikiro zofanana, zimasiyana mu mphamvu yowonetsera komanso kuwopsa kwa zotsatira. Makolo sayenera kudziyimira pawokha, kupereka mankhwala kwa mwana, izi sizovomerezeka komanso zowopsa. Koma achikulire ayenera kudziwa zomwe zimawadalira popita kuchipatala.

Mpaka zaka zitatu, zizindikiro za pancreatitis mwa ana sizimawoneka bwino monga okalamba. Ngati mwana ali wocheperako ndipo sangathe kunena m'mawu zomwe zikuvutitsa, mawonekedwe a mwana ayenera kuwachenjezedwa. Chizindikiro ndi m'mimba wamagazi, khoma lam'mimba pamtunda, kakhalidwe: mwana ali ndi nkhawa, akulira, akukana kudya, safuna kusewera.

Reactive pancreatitis ndi zizindikiro zake

Reactive pancreatitis ndi mtundu wapadera wa matendawa omwe amachitika monga kuyankha kwa kapamba kuti ayambe kutukuka mthupi. Malinga ndi ziwerengero, matenda amtunduwu amapezeka makamaka mwa ana, chifukwa thupi la mwana limadziwika ndi zambiri. Mwa ana mpaka chaka chimodzi, kukulitsa kwa mtundu wowonetsedwa wa kapamba kumatheka ngati mwana wapatsidwa chakudya cholemera kwambiri chausinkhu wake - nyama yambiri ndi nsomba, madzi a mphesa.

Zizindikiro za mawonekedwe:

• mwana wamva kupweteka msomali:
• kupindika pafupipafupi, kutentha kwa mtima,
• mwana akudandaula chifukwa cha kumva kupsinjika pamimba, kuchulukana,
• kuphwanya chopondapo kumachitika.

Zizindikiro zofotokozedwira ana zimapezekanso ndi matenda ena (gastritis, colitis, dysbiosis), motero makolo pazinthu zotere ayenera kulumikizana ndi dokotala wa ana kapena gastroenterologist. Dokotala amafufuza ndipo asankha momwe angamuthandizire mwana.

Kuzindikira matendawa

Pankhani ya zodziwikiratu zomwe zafotokozedwa mwa mwana, makolowo ayenera kufunsa dokotala kuti awalangize. Ngati zizindikiro za chifuwa chachikulu chikuchitika, itanani ambulansi nthawi yomweyo. Kufunafuna chithandizo chamankhwala kwa panthawi yake kumapereka mwayi kwa madotolo kuti athe kuchiritsa mwana, ndikuchedwa, kusintha kosasinthika kwalembedwa.

Paphwando, dokotala amafunsa mafunso kuti atenge anamnesis, kumuyesa mooneka, kutsitsa pamimba, ndikumutumiza kukayezetsa ndi mayeso ena. Nthawi zambiri zotchulidwa:

• kuyezetsa magazi (zamankhwala, zamankhwala am'mwazi),
• urinalysis kwa amylase,
• ultrasound ndi MRI ya kapamba ndi m'mimba,
• radiology pogwiritsa ntchito wothandizira,
• coprogram (kusanthula kuti mupeze kuchuluka kwa michere yogaya chakudya).

Kutengera ndi zomwe zapezeka, kuwunika koyenera kumapangidwa, njira ya chithandizo cha munthu imapangidwa.

Chithandizo cha algorithm

Pancreatitis ndi matenda omwe amafunikira chithandizo chovuta. Monga lamulo, mulinso magawo anayi.

1. Wodwalayo adapangidwa kuti apumule pakama, kugona ndi njala kumayikidwa masiku oyamba kutuluka, amaloledwa kumwa madzi ofunda okha, osakhala a carbonated (chakudya chikuchitika). Pambuyo pofulumira, zakudya zopatsa thanzi zimaloledwa. Zakudya zomwe zimagwiritsidwa ntchito pochepetsa kutulutsa kwa kapamba.
2. Glucose imalowetsedwa kudzera m'mitsempha, mankhwala ena monga akuwonetsera.
3. Kuti athetse ululu wammbuyo, spasmalgetics amalembera, kuyika kuzizira m'mimba.
4. Kukonzekera kwa antisecretory ndi enzyme kumagwiritsidwa ntchito kuti apangitse kugwira ntchito kwabwinobwino kwa kapamba.

Woopsa, dokotala amakupatsani mankhwala opangira antihistamines, maantibayotiki ndi mankhwala ena. Ngati, pogwiritsa ntchito njira zolembera, sizotheka kuchiritsa khansa ya m'mimba mwa mwana, lingaliro limachitika pa opareshoni.

Zambiri za zakudya za kapamba

Pakupita masabata awiri pambuyo povulazidwa, mwana akulimbikitsidwa kutsatira zakudya zapadera. Mukasala kudya, zakudya zopatsa thanzi ziyenera kukhala zochepa monga zingatheke. M'masiku oyambilira, phala la buckwheat kapena oatmeal yophika pamadzi limaloledwa, ndiye owononga, mafuta amkaka, zakudya zamafuta zimawonjezeredwa pamenyu. Pakapita kanthawi, amaloledwa kuyambitsa nyama ndi nsomba kuti zizidya.

Chakudya chimayenera kukhala chofewa kapena kuwiritsa m'madzi, kuphika, kuthira kutentha.Amaloledwa kudya m'magawo ang'onoang'ono, m'tsogolo, zakudya za mwana zimakhalabe zosagwirizana.

Pambuyo pa masabata awiri, wodwalayo adalembedwabe zakudya zamankhwala (zakudya zapadera zamankhwala No. 5), zomwe zimaletsa kudya zonunkhira, mchere, wokazinga, mafuta, osuta, zotsekemera, ma muffin, zakumwa zoziziritsa kukhosi, zopangidwa ndi utoto wa mankhwala ndi zina.

Pankhani ya pancreatitis pachimake mu ana, atamaliza kulandira chithandizo kuchipatala, zakudya zopatsa thanzi zimakhalabe zodyera (nthawi yomweyo zimasiyanasiyana komanso zowoneka bwino) kwa miyezi isanu ndi umodzi. Mothandizidwa ndi adokotala, kuwonjezera pa chithandizo chachikulu, mankhwala azikhalidwe amagwiritsidwa ntchito pochiza kapamba (herbal decoctions and infusions).

Akamaliza kuthandizira kuchipatala, mwanayo amalembetsa ndi dokotala wazaka zisanu. Pazaka izi, njira zowumitsa, kutikita minofu, kuyendera malo azachipatala komanso njira zopewera ndi madzi amchere ndizothandiza.

Malangizo apakati pa makolo

Tsoka ilo, zomwe zimafotokozedwa za kapamba mwa ana nthawi zambiri zimalankhula za mkhalidwe wosasamala wa makolo pakudya kwa mwana yemwe, chifukwa cha msinkhu, amadya zomwe zimaperekedwa kapena kuloledwa. Zizolowezi zoyenera kudya, zopangidwa kuyambira paubwana, zimakhala chinsinsi cha thanzi labwino, thanzi, zimatenga gawo lofunikira pakukula kwamaganiza kwa mwana.

Kuti mupewe matenda oopsa, pamafunika kupatsa mkwiyo mwana kuyambira ali mwana, osamupatsa mankhwala popanda mankhwala a dokotala, sankhani zakudya zathanzi ndi zaka.

Ngati makolo adazindikira woyamba matendawa, musazengereze kupita kwa dokotala. Pancreatitis ya ana imachiritsidwa bwino ngati akufuna thandizo la panthawi yake, kutsatira mosamalitsa chithandizo chamankhwala moyenera pakumupitilira zakudya zina.

Pancreatitis ndimatenda a kapamba, omwe amathanso kukhala mtundu wa kuyankha kwa thupi kuzinthu zomwe zimachitika mmalo mwake, nthawi zambiri zimakhala zosavomerezeka.

The yogwira mawonekedwe a matendawa ndi yotupa yomwe imachitika ndi zotupa zina zotupa m'mimba thirakiti. M'zaka zaposachedwa, mafupipafupi amtunduwu wa kapamba awonjezereka kwambiri, makamaka kwa ana.

Tilankhulanso za chifukwa chomwe khansa yotupa imayambira mwa mwana, momwe mungachitire moyenera komanso kuopsa kwa matendawa.

Mawu ochepa okhudza pancreatitis yogwira ntchito

Kuchita pancreatitis mu ana ndi kowopsa!

Monga taonera pamwambapa, kapamba ndi kutupa wamba kwa kapamba. Mukukula ndi nthawi ya matendawa, chiwalo chimasiya kugwira ntchito moyenera ndipo, chifukwa chake, chimagwira ntchito zofunika kwambiri kwa thupi.

Njira yogwiritsira ntchito ya matenda amisempha imasiyana ndi ena pokhapokha chifukwa imayamba chifukwa chokhazikika, mwachitsanzo, chifukwa cha kutukusira kumodzi kwamatumbo amthupi (nthawi zambiri zimachitika chifukwa cha kutukusira kwa m'mimba thirakiti).

Pancreatitis mu mapangidwe aliwonse ndiwowopsa matenda ndipo amadziwika kuti ndiwofalitsa kwambiri chifukwa cha kapamba. Matendawa amapezeka chimodzimodzi kwa ana ndi akulu, koma pagulu loyamba la odwala ndi olimba kwambiri, koposa zonse, owopsa.

Chowonadi ndi chakuti kutupa kwa pancreatic ndikuphwanya kolakwika kwa chakudya ndi ma enzyme. Kutsalira mu chiwalo, chomerachi chimavala zimbudzi zoyipa, pomwe chinyezi chimayamba "kupendekeka" mwamphamvu. Pakakhala popanda zoyenera, mkhalidwe woterewu umatha kuyambitsa mavuto akulu, ngakhale kufa kwa wodwalayo.

M'zaka 10-20 zapitazi, mafupipafupi amilandu yazachipatala omwe amapezeka ndi yogwira pancreatitis adakula kwambiri. Madokotala aluso amati izi zimapangitsa kuti kuchuluka kwa mapulaneti ambiri kudya zakudya zopanda pake, kusokoneza magwiridwe antchito am'mimba. Zotsatira zake nthawi zambiri zimakhala zotupa za kapamba.

Zomwe zimayambitsa matenda awa zimaphatikizapo:

• kuperewera kwa zakudya m'thupi tafotokozazi
• matenda opatsirana aposachedwa
• Mankhwala olimbana ndi mankhwala osokoneza bongo,
• kukhalapo kwa chibadwidwe chakubadwa kwa zinthu,
• matenda opweteka kwambiri kapena am'mimba.

Ndikofunikira kumvetsetsa kuti, nthawi zambiri, chifukwa chimodzi chimapangidwira chimzake, ndipo izi zimawonjezera chiwopsezo cha kutupa. Pofuna kupewa pancreatitis yotakasika mwa mwana, ndikokwanira kuti muchepetse momwe mungathere kuchokera pakuwonekera kwa zomwe zimayambitsa matenda. Mwachilengedwe, ndikofunikira kuyamba ndi kukonza zakudya.

Zizindikiro za matendawa

Yogwira pancreatitis mu mwana

Reactive pancreatitis, chifukwa cha kutsimikizika kwake, imatha kupezeka mwa mawonekedwe owopsa. Zovuta zake, zachidziwikire, zimatha kukhala zovuta za kapamba, koma chifuwa chachikulu chokhacho sichitha.

Mawonetseredwe oyamba a matendawa ndi ofanana kwathunthu kwa iwo omwe ali ndi kukula kwa kutukusira kwa kapamba konse. Nthawi zambiri, mwana amadandaula za:

1. kuchuluka kwa matenda otsekula m'mimba, kupatsa kudzimbidwa kopanda pake,
2. kupweteka m'mimba
3. kamwa yowuma
4. ludzu lalikulu
5. kusowa kwa chakudya
6. general malaise.

Ndi nthawi yamatenda, Zizindikiro zomwe zimafotokozedwazo zimathandizidwa ndi chidwi cha mwana, kuchuluka kwake koopsa komanso kutaya chidwi ndi zonse zomwe zimachitika. M'madera ovuta kwambiri, munthu sayenera kunena kuti kutentha, nseru, kusanza, kupweteka mutu ngakhale kugona.

Mwachiwonekere, zizindikiro zake zamphamvu komanso zowonjezereka zimawonekera - posachedwa amafunika kuchitapo kanthu zoyenera kuchitira matendawa. Kupanda kutero, kuoneka kwa zovuta za yogwira pancreatitis, yoyimiriridwa ndi matenda amphamvu kwambiri komanso pafupipafupi a kapamba, sangapewe.

Zizindikiro za kapamba mwa ana zimayambitsidwa ndi kanema:

Njira zochizira matendawo

Kuyesedwa kwa magazi kukuwonetsa kutukusira kwa thupi

Zinanenedweratu pamwambapa kuti chifukwa cha mawonekedwe ake, kapamba wothandizika ndimatenda owopsa kwambiri. Popeza gawo ili la matenda, titha kunena zofunikira komanso kufunika kochitapo kanthu poyambira chitukuko.

Kuti muchepetse ngozi zonse zomwe zingachitike panthawi yomwe zizindikiro zoyambirira za kapamba zimachitika kwa mwana, ndibwino kuti musazengereze ndikuwonetsa kwa adotolo. Mwina simuyenera kupewa ngakhale kuyitanira ambulansi kunyumba.

Musaiwale kuti pancreatitis yogwira ntchito, monga matenda aliwonse a pancreatic, ndiowopsa kwambiri, chifukwa chake ndikofunikira kuyandikira chithandizo cha matenda ndiudindo woyenera.

Asanakonzekere chithandizo chamatenda, mwana aliyense amapatsidwa mayeso apamwamba komanso okwanira. Nthawi zambiri, zimaphatikizapo:

• Kuyesedwa kwa magazi kosiyanasiyana, komwe kumalipira chidwi chapadera pakuwerenga maselo oyera. Ndi mtundu uliwonse wa kapamba, kuchuluka kwawo kumawonjezeka kwambiri.
• Ultrasound kuwunika kwam'mimba m'thupi (ultrasound), womwe ndi maziko azithandizo zamatenda a kapamba.
• Gastroscopy, yomwe imathandiza kuphatikiza zotsatira zophunzitsika kale kwambiri za ultrasound, zomwe zimapangitsa kukhala bwino komanso mwachangu chithandizo cha matenda omwe alipo.

Monga lamulo, njira zofotokozedwera siziwonjezera chilichonse. Nthawi zina, gastroenterologists amatha kukhala otetezeka, ndikuwonjezera china pamndandanda wa mayeso ofunikira.

Chifukwa chake, tinene kuti - kafukufukuyu wachitika, kufufuza kwatsimikiziridwa: chochita pambuyo pake? Mwachilengedwe, thandizani mwana yemwe akudwala matenda a pancreatitis. Njira yodziwika bwino yochizira matendawa ndi monga:

1. Bungwe logona mwana wogona odwala kwa milungu iwiri.
2. Kukonza makanda.
3. Kulandila kwake kumbali yamankhwala apadera omwe cholinga chake ndi kuthetseratu kutupa m'matumbo ndi zotsatira zake.

Njira zopangira opaleshoni yogwira pancreatitis ndizosowa kwambiri, makamaka kwa odwala ochepa.

Mwambiri, makolo a anawo azindikira kuti "pali china chosayenera" pa nthawi yake ndipo nthawi yomweyo amalumikizana ndi katswiri, yemwe amaletsa kufunika kogwira ntchito moyenera.

Zakudya zamatumbo

Kudya kwambiri chifukwa cha kapamba

Thanzi mankhwalawa yogwira pancreatitis ndipo patapita nthawi ndi chimodzi chofunikira kwambiri pa matenda a matenda. Mwambiri, zakudya za matendawa sizokhazikika ndipo nthawi zambiri zimabwera kuti zithetse zakudya zopanda thanzi m'zakudya.

Mndandanda wamapeto ndi izi:

• mafuta komanso zonunkhira
• ndinayamba kusuta nyama ndi nyama yokazinga,
• chakudya chofulumira
• chokoleti
• cocoa
• odzipereka timadziti
• mitundu yonse ya "zinyalala" zam'maso (mayonesi, ketchup, kirieshki, tchipisi, ndi zina),
• zakumwa zoziziritsa kukhosi ndi zakudya zina zomwe zimakhala ndi utoto, mankhwala osungirako.

Pochotsa kapena kuletsa kwambiri kumwa izi mwa zinthu ndi mwana, makolo ayeneranso:

1. Nthawi zambiri, perekani chakudya kwa mwana mu mawonekedwe owiritsa, otenthedwa pa kutentha kwapadera.
2. Tsatirani mfundo za m'zakudya za ana: 20% protein, 30% mafuta (ambiri athanzi) ndi 50% chakudya.
3. Dyetsani pang'ono pang'onopang'ono pakati pa chakudya (moyenera - maola 3-4).

Mwachilengedwe, sitikunena za kuchuluka kwa zakudya zamasamba abwino, zipatso, zipatso ndi zitsamba. Makolo a mwana yemwe ali ndi vuto la pancreatitis ayenera kuchita zinthu monga kuvomerezedwa, osati kwa chithandizo chanthawi, komanso kwa nthawi yayitali pambuyo pake.

Chithandizo cha matenda kapamba

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

Mutha kuchiza matenda a chibwana m'njira zitatu:

Mankhwala

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

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

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

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

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

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

Zomwe zimayambitsa matendawa:

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

Kusiyana kwapakati pancreatitis yotupa ndi mtundu wa matenda:

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

Zofanana:

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

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

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

Kukhazikika kumakhala kovuta kwambiri.

Zizindikiro zofala kwambiri za yogwira pancreatitis

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

Zizindikiro zina zimaphatikizapo:

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

Zizindikiro zazitali zimaphatikizapo kuchepa thupi komanso kuthamanga kwa magazi.

Matendawa:

1. Dokotala akaganiza zothandizira pancreatitis yofunikira, gawo loyamba ndikuwunika magazi (mayesero a amylase ndi lipase) kuti mudziwe ngati michere yamkatiyo ili bwino.
2. Ngati achulukitsidwa, dokotala amatumiza ultrasound yam'mimba kuti izindikire zizotheka kutukusira, kufinya kapena miyala mu pancreatic duct.
3. Nthawi zina dokotalayo amalimbikitsa kupenda kwamkati mwa m'mimba kuti atsimikizire kuti ali ndi vuto la kapamba.

Chithandizo cha yogwira mawonekedwe amakhala magawo atatu - mankhwala a chithandizo, mankhwala a matenda oyambitsidwa, kapamba. Popanda iwo, kuchiritsira kwathunthu kwa kapamba ndikosatheka.

Zakudya za yogwira pancreatitis ana ndiofunika kwambiri chithandizo. Kwa masiku 1 mpaka awiri (mwakufuna kwa dotolo), chakudya sichimayikidwa kunja konse kuti zitsimikizidwe kuti zotumphukazo ziwonongeke. Pakadali pano, mwana ayenera kupatsidwa zakumwa zokha. Kuchuluka kwa madzi kumatsimikiziridwa ndi adokotala.

Zosankha zimakula pang'onopang'ono. Zopatsa mphamvu zopatsa mphamvu ziyenera kukhala zazing'ono (magawo ang'onoang'ono maola onse atatu mpaka anayi). Masabata awiri oyamba chakudya chimasenda.

Zakudya za kapamba mu ana

Zakudya Malangizo a kapamba:

• kudya mafuta ochepa kumakhala kofunikira. Imwani mafuta ndi mafuta ochepa
• osachotsa zakudya zokazinga,
• Mutha kuphika, kuwira, kuwira,
• monga zipatso ndi ndiwo zamasamba
• kudya nthawi zambiri, m'magawo ang'onoang'ono.

Zinthu zomwe ndikofunikira kupatula:

• chakudya chokazinga
• nyama zomaliza,
• dzira yolk
• nyama yofiyira
• mkaka wa ng'ombe
• batala
• wowawasa zonona
• margarine
• ayisikilimu
• nyemba zokazinga
• mtedza ndi batala kuchokera pamenepo,
• mtedza ndi mbewu
• Tchipisi cha chimanga kapena mbatata,
• masikono kuchokera ku biscuit ndi makeke aifupi (ma muffins, cookies),
• kuvala masaladi (mayonesi, masamba mafuta),
• mafuta.

Ndingadye chiyani?

Zakudya ndi mbale zotsatirazi ziyenera kuphatikizidwa muzakudya za ana:

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

Zitsanzo za menyu

Chakudya cham'mawa:

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

Chakudya chamadzulo:

Chakudya chamadzulo:

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

Chakudya chamadzulo:

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

Chakudya chamadzulo:

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

Zakudya zam'mawa pambuyo chakudya:

• Yogati yopanda mafuta yachi Greek yopanda mafuta ndi uchi,
• madzi kapena tiyi pa zitsamba.

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